Perceived access to pediatric primary care by insurance status and race

Alexander N. Ortega, Denice Stewart, Steven A. Dowshen, Solomon H. Katz

    Research output: Contribution to journalArticle

    12 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish (US)
    Pages (from-to)481-493
    Number of pages13
    JournalJournal of Community Health
    Volume25
    Issue number6
    DOIs
    StatePublished - 2000

    Fingerprint

    Patient-Centered Care
    Insurance Coverage
    insurance
    Primary Health Care
    Pediatrics
    demographic factors
    caregiver
    personnel
    Aptitude
    Caregivers
    ability
    interaction
    Demography

    Keywords

    • Child health services
    • Income
    • Insurance
    • Primary health care
    • Race

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health
    • Health(social science)
    • Health Professions(all)

    Cite this

    Perceived access to pediatric primary care by insurance status and race. / Ortega, Alexander N.; Stewart, Denice; Dowshen, Steven A.; Katz, Solomon H.

    In: Journal of Community Health, Vol. 25, No. 6, 2000, p. 481-493.

    Research output: Contribution to journalArticle

    Ortega, Alexander N. ; Stewart, Denice ; Dowshen, Steven A. ; Katz, Solomon H. / Perceived access to pediatric primary care by insurance status and race. In: Journal of Community Health. 2000 ; Vol. 25, No. 6. pp. 481-493.
    @article{5f6d6d0990c44358b9cf048c77788d79,
    title = "Perceived access to pediatric primary care by insurance status and race",
    abstract = "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.",
    keywords = "Child health services, Income, Insurance, Primary health care, Race",
    author = "Ortega, {Alexander N.} and Denice Stewart and Dowshen, {Steven A.} and Katz, {Solomon H.}",
    year = "2000",
    doi = "10.1023/A:1005196714900",
    language = "English (US)",
    volume = "25",
    pages = "481--493",
    journal = "Journal of Community Health",
    issn = "0094-5145",
    publisher = "Springer Netherlands",
    number = "6",

    }

    TY - JOUR

    T1 - Perceived access to pediatric primary care by insurance status and race

    AU - Ortega, Alexander N.

    AU - Stewart, Denice

    AU - Dowshen, Steven A.

    AU - Katz, Solomon H.

    PY - 2000

    Y1 - 2000

    N2 - 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.

    AB - 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.

    KW - Child health services

    KW - Income

    KW - Insurance

    KW - Primary health care

    KW - Race

    UR - http://www.scopus.com/inward/record.url?scp=0033752290&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=0033752290&partnerID=8YFLogxK

    U2 - 10.1023/A:1005196714900

    DO - 10.1023/A:1005196714900

    M3 - Article

    VL - 25

    SP - 481

    EP - 493

    JO - Journal of Community Health

    JF - Journal of Community Health

    SN - 0094-5145

    IS - 6

    ER -