Academic pediatrics
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Academic pediatrics · Jul 2009
Racial and ethnic disparities in indicators of a primary care medical home for children.
Racial/ethnic disparities in access to care across a broad range of health services have been well established. In adults, having a medical home has been shown to reduce disparities. The objective of this study was to assess the extent to which children of different race/ethnicities receive primary care consistent with a medical home. ⋯ Minority children experienced multiple disparities compared with white children in having a medical home. Study of individual medical home components has the potential to identify specific areas to improve disparities.
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Academic pediatrics · Jul 2009
Association of medical home care and disparities in emergency care utilization among children with special health care needs.
The aim of this study was to determine whether having a medical home is associated with a reduction of racial/ethnic disparities in emergency care utilization by children with special health care needs (CSHCN). ⋯ Emergency care utilization for CSHCN differed significantly according to race/ethnicity. Having a medical home may be associated with a reduction in disparities in this fragile population.
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Academic pediatrics · May 2009
Comment Comparative StudyAdverse childhood experiences and adult health.
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Academic pediatrics · Mar 2009
Household language, parent developmental concerns, and child risk for developmental disorder.
Provider elicitation of parent developmental and behavioral (DB) concerns is the foundation of DB surveillance. Language differences may affect whether providers assess parental DB concerns. ⋯ Parents in Spanish primary language households reported lower child risk for developmental and behavioral disorder and less provider elicitation of developmental and behavioral concerns. These findings suggest that primary language may affect risk for developmental and behavioral disorder and likelihood of DB surveillance in children.