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Documentation in Long-Term and Home Healthcare Setting01:29

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  1. Home
  3. Research Domains
  5. Health Sciences
  7. Health Services And Systems
  9. Family Care
  11. Relationship Of Medical Home Components With Health Care Utilization And Unmet Needs In Children And Youth With Special Health Care Needs.
  1. Home
  3. Research Domains
  5. Health Sciences
  7. Health Services And Systems
  9. Family Care
  11. Relationship Of Medical Home Components With Health Care Utilization And Unmet Needs In Children And Youth With Special Health Care Needs.

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Relationship of Medical Home Components With Health Care Utilization and Unmet Needs in Children and Youth With Special Health Care Needs.

Suman Kanti Chowdhury1, Jennifer Marshall, Beth Boone

  • 1Author Affiliations: Department of Community Health Sciences, University of South Florida College of Public Health, Tampa, Florida (Mr Chowdhury); Interdisciplinary Science Practice Strategic Area Lead, University of South Florida College of Public Health, Chiles Center, Tampa, Florida (Dr Marshall); Center for Autism and Related Disabilities at USF, College of Behavioral and Community Sciences, Center for Autism and Related Disabilities, Tampa, Florida (Dr Boone); and Department of Community Health Sciences, Distinguished University Professor and Marrell Endowed Chair, University of South Florida College of Public Health, Chiles Center, Tampa, Florida (Dr Kirby).

The Journal of Ambulatory Care Management
|December 1, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Key components of the medical home model significantly reduce emergency visits and unmet needs for children and youth with special health care needs (CYSHCN). Family-centered care and effective care coordination are crucial for improving health care access and outcomes.

Keywords:
children with disabilitiesmedical homepreventive health services

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Area of Science:

  • Pediatric Health Services Research
  • Health Care Delivery Systems
  • Child Health Policy

Background:

  • The medical home model aims to provide comprehensive, family-centered care for children, including those with special health care needs (CYSHCN).
  • While the overall impact of the medical home is known, the specific contributions of its components to health care utilization and unmet needs in CYSHCN require further investigation.

Purpose of the Study:

  • To examine which medical home components best predict emergency visits, preventive care utilization, and unmet health care needs among CYSHCN.
  • To identify specific elements of the medical home model that can optimize health outcomes for CYSHCN.

Main Methods:

  • Analysis of data from the 2016-2022 National Survey of Children's Health.
  • Inclusion of 64,553 caregivers of CYSHCN aged 0-17 years.
  • Statistical analysis using Rao-Scott Chi-square tests and multivariable logistic regression.

    • Main Results:

    • Overall medical home care was linked to fewer emergency visits and unmet needs, and more preventive dental visits.
    • Specific components like having a usual sick care source, effective care coordination, family-centered care, and seamless referrals reduced emergency visits and unmet needs.
    • Having a personal doctor/nurse and receiving family-centered care increased preventive medical and dental visit utilization.

    Conclusions:

    • The study underscores the importance of individual medical home components in influencing health care utilization and needs for CYSHCN.
    • Findings offer valuable insights for refining health care delivery models to better serve CYSHCN and improve their access to preventive and necessary care.