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Maternal and Child Health Journal

, Volume 17, Issue 9, pp 1658–1664 | Cite as

Factors Associated with a Patient-Centered Medical Home Among Children with Behavioral Health Conditions

  • Caprice Knapp
  • Lindsey Woodworth
  • Daniel Fernandez-Baca
  • Jacqueline Baron-Lee
  • Lindsay Thompson
  • Melanie Hinojosa
Article

Abstract

At some point in their lives, nearly one-half of all American children will have a behavioral health condition. Many will not receive the care they need from a fragmented health delivery system. The patient-centered medical home is a promising model to improve their care; however, little evidence exists. Our study aim was to examine the association between several behavioral health indicators and having a patient-centered medical home. 91,642 children’s parents or guardians completed the 2007 National Survey of Children’s Health. An indicator for patient-centered medical home was included in the dataset. Descriptive statistics, bivariate tests, and multivariate regression models were used in the analyses. Children in the sample were mostly Male (52 %), White (78 %), non-Hispanic (87 %), and did not have a special health care need (80 %). 6.2 % of the sample had at least one behavioral health condition. Conditions ranged from ADHD (6 %) to Autism Spectrum Disorder (ASD) (1 %). Frequency of having a patient-centered medical home also varied for children with a behavioral health condition (49 % of children with ADHD and 33 % of children with ASD). Frequency of having a patient-centered medical home decreased with multiple behavioral health conditions. Higher severity of depression, anxiety, and conduct disorder were associated with a decreased likelihood of a patient-centered medical home. Results from our study can be used to target patient-centered medical home interventions toward children with one or more behavioral health conditions and consider that children with depression, anxiety, and conduct disorder are more vulnerable to these disparities.

Keywords

ADHD Autism Depression Medical home Child health outcomes Survey 

Notes

Conflict of interest

None of the authors have a conflict of interest.

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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Caprice Knapp
    • 1
  • Lindsey Woodworth
    • 1
  • Daniel Fernandez-Baca
    • 1
  • Jacqueline Baron-Lee
    • 1
  • Lindsay Thompson
    • 2
  • Melanie Hinojosa
    • 1
  1. 1.Department of Health Outcomes and PolicyUniversity of FloridaGainesvilleUSA
  2. 2.Department of PediatricsUniversity of FloridaGainesvilleUSA

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