title: Do medical homes reduce disparities in receipt of preventive services between children living in immigrant and non-immigrant families?
abstract: The patient-centered medical home model has the potential to reduce healthcare disparities among immigrant children. The purpose of this study is to examine the relationship between medical home (MH) participation and receipt of preventive services among immigrant children age 0-17. The study employed extant data from the National Survey of Children's Health, 2007 (NSCH). Logistic regression analyses were employed to assess the relationship between receipt of preventive services and MH status among immigrant and non-immigrant children. Due to primarily the lack of family-centered care, only 40% of immigrant children met the medical home criteria versus approximately 62% of non-immigrant children. Immigrant children have decreased odds of receiving preventive care despite MH status. Improving the family-centered care aspect of the MH is necessary to increasing medical home access to immigrant children and the receipt of preventive services for immigrant children who meet the MH criteria.
authors: Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA 16802, USA. rzb10@psu.edu
authors: R
authors: R
authors: Belue
authors: A N
authors: AN
authors: Degboe
authors: P Y
authors: PY
authors: Miranda
authors: L A
authors: LA
authors: Francis
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000191:economics / Q000706:statistics & numerical data*; D002675:Child, Preschool; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D054625:Healthcare Disparities / Q000191:economics / Q000208:ethnology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D017057:Medically Uninsured / Q000208:ethnology; D018802:Patient-Centered Care / Q000191:economics / Q000706:statistics & numerical data*; D011314:Preventive Health Services / Q000191:economics / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors