%0 Journal Article
%T Factors Associated with a Patient Centered Medical Home among Obese and Overweight Children | OMICS International
%A Caprice Knapp
%A Reva Ranka
%A Shannon Alford
%J -
%D 2015
%R 10.4172/2161-0711.1000331
%X Objective: This study aims to determine the frequency of overweight and obese children that have a Patient Centered Medical Home (PCMH), the factors associated, and the effect of having one on several common child outcomes. Methods: 43,501 children from the 2011-2012 National Survey of ChildrenĄ¯s Health were analysed for this study. Descriptive, bivariate, and multivariate analyses were conducted. Results: Parents report that 54% of overweight and obese children have a patient centered medical home. Results from the multivariate models suggest that just being overweight and obese was not associated with having a medical home. However, when comorbidities were accounted for overweight and obese children were less likely to have a medical home and had decreased outcomes as compared to their underweight/healthy weight peers. Obese and overweight children with comorbidities were more likely to have a personal doctor but less likely to have effective care coordination. Conclusions: The PCMH is a model that could be used to improve health and health outcomes for the most vulnerable children. However, obesity should be taken as a chronic condition just as other conditions and addressed on a routine bases. The PCMH model offers a vehicle to develop and implement population-based processes to identify, assess, and manage care for these children
%K Obese
%K Overweight
%K Medical home
%K Child health outcomes
%K Comorbidities
%K Survey
%K Patient centred
%K omics
%K open access
%K omics publishing group
%K open access publisher
%K open access publishers
%K open access publications
%K open access journals
%K open access artcles
%K omics group
%K omicsonline
%U https://www.omicsonline.org/open-access/factors-associated-with-a-patient-centered-medical-home-among-obese-and-overweight-children-2161-0711-4-331.php?aid=40647