Socioeconomic and Racial Disparities in Parental Perception and Experience of Having a Medical Home, 2007 to 2011-2012
Socioeconomic and Racial Disparities in Parental Perception and Experience of Having a Medical Home, 2007 to 2011-2012
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DOI：
10.1016/j.acap.2016.07.006
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发表时间：
2017-01-01
影响因子：
3.1
通讯作者：
Garg, Arvin
中科院分区：
文献类型：
--
作者：
Diao, Kristen;Tripodis, Yorghos;Garg, Arvin
目的：评估2007年至2011-2012年间，父母对医疗之家的感知和体验是否存在社会经济（SES）和种族差异。方法：我们使用2007年（n = 83,293）和2011-2012年（n = 87,774）全国儿童健康调查中具有全国代表性的1至17岁儿童样本。多变量逻辑回归用于检验社会经济地位（收入、就业和教育）与种族/民族到医疗之家及其子成分（私人医生或护士、通常的护理来源、以家庭为中心的护理、转诊、护理协调）之间的关联，控制了先验识别的协变量。结果：从2007年到2011-2012年，总体而言，较少的儿童获得了医疗之家（56.9% vs 54.0%, aOR = 0.91, 95%置信区间0.86-0.96）。在这段时间内，社会经济地位和种族趋势在获得医疗之家方面没有显著变化。例如，孩子的父母
OBJECTIVE: To evaluate whether socioeconomic (SES) and racial disparities in the parental perception and experience of having a medical home decreased from 2007 to 2011-2012.METHODS: We used nationally representative samples of children aged 1 to 17 from the 2007 (n = 83,293) and 2011-2012 (n = 87,774) National Surveys of Children's Health. Multivariable logistic regression was used to test associations between SES (income, employment, and education) and race/ethnicity to the medical home and its subcomponents (personal doctor or nurse, usual source of care, family-centered care, referrals, care coordination), controlling for a priori identified covariates.RESULTS: From 2007 to 2011-2012, fewer children overall had access to a medical home (56.9% vs 54.0%, aOR = 0.91, 95% confidence interval 0.86-0.96). There were no significant changes in SES and racial trends in access to the medical home during this time period. For example, parents of children