| Relationship between presence of a reported medical home and emergency department use among children with asthma. | |
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MedLine Citation:
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PMID: 20442339 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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This study examined data from the 2005-2006 National Survey of Children with Special Health Care Needs to assess the relationship among children with asthma between a reported medical home and emergency department (ED) use. The authors used 21 questions to measure 6 medical home components: personal doctor/nurse, family-centered, compassionate, culturally effective and comprehensive care, and effective care coordination. Weighted zero-inflated Poisson regression analyses assessed the independent effects of having a medical home on annual number of child ED visits while controlling for child and parental characteristics, and the differential likelihood of securing a medical home. Nearly half (49.9%) of asthmatic children had a medical home. Receiving primary care in a medical home was associated with fewer ED visits (incidence rate ratio = 0.93; 95% confidence interval = 0.89-0.97). A medical home in which physicians and parents share responsibility for ensuring that children have access to needed services may improve child and family outcomes for children with asthma. |
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Authors:
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Abdoulaye Diedhiou; Janice C Probst; James W Hardin; Amy B Martin; Sudha Xirasagar |
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Publication Detail:
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Type: Journal Article Date: 2010-05-04 |
Journal Detail:
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Title: Medical care research and review : MCRR Volume: 67 ISSN: 1552-6801 ISO Abbreviation: Med Care Res Rev Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9506850 Medline TA: Med Care Res Rev Country: United States |
Other Details:
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Languages: eng Pagination: 450-75 Citation Subset: IM |
Affiliation:
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South Carolina Public Health Consortium, Arnold School of Public Health, University of South Carolina, 800 Sumter Street, Suite 309, Columbia, SC 29208, USA. diedhiou@mailbox.sc.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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