Table 5.

Associations between Children With and Without Subcomponents of Medical Homes and Achieving Quality Indicators

	Process Quality of Care Measures Found Significant in Primary Analysis
	Preventive Medical Services	Unmet Medical Needs	Received Needed Mental Health Services	Provider Development history (Age 0–5)	Formal Developmental screening (Age 0–5)	Provider Recommended HPV (Girls Age 12–17)
Medical Homes Subcomponents	Adjusted Rates % (SE)
Personal Provider
No	79.8 (1.1)	8.9 (0.9)	58.6 (5.2)	42.2 (2.7)	18.6 (2.1)	20.0 (2.6)
Yes	89.4 (0.3)	6.6 (0.2)	60.2 (1.6)	48.6 (0.8)	19.8 (0.6)	32.2 (1.0)
p	<0.001	=0.006	=0.76	=0.03	=0.6	<0.001
Usual Source of Care
No	78.9 (1.4)	8.1 (0.8)	46.0 (5.7)	38.4 (3.5)	17.2 (2.6)	22.4 (3.5)
Yes	89.3 (0.3)	6.8 (0.2)	61.4 (1.6)	48.7 (0.8)	19.8 (0.7)	32.0 (1.0)
p	<0.001	=0.11	=0.008	=0.006	=0.36	=0.02
Received Family Centered Care*
No	88.5 (0.5)	11.0 (0.5)	61.6 (2.2)	37.6 (1.5)	16.1 (1.1)	26.7 (1.8)
Yes	93.0 (0.3)	4.4 (0.2)	60.5 (2.1)	52.1 (1.0)	21.1 (0.8)	35.2 (1.2)
p	<0.001	<0.001	=0.73	<0.001	=0.001	<0.001
Received Effective Care Coordination When Needed†
No	93.9 (0.5)	20.9 (1.0)	70.5 (2.0)	48.5 (2.4)	19.7 (1.8)	33.0 (2.2)
Yes	95.2 (0.3)	4.9 (0.4)	68.8 (2.2)	53.4 (1.6)	25.1 (1.5)	38.7 (1.6)
p	p=0.02	<0.001	=0.54	=0.07	=0.02	=0.04
Obtained Needed Referrals Without Difficulty‡
No	93.6 (0.8)	37.5 (2.1)	63.7 (3.8)	54.2 (3.9)	30.9 (4.2)	32.3 (3.8)
Yes	92.9 (0.6)	11.3 (0.8)	66.4 (3.0)	59.7 (2.0)	26.5 (1.9)	37.9 (2.4)
p	p=0.57	p<0.001	p=0.50	p=0.19	p=0.31	p=0.21

^*Excluded children who did not use services in past 12 months (2.8%)

^†Excluded children who did not meet the threshold for assessing care coordination (58.0%). Threshold criteria include children that used or needed 2 or more of the following services in past 12 months: preventive medical care, preventive dental care, mental health care, or subspecialty care

^‡Excluded children that did not need a referral in the past 12 months to see any doctors or receive any services (83.5%).