Evidence map›Paper›PMID 29127621›Full record

ArticleMaternal and child health journal2018

How Well is the Medical Home Working for Latino and Black Children?

Alma D Guerrero, Xinkai Zhou, Paul J Chung

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Medication Management Through Collaborative Practice for Children With Medical Complexity: A Prospective Case Series.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2024
    Article
  3. Article
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Alma D GuerreroDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. aguerrero@mednet.ucla.edu.
Xinkai ZhouDepartment of Medicine, Statistics Core, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Paul J ChungDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
University of California, Los Angeles · USRAND Corporation · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
PREVENTING CHILDHOOD OBESITY: ADDRESSING THE FAMILY ENVIRONMENTAL FACTORSK23HD080461 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GUERRERO, ALMA D · 2013 to 2017
$697k
National Institute of Child Health and Human Development (US) K23 HD080461-01A1NCATS NIH HHS UL1 TR001881NICHD NIH HHS K23 HD080461
6 · The paper itself

Abstract

Objective To examine the benefits of having a medical home among Latino and Black school-aged children, both with and without special health care needs (CSHCN). Methods Data from the 2011-2012 National Survey of Children's Health (NSCH) were analyzed to examine the associations of preventive dental and medical care, unmet dental or medical care, or missed school days with having a medical home among Latino and Black children compared to White children. Multivariate logistic regression with survey weights was used to adjust for child, parent, home, and geographic characteristics and an interaction term to estimate differences in outcomes among Black or Latino children receiving care in a medical home compared to White children with a medical home. Results Approximately 35% of Latino CSHCN and Latino non-CSHCN ages 6-17 years of age had a medical home. In the adjusted model comparing the effectiveness of the medical home by race and ethnicity, Latino non-CSHCN compared to White non-CSHCN were associated with lower odds of having one or more preventive dental visit in the last 12 months (OR 0.66; 95% CI 0.46-0.95) and no other associations between having a medical home and outcomes were found among Latinos compared to Whites regardless of non-CSHCN or CHSCN status. Meanwhile, having a medical home among Black non-CHSCN and CHSCN, compared to their White counterparts, showed potential benefits in regards to unmet medical care needs after adjusting for covariates, (OR 0.15; 95% CI 0.06-0.35; OR 0.16; 95% CI 0.05-0.55). Conclusions Medical homes may not be effective in delivering health services to the majority of Latino children but provide some benefit to Black children with and without CSHCN. Alternatively, the medical home may function differently for Latinos due to the specific medical home components measured by NSCH.

Indexed as

Children with DisabilitiesAdolescentBlack or African AmericanChildChild Health ServicesChild, PreschoolFemaleHealthcare DisparitiesHealth Care SurveysHealth Services AccessibilityHispanic or LatinoHumansInfantMalePatient-Centered CareUnited StatesChildren without special health care needsChildren with special health care needsLatino childrenMedical homeRacial/ethnic health disparities

Identifiers

PMID29127621
PMCPMC5808874
OpenAlexW2767755312

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.