 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Kim To, MHS1, Jane A. Bernzweig, PhD1, and Abbey Alkon, RN, PhD2. (1) Family Health Care Nursing, University of California, San Francisco, California Child Care Health Program, 1322 Webster St. Suite 402, Oakland, CA 94612, 510 281-7923, kimto@itsa.ucsf.edu, (2) Department of Family Health Care Nursing, University of California, San Francisco, 2 Koret Way, Box 0606 Room N411Y, San Francisco, CA 94143-0606
It is hypothesized that children who have a medical home will have better health. Only a few researchers have investigated this relationship. The Child Care Health Linkages Project, funded by First 5 California, investigated the association between medical homes and general health status. A sample of 2053 health records of children ages 0-5 years old was reviewed at 109 California child care centers in five counties. A medical home is defined as parents reporting that their child has a primary care clinic, hospital or provider. The outcome variables were up-to-date immunization, health insurance, well-child physical within the last year, and vision screening within the last year. Preliminary descriptive results (N=452 records) show that 88% of parents reported their child had a medical home. Sixty-nine percent of children had up-to-date immunizations, 51% had health insurance, 47% had a well-child physical within the last year, and 43% had a vision screening within the last year. There is a significant relationship between having a medical home and having health insurance (X2=41.2, p< .001). Children with a medical home were significantly more likely to have health insurance than children without a medical home. There were no significant relationships between having a medical home and other variables, such as up-to-date-immunization, well-child physicals within the last year and vision screenings within the last year. Further analysis will be conducted on the complete data set, which will include over 2000 more health records.
Learning Objectives:
Keywords: Child Care, Children's Health
Related Web page: www.ucsfchildcarehealth.org
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.