Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA 16802, USA.
J Immigr Minor Health. 2012 Aug;14(4):617-25. doi: 10.1007/s10903-011-9540-z.
The patient-centered medical home model has the potential to reduce healthcare disparities among immigrant children. The purpose of this study is to examine the relationship between medical home (MH) participation and receipt of preventive services among immigrant children age 0-17. The study employed extant data from the National Survey of Children's Health, 2007 (NSCH). Logistic regression analyses were employed to assess the relationship between receipt of preventive services and MH status among immigrant and non-immigrant children. Due to primarily the lack of family-centered care, only 40% of immigrant children met the medical home criteria versus approximately 62% of non-immigrant children. Immigrant children have decreased odds of receiving preventive care despite MH status. Improving the family-centered care aspect of the MH is necessary to increasing medical home access to immigrant children and the receipt of preventive services for immigrant children who meet the MH criteria.
以患者为中心的医疗之家模式有可能减少移民儿童之间的医疗保健差距。本研究旨在研究医疗之家（MH）参与情况与 0-17 岁移民儿童获得预防服务之间的关系。本研究采用了 2007 年全国儿童健康调查（NSCH）的现有数据。逻辑回归分析用于评估移民和非移民儿童获得预防服务与 MH 状况之间的关系。由于主要缺乏以家庭为中心的护理，只有 40%的移民儿童符合医疗之家标准，而大约 62%的非移民儿童符合标准。尽管已经符合医疗之家的标准，但是移民儿童获得预防保健的几率还是较低。改善医疗之家以家庭为中心的护理方面对于增加移民儿童获得医疗之家服务和符合医疗之家标准的移民儿童获得预防服务是必要的。
