title: The Association Between the Medical Home and Pediatric Developmental Screening Among US Children Five Years and Younger: Results From the 2007 National Survey of Children's Health.
abstract: OBJECTIVE
  The medical home is associated with key healthcare services. We assessed its association with the pediatric developmental screening among United States (US) children less than or equal to five years.
  
  
  METHODS
  The 2007 national survey of children's health data was analyzed using state clusters, and pediatric developmental screening probability was modeled as a function of the medical home.
  
  
  RESULTS
  Only 19.5% of US children received pediatric developmental screening, and crosstabs showed a null medical home association. Based on medical home status, adjusted state models showed much variation in pediatric developmental screening odds. A random intercept and slope model had the best fit. The medical home increased pediatric developmental screening odds by 24% (1.10, 1.38).
  
  
  CONCLUSIONS
  The pediatric developmental screening rate and the medical home association are partially influenced by an individual's state. A multilevel model including state level predictors will help illuminate factors that promote healthcare service acquisition. This knowledge will enhance policy development in public and private sector health programs.
authors: Professional Research Assistant with the University of Colorado Denver School of Medicine.
authors: Nicole
authors: N
authors: Richmond
authors: Louisiana State University Health Sciences Center, School of Medicine, Department of Pediatrics and the Louisiana Department of Health and Hosptials, Office of Public Health, Center for Preventive Health, Children's Special Health Services Program in New Orleans.
authors: Tri
authors: T
authors: Tran
authors: Louisiana State University Health Sciences Center, School of Medicine, Department of Pediatrics and the Louisiana Department of Health and Hosptials, Office of Public Health, Center for Preventive Health, Children's Special Health Services Program in New Orleans.
authors: Susan
authors: S
authors: Berry
mesh_terms: D002657:Child Development; D000067576:Child Health; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009313:National Health Programs; D014481:United States