Keck School of Medicine, University of Southern California, Alhambra, CA, USA.
Health Serv Res. 2011 Dec;46(6pt1):1822-42. doi: 10.1111/j.1475-6773.2011.01292.x. Epub 2011 Jul 15.
This study examines whether patient-reported indicators of a quality medical home are associated with measures of health among Latino children in low-income families.
Data on 3,258 children ages 2-18 years are from a cross-sectional survey of parents of children affiliated with California's Healthy Kids insurance.
Medical home quality was assessed using the Parents' Perception of Primary Care and was associated with health-related quality of life (HRQOL) overall and in four domains (physical, emotional, social, and school/daycare) and four measures of school engagement.
A higher total medical home score was associated with a higher total Pediatric Quality of Life Inventory score and scores in four subdomains (total beta [B]=1.77, physical B=1.71, social B=1.36, emotional B=2.22, and school/daycare B=1.69, all p<0.001). It was also associated with missing fewer than three school days due to illness (odds ratio [OR]=1.12, 95 percent confidence intervals [CI]: 1.05, 1.19), excellent/above average school performance overall (OR=1.10, 95 percent CI: 1.03, 1.17) and performance in reading (OR=1.13, 95 percent CI: 1.06, 1.20) and math (OR=1.10, 95 percent CI: 1.03, 1.16).
Patient-reported medical home quality indicators are favorably associated with HRQOL and measures of school engagement among Latino children in low-income families.
本研究考察了患者报告的优质医疗家庭指标是否与低收入家庭中拉丁裔儿童的健康衡量指标相关。
这项研究的数据来自对参加加利福尼亚健康儿童保险的儿童的父母进行的横断面调查，共涉及 3258 名 2-18 岁的儿童。
使用家长对初级保健的看法评估医疗家庭质量，并将其与整体健康相关生活质量（HRQOL）以及四个领域（身体、情感、社会和学校/日托）和四项学校参与度衡量指标相关联。
更高的医疗家庭总分与更高的儿科生活质量综合评分以及四个子领域的评分相关（总β[B]=1.77，身体 B=1.71，社会 B=1.36，情感 B=2.22，以及学校/日托 B=1.69，均 P<0.001）。它还与因疾病缺课少于三天相关（比值比[OR]=1.12，95%置信区间[CI]：1.05，1.19）、总体表现出色/优秀的学业成绩（OR=1.10，95%CI：1.03，1.17）以及阅读成绩（OR=1.13，95%CI：1.06，1.20）和数学成绩（OR=1.10，95%CI：1.03，1.16）。
患者报告的医疗家庭质量指标与拉丁裔儿童在低收入家庭中的 HRQOL 和学校参与度衡量指标呈正相关。
