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Preventive care and medical homes among US children with heart conditions

Published online by Cambridge University Press:  09 November 2020

Amber Broughton Open the ORCID record for Amber Broughton [Opens in a new window] ,
Tiffany Riehle-Colarusso ,
Eric Nehl ,
Aspen P. Riser  and
Sherry L. Farr
Amber Broughton
Affiliation:
Rollins School of Public Health, Emory University, Atlanta, GA, USA
Tiffany Riehle-Colarusso
Affiliation:
National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
Eric Nehl
Affiliation:
Rollins School of Public Health, Emory University, Atlanta, GA, USA
Aspen P. Riser
Affiliation:
National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA
Sherry L. Farr*
Affiliation:
National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
*
Author for correspondence: Sherry Farr, PhD, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS 106-3, Atlanta, GA30341, USA. Tel: +1 404 498 3877; Fax: +1 404 498 3040. E-mail: bwa0@cdc.gov
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Abstract

Within a medical home, primary care providers can identify needs, provide services, and coordinate care for children with heart conditions. Using parent-reported data from the 2016–2017 National Survey of Children’s Health, we examined receipt of preventive care in the last 12 months and having a medical home (care that is accessible, continuous, comprehensive, family-centred, coordinated, compassionate, and culturally effective) among US children aged 0–17 years with and without heart conditions. Using the marginal predictions approach to multivariable logistic regression, we examined associations between presence of a heart condition and receipt of preventive care and having a medical home. Among children with heart conditions, we evaluated associations between sociodemographic and health characteristics and receipt of preventive care and having a medical home. Of the 66,971 children included, 2.2% had heart conditions. Receipt of preventive care was reported for more children with heart conditions (91.0%) than without (82.7%) (adjusted prevalence ratio = 1.09, 95% confidence interval: 1.05–1.13). Less than half of children with heart conditions (48.2%) and without (49.5%) had a medical home (adjusted prevalence ratio = 1.02, 95% confidence interval: 0.91–1.14). For children with heart conditions, preventive care was slightly more common among younger children and less common among those with family incomes 200–399% of the federal poverty level. Having a medical home was less common among younger children, non-Hispanic “other” race, and those with ≥2 other health conditions. Most children with heart conditions received preventive care, but less than half had a medical home, with disparities by age, socioeconomic status, race, and concurrent health conditions. These findings highlight opportunities to improve care for children with heart conditions.

Keywords

Heart conditionspreventive caremedical homeschildrensociodemographic
Type
Original Article
Information
Cardiology in the Young , Volume 31 , Issue 1 , January 2021 , pp. 114 - 120
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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