Perceived access to pediatric primary care by insurance status and race.

Publisher: Springer Country of Publication: Netherlands NLM ID: 7600747 Publication Model: Print Cited Medium: Print ISSN: 0094-5145 (Print) Linking ISSN: 00945145 NLM ISO Abbreviation: J Community Health Subsets: MEDLINE

Publication: Amsterdam : Springer
Original Publication: New York, Human Sciences Press.

Attitude to Health*; Caregivers/*psychology ; Child Health Services/*organization & administration ; Community Health Centers/*organization & administration ; Health Services Accessibility/*statistics & numerical data ; Pediatrics/*organization & administration ; Primary Health Care/*organization & administration; Black or African American/psychology ; Caregivers/statistics & numerical data ; Child ; Cross-Sectional Studies ; Delaware ; Demography ; Health Services Accessibility/organization & administration ; Humans ; Insurance Coverage ; Surveys and Questionnaires ; White People/psychology

The Nemours system of children's clinics in Delaware was designed to offer comprehensive primary care (medical homes), to children regardless of families' abilities to pay for services. Racial and insurance status differences in perceptions of access to the provisions of medical home and differences by the Short Medical Home Index are assessed. A probabilities proportionate to size sampling method was used to randomly select families in nine clinics. A total of 323 caregivers of children ages 6 to 48 months were surveyed. Results suggest that there are minimal differences in perceptions of access to provisions of the medical home concept by insurance status and race in the clinics studied. However, when using a composite measure of medical home, differences in perceptions were found. The results suggest that insurance status and racial differences in perceptions of access remain even when the system is specifically designed to provide medical homes without regard to demographic factors. Future studies should focus on improving patient interactions with clinic personnel to ensure that access to provisions of care are understood by all consumers.

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Date Created: 20001109 Date Completed: 20010222 Latest Revision: 20221207

20221213

10.1023/a:1005196714900

11071229