Adams SH, Park MJ, Brindis CD, Irwin CE. Adolescents' Receipt of Care in a Medical Home: Results From a National Survey.
J Adolesc Health 2023;
73:790-794. [PMID:
37367704 DOI:
10.1016/j.jadohealth.2023.05.019]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 05/17/2023] [Accepted: 05/19/2023] [Indexed: 06/28/2023]
Abstract
PURPOSE
Despite long-term emphasis on the medical home for children, little research focuses on adolescents. This study examines adolescent past-year attainment of medical home, its components, and subgroup differences among demographic and mental/physical health condition categories.
METHODS
Utilizing the 2020-21 National Survey of Children's Health (NSCH), ages 10-17 (N = 42,930), we determined medical home attainment and its 5 components and subgroup differences utilizing multivariable logistic regression: sex; race/ethnicity; income; caregiver education; insurance; language spoken at home; region; and health conditions: physical, mental, both, or none.
RESULTS
Forty-five percent had a medical home with lower rates among those who were as follows: not White non-Hispanic; lower income; uninsured; in non-English-speaking households; adolescents whose caregivers lacked a college degree; and adolescents with mental health conditions (p range = .01-<.0001). Differences for medical home components were similar.
DISCUSSION
Given low medical home rates, ongoing differences and high mental illness rates, efforts are needed to improve adolescent medical home access.
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