scholarly journals INVESTMENTS IN MEDICAL HOME MODEL STARTING TO PAY DIVIDENDS

2012 ◽  
Vol 10 (1) ◽  
pp. 80-81 ◽  
Author(s):  
G. Stream
Keyword(s):  
Medical Home ◽  
Medical Home Model

scholarly journals Why Parents Use the Emergency Department Despite Having a Medical Home

2018 ◽  
Vol 58 (1) ◽  
pp. 95-99 ◽  
Author(s):  
Kalpana Pethe ◽  
Allison Baxterbeck ◽  
Susan L. Rosenthal ◽  
Melissa S. Stockwell
Keyword(s):  
Emergency Department ◽  
Low Income ◽  
Medical Home ◽  
Medical Problem ◽  
Community Based ◽  
Phone Line ◽  
Medical Homes ◽  
Medical Home Model ◽  
After Hours ◽  
Publicly Insured

Despite having a medical home, pediatric patients continue emergency department (ED) utilization for various reasons. This study examines parental reasons associated with the decision to seek ED care in a group of low-income, inner-city, publicly insured children. Surveys were conducted with parents of children (age = 0-19 years) presenting to a community-based clinic, which has an established medical home model with enhanced access. Most patients (88.3%) had a pediatrician, and nearly all (93.3%) reported a visit to the ED; most (75.7%) were aware of clinic walk-in hours, but less than half (42.6%) were aware of an after-hours phone line. There was no difference in those who were aware of walk-in hours or an after-hours phone line and a reported ED visit. Half of the parents (52.5%) thought their child’s medical problem was serious. In addition to providing enhanced efforts, medical homes should strive to make families aware of increased access.

Description of pharmacist-led quality improvement huddles in the patient-centered medical home model

2018 ◽  
Vol 58 (6) ◽  
pp. 667-672.e2 ◽  
Author(s):  
Trisha Wells ◽  
Stuart Rockafellow ◽  
Marcy Holler ◽  
Antoinette B. Coe ◽  
Anne Yoo ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Medical Home Model

Course on care of patients with chronic illness: Patient-centered medical home model

2014 ◽  
Vol 27 (2) ◽  
pp. 205 ◽  
Author(s):  
Christopher Danford ◽  
Barbara Sheline ◽  
Viviana Martinez-Bianchi ◽  
Melinda Blazar ◽  
Patricia Dieter ◽  
...  
Keyword(s):  
Chronic Illness ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Medical Home Model

Coordinated Primary Care (“Medical Home” Model)

2009 ◽  
Vol 2 (2) ◽  
pp. 60-64 ◽  
Author(s):  
Mary Petermann Garnica
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Nurse Practitioners ◽  
Medical Home ◽  
Primary Care Physicians ◽  
Team Leaders ◽  
Care Nurse ◽  
Medical Home Model ◽  
Primary Care Practices ◽  
Primary Care Medical Home

Health care is inaccessible and too expensive for a large segment of the U.S. population. In addition, the past decade has produced many reports of significant problems related to safety, quality, and effectiveness in U.S. health care. The future of primary care is in question because of a current and projected worsening shortage of primary care physicians. A physician-led coordinated primary care model has been endorsed by major physicians groups as having the potential to address many of these problems. The model, also known as the “medical home,” has gained momentum and appears likely to play a central role as the nation moves forward to reform health care. Nurse practitioners have traditionally practiced “coordinated primary care” and are ideally suited to lead practices adopting this model of care. This article provides rationale for nurse practitioners to be fully recognized as team leaders of coordinated primary care practices.

scholarly journals Association Between the Medical Home Model of Care and Demographic Characteristics in US Children

2018 ◽  
Vol 58 (3) ◽  
pp. 270-281 ◽  
Author(s):  
Sasha A. Fleary
Keyword(s):  
Health Outcomes ◽  
Medical Home ◽  
Demographic Characteristics ◽  
Poverty Level ◽  
Caregiver Education ◽  
Centered Care ◽  
Medical Home Model ◽  
Us Children ◽  
The Relationship ◽  
Family Centered

Given the medical home model of care’s (MHMOC) potential to reduce disparities in health care, this study determined the relationship between MHMOC, MHMOC indicators, and (1) demographic characteristics and (2) health outcomes in US children. Caregivers (n = 50 212) of children 0 to 17 years completed the 2016 National Survey of Children’s Health. The MHMOC measure comprised 5 indicators (e.g., having a personal doctor/nurse and receiving family-centered care). Bivariate and multiple logistic regressions assessed the relationships between MHMOC, MHMOC indicators, and (1) demographic characteristics and (2) health outcomes. Approximately 49% of the children were served in a MHMOC. MHMOC and MHMOC indicators were related to race, ethnicity, nativity, caregiver education, federal poverty level, insurance type, and predicted health outcomes. These findings suggest that children most in need of MHMOC are less likely to be served in them. Thus, the current distribution of MHMOC likely contributes to greater disparities in care.

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