Factors Associated with Having a Medical Home for Children At-Risk of Experiencing Negative Events: Results from a National Study

Baron-Lee, Jacqueline; Bonner, Brandy; Knapp, Caprice; Bright, Melissa; Hinojosa, Melanie Sberna

doi:10.1007/s10995-015-1742-x

Cited by 14 publications

(5 citation statements)

References 22 publications

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“…This dichotomous patient-centered medical home variable, developed by the Child and Adolescent Health Measurement Initiative (CAHMI) using interviews with a national expert panel and a substantial body of previous research, has been utilized in a number of previous peer-reviewed studies. 12-16 Specifically, for the personal doctor or nurse component mothers were asked, “Has your child had one or more person(s) that they consider to be a personal doctor or nurse?” Mothers who responded, “Yes, the child has at least one personal doctor or nurse,” met the personal doctor or nurse component of the patient-centered medical home. For the usual source of sick care component mothers were asked, “Does your child have a usual place for sick care or advice?” and if they responded yes a follow-up question was asked, “What type of place does your child go to most often for medical care?” Mothers who responded that their child had a usual place of care and indicated this place to be a, “doctor’s office, hospital outpatient department, clinic or health center, school, friend or relative, some other place, or a telephone advice line,” met the usual source of sick care component of the patient-centered medical home.…”

Section: Methodsmentioning

confidence: 99%

Section: Measures Asd Status Maternal Responses To the Question "Doesmentioning

confidence: 99%

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The Patient-Centered Medical Home: Mental Health and Parenting Stress in Mothers of Children With Autism

Limbers

Gutierrez

Cohen

2020

J Prim Care Community Health

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Objective: This study examined the correlations between receiving care in patient-centered medical home and maternal reports of their mental health and parenting stress in a national sample of mothers of children with autism spectrum disorder (ASD). Method: Participants were 1108 mothers of children with ASD (average age = 10.6 years; 81% male) from the 2011-2012 National Survey of Children’s Health. Multiple linear regression analysis and polynomial logistic regression analysis were used to evaluate if having a child with ASD cared for in a patient-centered medical home was significantly associated with maternal reports of their parenting stress and mental health. We also assessed whether 5 indicators of the American Academy of Pediatrics medical home definition were differentially associated with maternal outcomes. Results: Receiving care in a patient-centered medical home was associated with maternal reports of less parenting stress (standardized β = −0.201; P < .001) and better mental health (odds ratios range from 0.204 to 0.360; P < .001) after controlling for sociodemographic variables. Of the 5 indicators of the medical home definition, only effective care coordination was significantly associated with maternal perceptions of their parenting stress and mental health. Conclusion: Future longitudinal studies are needed to assess the temporal associations between patient-centered medical home status and maternal perceptions of their mental health and parenting stress in mothers of children with ASD.

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Section: Methodsmentioning

confidence: 99%

Section: Measures Asd Status Maternal Responses To the Question "Doesmentioning

confidence: 99%

The Patient-Centered Medical Home: Mental Health and Parenting Stress in Mothers of Children With Autism

Limbers

Gutierrez

Cohen

2020

J Prim Care Community Health

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“…7,8 Most children were followed by "Patient Centered Medical Homes" staffed with primary and specific health care providers delivering integrated mother and child care. 9,10 However, 5 years of war has demolished most specific health care centers, and the remaining centers are not functional. 1,8 This severely complex and dynamic humanitarian emergency situation is an immense challenge for relief efforts of national and international emergency medical teams, as an estimated 4 million people are in areas difficult to access for aid and relief organizations.…”

mentioning

confidence: 99%

“…Before 2011, Syria seemed to be on track to fulfilling the health Millennium Development Goals 7 8 Most children were followed by “Patient Centered Medical Homes” staffed with primary and specific health care providers delivering integrated mother and child care 9 10 However, 5 years of war has demolished most specific health care centers, and the remaining centers are not functional 1 …”

mentioning

confidence: 99%

Children in the Syrian Civil War: the Familial, Educational, and Public Health Impact of Ongoing Violence

Elsafti

Berlaer

Safadi³

et al. 2016

Disaster med. public health prep.

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Objective: The Syrian civil war since 2011 has led to one of the most complex humanitarian emergencies in history. The objective of this study was to document the impact of the conflict on the familial, educational, and public health state of Syrian children. Methods: A cross-sectional observational study was conducted in May 2015. Health care workers visited families with a prospectively designed data sheet in 4 Northern Syrian governorates. Results: The 1001 children included in this study originated from Aleppo (41%), Idleb (36%), Hamah (15%), and Lattakia (8%). The children's median age was 6 years (range, 0-15 years; interquartile range, 3-11 years), and 61% were boys. Almost 20% of the children were internally displaced, and 5% had deceased or missing parents. Children lacked access to safe drinking water (15%), appropriate sanitation (23%), healthy nutrition (16%), and pediatric health care providers (64%). Vaccination was inadequate in 72%. More than half of school-aged children had no access to education. Children in Idleb and Lattakia were at greater risk of having unmet public health needs. Younger children were at greater risk of having an incomplete vaccination state. Conclusions: After 4 years of civil war in Syria, children have lost parents, live in substandard life quality circumstances, and are at risk for outbreaks because of worsening vaccination states and insufficient availability of health care providers. (Disaster Med Public Health Preparedness. 2016;10:874-882)

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“…No significant association was found, which emphasizes the limitation of health care professionals in protecting CSHCN and their families from risk situations. Nevertheless, by identifying these situations, professionals can develop differentiated care strategies (19) .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with family risk of children with special health care needs

Okido

Neves

Cavicchioli

et al. 2018

Rev. esc. enferm. USP

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Objective: To identify the factors associated with family risk of children with special health care needs. Methods: Bicentric study, with a cross-sectional design and a quantitative approach, with family caregivers of children with special health care needs. Instruments were applied to obtain a sociodemographic characterization, and identify and classify the family risk. For analysis between variables, Mann-Whitney and Fisher’s exact tests were used and the Spearman’s correlation coefficient was calculated. Results: One hundred and eighteen caregivers participated in the study. The average family risk score was 3.53 (±3.76), with a median of 3.0, and minimum and maximum values of 0 and 16, respectively, with no significant difference between the two studied Brazilian municipalities. In municipality 1, the number of siblings presented a positive correlation with the average family risk score (0.011, p<0.05). Level of education and marital status of the caregiver showed a significant association with the result (0.038 and 0.002, respectively). The social classification variable presented a negative correlation with the outcome in municipalities 1 (0.003, p<0.01) and 2 (0.006, p<0.01). Conclusion: To classify the family risk and recognize associated factors can be taken as a basis for fair home care to children with special health care needs.

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Factors Associated with Having a Medical Home for Children At-Risk of Experiencing Negative Events: Results from a National Study

Cited by 14 publications

References 22 publications

The Patient-Centered Medical Home: Mental Health and Parenting Stress in Mothers of Children With Autism

The Patient-Centered Medical Home: Mental Health and Parenting Stress in Mothers of Children With Autism

Children in the Syrian Civil War: the Familial, Educational, and Public Health Impact of Ongoing Violence

Factors associated with family risk of children with special health care needs

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