INVESTIGATING THE RELATIONSHIP BETWEEN CHILDREN’S DEMOGRAPHIC CHARACTERISTICS, HEALTH STATUS, AND NEIGHBORHOOD CHARACTERISTICS AND THE PRESENCE OF A MEDICAL HOME

Open Access
Author:
Maggio, Steve
Area of Honors:
Health Policy and Administration
Degree:
Bachelor of Science
Document Type:
Thesis
Thesis Supervisors:
  • Dr Belue, Thesis Supervisor
  • Rhonda Belue, Thesis Supervisor
  • Pamela Farley Short, Honors Advisor
Keywords:
  • Demographics
  • Medical Home
  • Children
Abstract:
Purpose: The purpose of this study is to examine the relationship between socio-demographic, health and neighborhood level factors and the presence of a medical home in a nationally represented sample of children ages 6-13. Methods: The data used for this study are from the National Survey of Children’s Health, 2003 (NSCH). Logistic regression was employed to assess the relationship between medical home status; and socio-demographic, health and neighborhood variables. Results: Children who were poor, who were the most sick, and who lived in poor neighborhoods were at increased risk of not having a medical home. The odds of not having a medical home among children whose families that had incomes under 100% the Federal poverty level (FPL) were 1.4 times higher than the odds for those who live at 200-300% of the FPL. The odds of not having a medical home for children whose self-reported health score was fair/poor were 2.1 times higher compared to the odds for those in excellent/very good/good health. In addition, the odds of not having a medical home among children who came from the least cohesive communities were 1.4 times higher than the odds for those in the most cohesive communities. Conclusions: The populations that need the medical home most are without it. The sick, who could benefit the most from a medical home, were the least likely to be in a medical home. Also, the poor, who are already at elevated risk levels for poor health, are less likely to be in a medical home. Policy makers should move to fill these gaps, especially for the sickest groups.