title: Association of experiences of medical home quality with health-related quality of life and school engagement among Latino children in low-income families.
abstract: OBJECTIVE
  This study examines whether patient-reported indicators of a quality medical home are associated with measures of health among Latino children in low-income families.
  
  
  METHODS
  Data on 3,258 children ages 2-18 years are from a cross-sectional survey of parents of children affiliated with California's Healthy Kids insurance.
  
  
  METHODS
  Medical home quality was assessed using the Parents' Perception of Primary Care and was associated with health-related quality of life (HRQOL) overall and in four domains (physical, emotional, social, and school/daycare) and four measures of school engagement.
  
  
  RESULTS
  A higher total medical home score was associated with a higher total Pediatric Quality of Life Inventory score and scores in four subdomains (total beta [B]=1.77, physical B=1.71, social B=1.36, emotional B=2.22, and school/daycare B=1.69, all p<0.001). It was also associated with missing fewer than three school days due to illness (odds ratio [OR]=1.12, 95 percent confidence intervals [CI]: 1.05, 1.19), excellent/above average school performance overall (OR=1.10, 95 percent CI: 1.03, 1.17) and performance in reading (OR=1.13, 95 percent CI: 1.06, 1.20) and math (OR=1.10, 95 percent CI: 1.03, 1.16).
  
  
  CONCLUSIONS
  Patient-reported medical home quality indicators are favorably associated with HRQOL and measures of school engagement among Latino children in low-income families.
authors.affiliation: Keck School of Medicine, University of Southern California, Alhambra, CA, USA.
authors.forename: Gregory D
authors.initials: GD
authors.lastname: Stevens
authors.forename: Christina
authors.initials: C
authors.lastname: Vane
authors.forename: Michael R
authors.initials: MR
authors.lastname: Cousineau
mesh_terms: D000293:Adolescent; D002140:California; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006297:Health Services Accessibility; D006304:Health Status; D006630:Hispanic or Latino; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008603:Mental Health; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000706:statistics & numerical data*; D011203:Poverty; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D011788:Quality of Life; D012574:Schools / Q000706:statistics & numerical data