The Medical Home at 50: Are Children With Medical Complexity the Key to Proving Its Value?

Lerner, Carlos F.; Klitzner, Thomas S.

doi:10.1016/j.acap.2017.04.010

Cited by 8 publications

(2 citation statements)

References 54 publications

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“…[15] A child’s medical home has historically been promoted as the best place for children to receive their recommended vaccines. [19] , [20] , [21] The medical home has been encouraged because there the trusted healthcare provider can not only keep track of and administer recommended vaccinations but also perform the various health screenings that children are recommended to receive throughout their development. [22] For influenza vaccination, as the recommended child age groups expanded in the years 2004 through 2008, there was concern about capacity of the medical home to administer influenza vaccine to all children in the short window of the influenza season.…”

Section: Discussionmentioning

confidence: 99%

Where are children ages 5–17 years receiving their COVID-19 vaccinations? Variations over time and by sociodemographic characteristics, United States

Santibanez

Black²,

Vogt³

et al. 2022

Vaccine

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Section: Discussionmentioning

confidence: 99%

Where are children ages 5–17 years receiving their COVID-19 vaccinations? Variations over time and by sociodemographic characteristics, United States

Santibanez

Black²,

Vogt³

et al. 2022

Vaccine

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“…8 Some studies use categorical methodologies based on diagnostic codes of disease and administrative data, while others use diagnosisindependent approaches based on the CSHCN screener. 32 It is the latter classification that is used here. More specifically, a child with a need that is not a functional limitation but is managed with prescription medication only is classified as having a less complex need, whereas all remaining CSHCN are classified as having a more complex need.…”

Section: Children With Special Healthcare Needsmentioning

confidence: 99%

Food insufficiency and children with special healthcare needs

Balistreri

2019

Public Health

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Objectives: The purpose of this study was to examine the prevalence of food insufficiency, a more severe form of food insecurity, across levels of special healthcare needs among a nationally representative sample of children in the United States. The study also investigates whether medical home access serves as a possible protective mechanism against food hardship. Study design: The study involves analysis of nationally representative cross-sectional data. Methods: The data used are the 2016 National Survey of Children's Health, a cross-sectional nationally representative sample of the US children (N = 48,709). Descriptive analyses and logistic regression analysis are used to estimate food insufficiency and its correlates by complexity of children's special healthcare needs. Results: Analysis showed that children with more complex special healthcare needs experienced roughly twice the rate of food insufficiency compared with children with no special healthcare needs or children with less complex healthcare needs. Multivariate analysis indicated that children with more complex healthcare needs face an increased risk of food insufficiency net of demographic and economic characteristics. Interaction models revealed that medical home access protects children with medical complexity from food insufficiency. Conclusions: These findings document significantly elevated risk of food insufficiency among families with a child facing more complex special healthcare needs. Interventions in healthcare settings could include referrals to resources already in place to combat hunger such as food bank agencies and other resources that might help at-risk families obtain assistance through programs such as the Supplemental Nutrition Assistance Program and Women, Infants, and Children.

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Surgical Problems of Children with Physical Disabilities

Calkins

2023

Pediatric Surgery

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The Medical Home at 50: Are Children With Medical Complexity the Key to Proving Its Value?

Cited by 8 publications

References 54 publications

Where are children ages 5–17 years receiving their COVID-19 vaccinations? Variations over time and by sociodemographic characteristics, United States

Where are children ages 5–17 years receiving their COVID-19 vaccinations? Variations over time and by sociodemographic characteristics, United States

Food insufficiency and children with special healthcare needs

Surgical Problems of Children with Physical Disabilities

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