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.

scholarly journals Adolescent maternity in a low income community: experiences revealed by oral history

2008 ◽  
Vol 16 (2) ◽  
pp. 280-286 ◽  
Author(s):  
Luiza Akiko Komura Hoga
Keyword(s):  
Oral History ◽  
Adolescent Mothers ◽  
Low Income ◽  
God's Will ◽  
Personal Meanings ◽  
Family Culture ◽  
Centered Care ◽  
The Life Course ◽  
The Relationship ◽  
Family Centered

Adolescent maternity involves relevant factors associated with each family, culture and society. This research aimed to describe the experiences in the trajectory of adolescent maternity. The oral history method was used, obtaining the narratives of 21 adolescent mothers living in a low income community located in São Paulo City, Brazil. The following descriptive categories emerged from the narratives: Pregnancy: an event in the initial phase of the relationship; Insufficient knowledge and access to contraceptives, gender inferiority and God's will: the ways to look at pregnancy; To escape from family problems and define the life course: the personal meanings attributed to pregnancy; More gain than pain: the balance of adolescent maternity. Adolescent maternity in low income contexts involves very complex factors and requires an integral, integrated, personal and family centered care.

scholarly journals Incorporating Patient- and Family-Centered Care Into Practice: The PA Medical Home Initiative

PEDIATRICS ◽  
2018 ◽  
Vol 142 (3) ◽  
pp. e20172453
Author(s):  
Salini Mohanty ◽  
Nora Wells ◽  
Richard Antonelli ◽  
Renee M. Turchi
Keyword(s):  
Medical Home ◽  
Family Centered Care ◽  
Centered Care ◽  
Family Centered

scholarly journals The Relationship Between Parents' Perceptions of Family-Centered Care and Their Health Care Satisfaction

2021 ◽  
Vol 10 (3) ◽  
pp. 125-134
Author(s):  
Ismail Cetintas ◽  
Melahat Akgun Kostak ◽  
Remziye Semerci ◽  
Esra Nur Kocaaslan
Keyword(s):  
Health Care ◽  
Family Centered Care ◽  
Satisfaction Scale ◽  
Health Care Satisfaction ◽  
The Family ◽  
Scale Scores ◽  
Centered Care ◽  
Care Satisfaction ◽  
The Relationship ◽  
Family Centered

Aim: This study was conducted to determine the relationship between the perceptions of parents whose children are hospitalized about family-centered care provided in the hospital and their health care satisfaction and the factors affecting them. Methods: This descriptive study was conducted with parents (n=169) of children who were hospitalized in a university hospital in Turkey between May and July 2019. Data were collected with "Child and Family Information Form", "Family-Centered Care Scale" and "PedsQL Health Care Satisfaction Scale". Data were analyzed with descriptive statistics, Mann Whitney U, and Spearman correlation tests. Results: The mean age of the children was 6.86±5.63, 51.5% were male, 56.2% were hospitalized before and 88.2% of parents received information about the care and treatment of their children. There was a positive correlation between the parents’ Family-Centered Care Scale and PedsQL Health Care Satisfaction Scale scores and between the age of the children and age of the mother and the PedsQL Health Care Satisfaction Scale scores, the number of children and Family-Centered Care Scale scores of parents. A statistically significant difference was found between the child's previous hospitalization and median scores of the Family-Centered Care Scale, and between whether parents receive information about the care and treatment of their children and the median scores of the PedsQL Health Care Satisfaction Scale. Conclusion: In this study, as the family-centered care that parents expect was met, their health care satisfaction increased. As the age of children and mothers increased, parents' health care satisfaction increased. Health care satisfaction of parents who received information about treatment and care was found higher. Keywords: family-centered care, patient satisfaction, child, parents

scholarly journals A trend of Korean older adults’ awareness as a threat to society during the COVID-19 pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1030-1030
Author(s):  
Soonhyung Kwon ◽  
Jaesung An ◽  
Oejin Shin
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Health Outcomes ◽  
Latent Class ◽  
Multinomial Logistic Regression ◽  
Demographic Characteristics ◽  
Younger Age ◽  
Negative Cognition ◽  
High Level ◽  
The Relationship

Abstract Background Unlike ageism that consists of one’s prejudice, stereotype, and discrimination toward older adults, age-based threats are one’s negative cognition (Levy, 2001). Previous studies indicated that the younger generation stigmatizes the older generation as unworthy during the COVID-19 pandemic (Meisner, 2021). However, there is no study looking at how older adults perceive themselves as threats to society during this time of the pandemic. Thus, our study aimed to understand the varying trend of older adults’ awareness as a threat to society in association with socio-economic profiles before and during the pandemic. Method: This study included 637 Korean older adults who answered the older generation’s threats to society from 2018 to 2020. We used Latent Class Analysis (LCA) to categorize participants into different subgroups that shared distinct patterns of threats to society. Multinomial logistic regression examined how the subgroups in threats to society were associated with socio-demographic characteristics in each year. Results For three waves, three clusters of threats to society (low, mid, and high) were identified. Although the mid-level of threat remained the same (60% of the sample for three years), the high level of threats has been doubled in 2019 (25%) compared to 2018 (11%) and 2020 (13%). Regarding the associated socio-demographic characteristics with threats to society, those who being female in 2018 and younger age in 2020 were more likely to be associated with mid-level of threats to society. Discussion Further study needs to identify the relationship between awareness as a threat to society and health outcomes.

