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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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During adolescence, individuals experience significant cognitive development that enhances their understanding of others' emotions and thoughts, known as cognitive empathy. This period is marked by an increased ability to adapt to others' perspectives and a more nuanced understanding of others' mental states, a skill that is foundational for social problem-solving and conflict avoidance. The development of cognitive empathy relies heavily on the theory of mind — the...
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The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
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The center of gravity (COG) of an object is the point where the object's total weight is considered to be concentrated. Knowing the location of the center of gravity is useful when predicting the behavior of a moving object or designing static structures. In a uniform gravitational field, the center of gravity is similar to the center of mass (COM); yet, these two points can be positioned differently. For example, the Moon's center of mass lies very close to its geometric center, but...
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The center of gravity is the point at which an object's weight appears to be concentrated and can be used to balance the object perfectly. This point is essential in mechanics as it provides information regarding a body's stability and moments of inertia. The center of gravity does not always have to fall within the shape or boundaries of the body; it may also lie outside the body in certain cases.
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The center of mass is the point at which the total mass of an object can be said to be concentrated. It is a fundamental principle in mechanics and physics that applies to all objects regardless of their shape or size. The center of gravity is the point at which an object’s weight appears to be concentrated and can be used to balance the object perfectly.
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Adolescent Access to Patient-Centered Medical Homes.

Christina M Martone1, Annie Gjelsvik2, Joanna D Brown3

  • 1Brown University School of Public Health, Providence, RI.

The Journal of Pediatrics
|August 11, 2019
PubMed
Summary
This summary is machine-generated.

Most US adolescents have a usual care source, but only half access patient-centered medical homes (PCMHs). Disparities exist for minority, low-income, and special needs youth, requiring interventions for equitable PCMH access.

Keywords:
National Survey of Children's Healthdisparitiesspecial health care needs

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Area of Science:

  • Health Services Research
  • Pediatric Health
  • Health Equity

Background:

  • Patient-Centered Medical Homes (PCMHs) are crucial for coordinated adolescent healthcare.
  • Understanding PCMH distribution and access disparities is vital for improving pediatric care.
  • Previous data on PCMH access among US adolescents is limited.

Purpose of the Study:

  • To analyze the distribution of PCMHs among US adolescents.
  • To identify and examine disparities in PCMH access among adolescent subgroups.
  • To compare current PCMH access with previous national data.

Main Methods:

  • Cross-sectional study utilizing data from the 2011-2012 National Survey of Children's Health (n=34,601 adolescents aged 12-17).
  • Multivariable logistic regression analysis to determine odds of PCMH access, adjusting for sociodemographic factors and special health care needs.
  • Comparative analysis of PCMH distribution between 2011-2012 and 2007.

Main Results:

  • While 91% of adolescents had a usual source of care, only 51% had access to a PCMH.
  • Significant disparities in PCMH prevalence were observed based on race/ethnicity, poverty level, and presence of special health care needs.
  • Lower adjusted odds of PCMH access were found for Hispanic and Black adolescents, those below 4x poverty level, and those with multiple special health care needs compared to their respective reference groups.

Conclusions:

  • PCMH access is inequitably distributed among US adolescents, with minorities, impoverished youth, and those with special health care needs facing significant barriers.
  • These disparities highlight the need for targeted interventions to enhance PCMH accessibility for underserved adolescent populations.
  • A slight decline in most PCMH components was noted between 2007 and 2011-2012, except for family-centered care.