Gaps and Factors Related to Receipt of Care within a Medical Home for Toddlers Born Preterm
To characterize gaps and factors related to receipt of care within a medical home for toddlers born preterm. Participants were 202 caregivers of children born at
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| Veröffentlicht in: | The Journal of pediatrics 2019-04, Vol.207, p.161-168.e1 |
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| container_title | The Journal of pediatrics |
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| creator | Boone, Kelly M. Nelin, Mary Ann Chisolm, Deena J. Keim, Sarah A. |
| description | To characterize gaps and factors related to receipt of care within a medical home for toddlers born preterm.
Participants were 202 caregivers of children born at |
| doi_str_mv | 10.1016/j.jpeds.2018.10.065 |
| format | Article |
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Participants were 202 caregivers of children born at <35 weeks of gestation. At 10-16 months of corrected age, caregivers completed the National Survey of Children's Health (2011/2012) medical home module and a sociodemographic profile. Care within a medical home comprised having a personal doctor/nurse, a usual place for care, effective care coordination, family-centered care, and getting referrals when needed. Gestational age and neonatal follow-up clinic attendance were abstracted from the medical record. The Bayley Scales of Infant and Toddler Development, Third Edition assessed developmental status. Log-binomial regression examined factors related to receiving care within a medical home.
Fifty-three percent (n = 107) of the children received care within a medical home. Low socioeconomic status (young caregiver: risk ratio [RR] = 0.73; 95% CI 0.55, 0.97; low education: RR= 0.69; 95% CI 0.49, 0.98) and delayed language (RR = 0.63; 95% CI 0.42, 0.95) were associated with a lower likelihood of receiving care within a medical home. Degree of prematurity and neonatal clinic follow-up participation were unrelated to receipt of care within a medical home.
Receipt of care within a medical home was lacking for nearly one-half of preterm toddlers, especially those with lower socioeconomic status and poorer developmental status. Discharge from a neonatal intensive care unit may be an optimal time to facilitate access to a primary care medical home and establish continuity of care.
ClinicalTrials.gov: NCT01576783.</description><identifier>ISSN: 0022-3476</identifier><identifier>ISSN: 1097-6833</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2018.10.065</identifier><identifier>PMID: 30579584</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Child Health Services - statistics & numerical data ; children with special healthcare needs ; Double-Blind Method ; Female ; Gestational Age ; Health Services Accessibility - statistics & numerical data ; Health Services Needs and Demand - statistics & numerical data ; Health Surveys - methods ; Humans ; Incidence ; Infant ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases - epidemiology ; Infant, Premature, Diseases - therapy ; Male ; medical home ; Ohio - epidemiology ; Patient-Centered Care - statistics & numerical data ; prematurity ; toddlerhood</subject><ispartof>The Journal of pediatrics, 2019-04, Vol.207, p.161-168.e1</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-9b05ff64d9a60ee020c50b5a7cdba4d01ad9346ec8cb0b61ad64e63c04d325c83</citedby><cites>FETCH-LOGICAL-c459t-9b05ff64d9a60ee020c50b5a7cdba4d01ad9346ec8cb0b61ad64e63c04d325c83</cites><orcidid>0000-0003-2986-1077 ; 0000-0003-3490-3649</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2018.10.065$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30579584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boone, Kelly M.</creatorcontrib><creatorcontrib>Nelin, Mary Ann</creatorcontrib><creatorcontrib>Chisolm, Deena J.</creatorcontrib><creatorcontrib>Keim, Sarah A.</creatorcontrib><title>Gaps and Factors Related to Receipt of Care within a Medical Home for Toddlers Born Preterm</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>To characterize gaps and factors related to receipt of care within a medical home for toddlers born preterm.
Participants were 202 caregivers of children born at <35 weeks of gestation. At 10-16 months of corrected age, caregivers completed the National Survey of Children's Health (2011/2012) medical home module and a sociodemographic profile. Care within a medical home comprised having a personal doctor/nurse, a usual place for care, effective care coordination, family-centered care, and getting referrals when needed. Gestational age and neonatal follow-up clinic attendance were abstracted from the medical record. The Bayley Scales of Infant and Toddler Development, Third Edition assessed developmental status. Log-binomial regression examined factors related to receiving care within a medical home.
Fifty-three percent (n = 107) of the children received care within a medical home. Low socioeconomic status (young caregiver: risk ratio [RR] = 0.73; 95% CI 0.55, 0.97; low education: RR= 0.69; 95% CI 0.49, 0.98) and delayed language (RR = 0.63; 95% CI 0.42, 0.95) were associated with a lower likelihood of receiving care within a medical home. Degree of prematurity and neonatal clinic follow-up participation were unrelated to receipt of care within a medical home.
Receipt of care within a medical home was lacking for nearly one-half of preterm toddlers, especially those with lower socioeconomic status and poorer developmental status. Discharge from a neonatal intensive care unit may be an optimal time to facilitate access to a primary care medical home and establish continuity of care.
