Preventive care and medical homes among US children with heart conditions

Details

• Alternative Title:
  Cardiol Young
• Personal Author:
  Broughton, Amber ; Riehle-Colarusso, Tiffany ; Nehl, Eric ; Riser, Aspen P. ; Farr, Sherry L.
• Description:
  Within a medical home, primary care providers can identify needs, provide services, and coordinate care for children with heart conditions. Using parent-reported data from the 2016-2017 National Survey of Children's Health, we examined receipt of preventive care in the last 12 months and having a medical home (care that is accessible, continuous, comprehensive, family-centred, coordinated, compassionate, and culturally effective) among US children aged 0-17 years with and without heart conditions. Using the marginal predictions approach to multivariable logistic regression, we examined associations between presence of a heart condition and receipt of preventive care and having a medical home. Among children with heart conditions, we evaluated associations between sociodemographic and health characteristics and receipt of preventive care and having a medical home. Of the 66,971 children included, 2.2% had heart conditions. Receipt of preventive care was reported for more children with heart conditions (91.0%) than without (82.7%) (adjusted prevalence ratio = 1.09, 95% confidence interval: 1.05-1.13). Less than half of children with heart conditions (48.2%) and without (49.5%) had a medical home (adjusted prevalence ratio = 1.02, 95% confidence interval: 0.91-1.14). For children with heart conditions, preventive care was slightly more common among younger children and less common among those with family incomes 200-399% of the federal poverty level. Having a medical home was less common among younger children, non-Hispanic "other" race, and those with ≥2 other health conditions. Most children with heart conditions received preventive care, but less than half had a medical home, with disparities by age, socioeconomic status, race, and concurrent health conditions. These findings highlight opportunities to improve care for children with heart conditions.
• Subjects:
  Child Health Personnel Health Services Accessibility Humans Infant Logistic Models Parents Patient-Centered Care Prevalence Socioeconomic Factors
• Source:
  Cardiol Young. 31(1):114-120
• Pubmed ID:
  33161934
• Pubmed Central ID:
  PMC9848019
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  31
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:4194931d11767422370f6839c28dd79ef52ed79853191f20fdb76c8e7ddf2b48
• Download URL:
  https://stacks.cdc.gov/view/cdc/123832/cdc_123832_DS1.pdf
• File Type:
  [PDF - 455.06 KB ]