Table 4.

Adjusted Odds of Children Meeting Criteria for the Medical Home Composite and Each Component for Selected Sociodemographic Groups, 2007 National Survey of Children’s Health

	Adjusted Odds Ratiosa
	Medical Homeb	USC	PDN	FCC	No problem getting needed referral	Received needed care coordination
Special health care needs (ref = no SHCN)
SHCN	0.71 (0.65-0.78)*	1.36 (1.07-1.73)***	1.75 (1.43-2.13)*	0.96 (0.86-1.06)	0.76 (0.59-0.98)***	0.55 (0.49-0.63)*
Race/ethnicity (ref = White, non-Hispanic)
Hispanic	0.60 (0.52-0.69)*	0.54 (0.40-0.74)*	0.64 (0.49-0.83)**	0.61 (0.52-0.71)*	0.78 (0.55-1.10)	0.73 (0.58-0.92)**
African-American, non-Hispanic	0.51 (0.46-0.56)*	0.41 (0.32-0.51)*	0.55 (0.45-0.67)*	0.46 (0.42-0.52)*	0.87 (0.62-1.22)	0.78 (0.65-0.92)**
Multi/other	0.68 (0.59-0.79)*	0.53 (0.38-0.73)*	0.62 (0.48-0.79)*	0.61 (0.53-0.71)*	0.84 (0.63-1.12)	0.85 (0.70-1.03)
Household primary language (ref = English)
Non-English	0.48 (0.40-0.59)*	0.65 (0.47-0.91)***	0.79 (0.59-1.05)	0.43 (0.35-0.52)*	0.68 (0.47-1.00)***	0.76 (0.58-1.00)***
Health insurance (ref = private)
Public	0.84 (0.75-0.94)**	0.97 (0.77-1.23)	1.03 (0.84-1.27)	0.94 (0.83-1.07)	0.68 (0.49-0.95)***	0.92 (0.77-1.09)
Uninsured	0.52 (0.45-0.60)*	0.37 (0.29-0.48)*	0.30 (0.25-0.37)	0.52 (0.45-0.61)*	0.44 (0.28-0.69)*	0.47 (0.37-0.60)*

^aAdjusted for special health care needs, race/ethnicity, household primary language, health insurance, child age, parent-rated child health, household income, household education, and highest level of parent/guardian education

^bMet all 5 components of medical home composite: usual source of care, person doctor/nurse, family-centered care, no problems getting referrals (if needed), care coordination (if needed)

^*p<.001

^**p<.01

^***p<.05

SHCN = Children with special health care needs

USC = Usual source of care

PDN = Personal doctor or nurse

FCC = Family-centered care