ClinicalTrials.gov: NCT01576783.</description><subject>Child Health Services - statistics & numerical data</subject><subject>children with special healthcare needs</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Health Services Needs and Demand - statistics & numerical data</subject><subject>Health Surveys - methods</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Premature, Diseases - epidemiology</subject><subject>Infant, Premature, Diseases - therapy</subject><subject>Male</subject><subject>medical home</subject><subject>Ohio - epidemiology</subject><subject>Patient-Centered Care - statistics & numerical data</subject><subject>prematurity</subject><subject>toddlerhood</subject><issn>0022-3476</issn><issn>1097-6833</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxS1ERbeFT4CEfOSSZRz_SXIAia5oi9QKhMqJg-XYE-pVEgfbW8S3r5ctFVw42R6_92Y0P0JeMlgzYOrNdr1d0KV1DawtlTUo-YSsGHRNpVrOn5IVQF1XXDTqmJyktAWATgA8I8ccZNPJVqzItwuzJGpmR8-NzSEm-gVHk9HRHMrVol8yDQPdmIj0p8-3fqaGXqPz1oz0MkxIhxDpTXBuxOI-C3GmnyNmjNNzcjSYMeGLh_OUfD3_cLO5rK4-XXzcvL-qrJBdrroe5DAo4TqjABFqsBJ6aRrreiMcMOM6LhTa1vbQq_JUAhW3IByvpW35KXl3yF12_YTO4pyjGfUS_WTiLx2M1__-zP5Wfw93WgkBrYAS8PohIIYfO0xZTz5ZHEczY9glXTMFTDQtk0XKD1IbQ0oRh8c2DPQei97q31j0Hsu-WLAU16u_J3z0_OFQBG8PAix7uvMYdbIeZ1v2HNFm7YL_b4N7YFWgVQ</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Boone, Kelly M.</creator><creator>Nelin, Mary Ann</creator><creator>Chisolm, Deena J.</creator><creator>Keim, Sarah A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2986-1077</orcidid><orcidid>https://orcid.org/0000-0003-3490-3649</orcidid></search><sort><creationdate>20190401</creationdate><title>Gaps and Factors Related to Receipt of Care within a Medical Home for Toddlers Born Preterm</title><author>Boone, Kelly M. ; Nelin, Mary Ann ; Chisolm, Deena J. ; Keim, Sarah A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-9b05ff64d9a60ee020c50b5a7cdba4d01ad9346ec8cb0b61ad64e63c04d325c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Child Health Services - statistics & numerical data</topic><topic>children with special healthcare needs</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Health Services Needs and Demand - statistics & numerical data</topic><topic>Health Surveys - methods</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infant, Premature, Diseases - epidemiology</topic><topic>Infant, Premature, Diseases - therapy</topic><topic>Male</topic><topic>medical home</topic><topic>Ohio - epidemiology</topic><topic>Patient-Centered Care - statistics & numerical data</topic><topic>prematurity</topic><topic>toddlerhood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boone, Kelly M.</creatorcontrib><creatorcontrib>Nelin, Mary Ann</creatorcontrib><creatorcontrib>Chisolm, Deena J.</creatorcontrib><creatorcontrib>Keim, Sarah A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boone, Kelly M.</au><au>Nelin, Mary Ann</au><au>Chisolm, Deena J.</au><au>Keim, Sarah A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gaps and Factors Related to Receipt of Care within a Medical Home for Toddlers Born Preterm</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>207</volume><spage>161</spage><epage>168.e1</epage><pages>161-168.e1</pages><issn>0022-3476</issn><issn>1097-6833</issn><eissn>1097-6833</eissn><abstract>To characterize gaps and factors related to receipt of care within a medical home for toddlers born preterm.
Participants were 202 caregivers of children born at <35 weeks of gestation. At 10-16 months of corrected age, caregivers completed the National Survey of Children's Health (2011/2012) medical home module and a sociodemographic profile. Care within a medical home comprised having a personal doctor/nurse, a usual place for care, effective care coordination, family-centered care, and getting referrals when needed. Gestational age and neonatal follow-up clinic attendance were abstracted from the medical record. The Bayley Scales of Infant and Toddler Development, Third Edition assessed developmental status. Log-binomial regression examined factors related to receiving care within a medical home.
Fifty-three percent (n = 107) of the children received care within a medical home. Low socioeconomic status (young caregiver: risk ratio [RR] = 0.73; 95% CI 0.55, 0.97; low education: RR= 0.69; 95% CI 0.49, 0.98) and delayed language (RR = 0.63; 95% CI 0.42, 0.95) were associated with a lower likelihood of receiving care within a medical home. Degree of prematurity and neonatal clinic follow-up participation were unrelated to receipt of care within a medical home.
Receipt of care within a medical home was lacking for nearly one-half of preterm toddlers, especially those with lower socioeconomic status and poorer developmental status. Discharge from a neonatal intensive care unit may be an optimal time to facilitate access to a primary care medical home and establish continuity of care.
ClinicalTrials.gov: NCT01576783.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30579584</pmid><doi>10.1016/j.jpeds.2018.10.065</doi><orcidid>https://orcid.org/0000-0003-2986-1077</orcidid><orcidid>https://orcid.org/0000-0003-3490-3649</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Child Health Services - statistics & numerical data children with special healthcare needs Double-Blind Method Female Gestational Age Health Services Accessibility - statistics & numerical data Health Services Needs and Demand - statistics & numerical data Health Surveys - methods Humans Incidence Infant Infant, Low Birth Weight Infant, Newborn Infant, Premature Infant, Premature, Diseases - epidemiology Infant, Premature, Diseases - therapy Male medical home Ohio - epidemiology Patient-Centered Care - statistics & numerical data prematurity toddlerhood |
| title | Gaps and Factors Related to Receipt of Care within a Medical Home for Toddlers Born Preterm |
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