Table 4.
Medical Home Outcomes (Multivariate Adjusted and Weighted Regression)a
| Medical Home OR (95%CI) | Personal MD or RN OR (95% CI) | Family‐Centered Care OR (95% CI) | No Problem with Referrals OR (95% CI) | Usual Source of Care OR (95% CI) | Coordinated Care OR (95% CI) | |
|---|---|---|---|---|---|---|
| Age | ||||||
| 0–5 years | Ref | Ref | Ref | Ref | Ref | Ref |
| 6–11 years | 0.95 (0.85–1.07) | 0.99 (0.81–1.23) | 0.92 (0.82–1.03) | 0.78 (0.63–0.97) | 1.24 (1.05–1.47) | 0.87 (0.76–0.99) |
| >11 years | 0.91 (0.81–1.02) | 0.85 (0.69–1.05) | 0.87 (0.77–0.98) | 0.73 (0.59–0.90) | 1.06 (0.89–1.26) | 0.82 (0.72–0.94) |
| Race/ethnicity | ||||||
| White, non‐Hispanic | Ref | Ref | Ref | Ref | Ref | Ref |
| Hispanic | 0.73 (0.63–0.84) | 0.87 (0.65–1.16) | 0.71 (0.62–0.82) | 0.81 (0.62–1.06) | 0.85 (0.68–1.07) | 0.93 (0.79–1.09) |
| Black, non‐Hispanic | 0.63 (0.55–0.71) | 0.76 (0.61–0.93) | 0.55 (0.48–0.62) | 1.06 (0.82–1.37) | 0.57 (0.48–0.69) | 0.82 (0.71–0.96) |
| Multiple or other | 0.72 (0.62–0.84) | 0.65 (0.49–0.85) | 0.68 (0.58–0.79) | 0.86 (0.66–1.11) | 0.73 (0.58–0.90) | 0.82 (0.68–0.98) |
| Primary language | ||||||
| English | Ref | Ref | Ref | Ref | Ref | Ref |
| Other | 0.64 (0.50–0.84) | 2.35 (1.52–3.63) | 0.82 (0.65–1.04) | 0.48 (0.34–0.68) | 0.68 (0.51–0.92) | 0.75 (0.56–1.01) |
| Payer category | ||||||
| Private | Ref | Ref | Ref | Ref | Ref | Ref |
| Public | 0.89 (0.79–1.00) | 0.85 (0.67–1.07) | 0.91 (0.81–1.03) | 0.92 (0.75–1.14) | 0.98 (0.82–1.17) | 0.90 (0.78–1.03) |
| Uninsured | 0.49 (0.38–0.62) | 0.28 (0.20–0.39) | 0.55 (0.43–0.70) | 0.39 (0.24–0.62) | 0.38 (0.29–0.50) | 0.50 (0.37–0.68) |
| Poverty level, % | ||||||
| 0–99% FPL | 0.86 (0.74–1.01) | 0.49 (0.36–0.68) | 0.74 (0.63–0.87) | 0.88 (0.65–1.21) | 0.64 (0.51–0.82) | 1.18 (0.98–1.42) |
| 100–199% FPL | 0.88 (0.78–1.00) | 0.69 (0.52–0.91) | 0.74 (0.64–0.85) | 0.81 (0.63–1.05) | 0.85 (0.69–1.06) | 1.01 (0.87–1.18) |
| 200–399% FPL | 0.99 (0.91–1.10) | 0.73 (0.58–0.93) | 0.85 (0.76–0.95) | 0.98 (0.78–1.23) | 0.87 (0.72–1.03) | 1.04 (0.92–1.17) |
| ≥400% FPL | Ref | Ref | Ref | Ref | Ref | Ref |
| Household educational level | ||||||
| <High school | 0.86 (0.71–1.03) | 0.65 (0.50–0.86) | 0.71 (0.60–0.85) | 0.93 (0.67–1.31) | 0.50 (0.40–0.63) | 1.32 (1.07–1.63) |
| High school graduate | 0.94 (0.83–1.05) | 0.73 (0.60–0.88) | 0.85 (0.76–0.95) | 1.17 (0.94–1.46) | 0.75 (0.63–0.88) | 1.14 (1.00–1.31) |
| >High school | Ref | Ref | Ref | Ref | Ref | Ref |
| Household structure | ||||||
| Parent household | Ref | Ref | Ref | Ref | Ref | Ref |
| Two‐parent stepfamily | 0.88 (0.77–1.02) | 0.57 (0.45–0.72) | 0.84 (0.73–0.97) | 0.88 (0.67–1.17) | 1.01 (0.81–1.26) | 1.10 (0.94–1.29) |
| Mother only household | 0.87 (0.78–0.97) | 0.87 (0.70–1.07) | 0.82 (0.73–0.91) | 1.05 (0.85–1.30) | 1.05 (0.89–1.25) | 0.87 (0.77–0.99) |
| Other | 0.80 (0.68–0.94) | 0.70 (0.52–0.94) | 0.87 (0.73–1.03) | 0.81 (0.60–1.11) | 1.04 (0.81–1.33) | 0.99 (0.82–1.20) |
| Complexity | ||||||
| Physical impairment alone | Ref | Ref | Ref | Ref | Ref | Ref |
| Broad functional impairment alone | 0.40 (0.37–0.44) | 0.83 (0.69–1.00) | 0.50 (0.44–0.55) | 0.57 (0.43–0.75) | 0.94 (0.80–1.10) | 0.32 (0.28–0.37) |
| Predominant physical impairment requiring family‐delivered care | 0.69 (0.62–0.77) | 1.24 (0.98–1.57) | 0.76 (0.67–0.86) | 0.73 (0.55–0.97) | 1.30 (1.08–1.56) | 0.49 (0.42–0.58) |
| Broad functional impairment requiring extensive health care | 0.17 (0.15–0.19) | 1.53 (1.19–1.96) | 0.35 (0.31–0.40) | 0.29 (0.22–0.38) | 1.12 (0.92–1.36) | 0.10 (0.09–0.12) |
a
All data are weighted. Analyses were adjusted by age, gender, race/ethnicity, payer category, poverty level, household educational level, household structure, and complexity. Variables with p > .05 in the univariate analysis were not included in multivariate analysis unless conceptually important. Respondents who were legitimately skipped from an outcome were excluded from analysis on that outcome (e.g., those without need for referrals were excluded from analysis of the “no problem with referrals” outcome).