Patient-Centered Care in a Medical Home

2011 ◽  
Vol 16 (2) ◽  
Author(s):  
Colette Carver ◽  
Anne Jessie
Keyword(s):  
Primary Care ◽  
Medical Home ◽  
The United States ◽  
Patient Centered Care ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Patient Centered Medical Homes ◽  
Medical Homes ◽  
Centered Care ◽  
Medical Home Model

There is general consensus that our current healthcare delivery system will not be able to supply an adequate workforce, contain costs, and meet the ever-increasing chronic-care needs of the growing and aging population in the United States (US). Some of the major challenges to the U.S. healthcare system are faced by those on the front lines, namely the healthcare workers in primary care. Part of the emerging solution for primary care is the adoption of the Patient-Centered Medical Home Model. The intent of this model is to provide coordinated and comprehensive care rooted in a strong collaborative relationship. Carilion Clinic in Southwestern Virginia is implementing this patient-centered model in which a proactive, multidisciplinary care team collectively takes responsibility for each patient. In this article we will elaborate on the concepts of patient-centered care and patient-centered medical homes, after which we will offer an exemplar describing the process that Carilion Clinic is using to establish patient-centered medical homes throughout their primary care departments. Limitations of the Patient-Centered Medical Home Model will also be discussed.

scholarly journals Family-Centered Care at Pediatric Cardiac Intensive Care Units in Germany and the Relationship With Parent and Infant Well-Being: A Study Protocol

2021 ◽  
Vol 9 ◽  
Author(s):  
Hannah Ferentzi ◽  
Ralph C. A. Rippe ◽  
Jos M. Latour ◽  
Stephan Schubert ◽  
Alona Girch ◽  
...  
Keyword(s):  
Intensive Care ◽  
Study Protocol ◽  
Pediatric Cardiology ◽  
Well Being ◽  
Infant Outcomes ◽  
Centered Care ◽  
Cardiac Intensive Care ◽  
Mental Well Being ◽  
The Relationship ◽  
Family Centered

Rationale and Aim: Infants with Congenital Heart Disease (CHD) are at risk for neurodevelopmental delays, emotional, social and behavioral difficulties. Hospitalization early in life and associated stressors may contribute to these challenges. Family-centered Care (FCC) is a health care approach that is respectful of and responsive to the needs and values of a family and has shown to be effective in improving health outcomes of premature infants, as well as the mental well-being of their parents. However, there is limited empirical data available on FCC practices in pediatric cardiology and associations with parent and infant outcomes.Methods and Analysis: In this cross-sectional study, we will explore FCC practices at two pediatric cardiac intensive care units in Germany, assess parent satisfaction with FCC, and investigate associations with parental mental well-being and parenting stress, as well as infant physical and mental well-being. We will collect data of 280 infants with CHD and their families. Data will be analyzed using multivariate statistics and multilevel modeling.Implications and Dissemination: The study protocol was approved by the medical ethics committees of both partner sites and registered with the German registry for clinical trials (NR DRKS00023964). This study serves as a first step to investigate FCC practices in a pediatric cardiology setting, providing insight into the relationship between FCC and parent and infant outcomes in a population of infants with CHD. Results will be disseminated in peer-reviewed journals.

Family-Centered Care Measurement and Associations With Unmet Health Care Need Among US Children

2017 ◽  
Vol 17 (6) ◽  
pp. 656-664 ◽  
Author(s):  
Olivia J. Lindly ◽  
G. John Geldhof ◽  
Alan C. Acock ◽  
Kari-Lyn K. Sakuma ◽  
Katharine E. Zuckerman ◽  
...  
Keyword(s):  
Health Care ◽  
Family Centered Care ◽  
Health Care Need ◽  
Centered Care ◽  
Unmet Health Care Need ◽  
Us Children ◽  
Family Centered

scholarly journals Geographic, Racial/Ethnic, and Sociodemographic Disparities in Parent-Reported Receipt of Family-Centered Care among US Children

2015 ◽  
Vol 2015 ◽  
pp. 1-17 ◽  
Author(s):  
Romuladus E. Azuine ◽  
Gopal K. Singh ◽  
Reem M. Ghandour ◽  
Michael D. Kogan
Keyword(s):  
Low Income ◽  
Health Care Disparities ◽  
Parent Report ◽  
Family Centered Care ◽  
Centered Care ◽  
Sociodemographic Disparities ◽  
English Speaking ◽  
Us Children ◽  
Racial Ethnic ◽  
Family Centered

This study examined geographic, racial/ethnic, and sociodemographic disparities in parental reporting of receipt of family-centered care (FCC) and its components among US children aged 0–17 years. We used the 2011-2012 National Survey of Children’s Health to estimate the prevalence and odds of not receiving FCC by covariates. Based on parent report, 33.4% of US children did not receive FCC. Children in Arizona, Mississippi, Nevada, California, New Jersey, Virginia, Florida, and New York had at least 1.51 times higher adjusted odds of not receiving FCC than children in Vermont. Non-Hispanic Black and Hispanic children had 2.11 and 1.58 times higher odds, respectively, of not receiving FCC than non-Hispanic White children. Children from non-English-speaking households had 2.23 and 2.35 times higher adjusted odds of not receiving FCC overall and their doctors not spending enough time in their care than children from English-speaking households, respectively. Children from low-education and low-income households had a higher likelihood of not receiving FCC. The clustering of children who did not receive FCC and its components in several Southern and Western US states, as well as children from poor, uninsured, and publicly insured and of minority background, is a cause for concern in the face of federal policies to reduce health care disparities.

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