Abstract:
OBJECTIVE:Children with special health care needs (CSHCN) benefit from a medical home, however, a subset, those children with high intensity needs, have medical and social service issues beyond the capacity of most primary care practices. We describe a novel medical home center that is designed to meet the needs of children with special health care needs of high intensity (CSHCN-HI). MODEL OF CARE:The medical home center, U Special Kids (USK) is located at the University of Minnesota and affiliated with a tertiary medical center. USK serves CSHCN-HI throughout the state of Minnesota and, because of state supported funding for the program, children have access to the program regardless of their health insurance coverage. The team is expert at gathering an overall perspective of the child's needs, identifying gaps, accessing services and weaving together the plethora of disparate services, agencies and providers. A major goal of this model is to transition care from USK to a primary care medical home within the child's community. Transition is more likely to occur optimally once the child's complex needs are organized, the family is trained, adequate management resources are in place, and the intensity of care coordination needs are reduced. CONCLUSIONS:We propose that, in addition to a primary care medical home, CSHCN-HI benefit from a unique medical home center that can provide sufficient resources and expertise to organize their complex care coordination needs. Medical home centers, designed specifically to manage the care of children with complex high intensity medical and care coordination needs, have the potential to reduce excess health care utilization and improve patient outcomes by providing this group of children with customized, accessible and integrated services.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Kelly A,Golnik A,Cady Rdoi
10.1007/s10995-007-0271-7subject
Has Abstractpub_date
2008-09-01 00:00:00pages
633-40issue
5eissn
1092-7875issn
1573-6628journal_volume
12pub_type
杂志文章abstract::The role of prenatal depression on physical and mental health among women in mainland China has not been previously investigated. The aim of this research was to (a) calculate the prevalence of depression during pregnancy, (b) explore the relationship between depression sample characteristics and quality of life and (...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0900-z
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:This study sought to determine the relationship between maternal birth weight, prenatal care usage, and infant birth weight. METHODS:Stratified and logistic regression analyses were performed on a dataset of computerized Illinois vital records of White (N = 187, 074) and African-American (N = 58,856) infant...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1027371501476
更新日期:2003-12-01 00:00:00
abstract::Childhood obesity is a worldwide public health concern. Recent studies from high income countries have demonstrated associations between maternal smoking during pregnancy and children's excess body weight. We examine associations between maternal smoking during pregnancy and children's overweight or obesity, in six co...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-009-0543-5
更新日期:2011-10-01 00:00:00
abstract::MCH professionals play an invaluable role by serving as peer-reviewers for their professional journal. The peer-review process is a fundamental part of maintaining the scientific rigor and professional relevance of our field's literature. The purpose of this article is to provide guidance for the review of manuscripts...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-2423-y
更新日期:2005-03-01 00:00:00
abstract:PURPOSE:We report on a successful quality improvement project designed to increase access to perinatal mental health services through universal screening for postpartum depression (PPD) and facilitating referrals for evaluation and treatment, at a multi-site, integrated system of pediatric and obstetric practices in Ho...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02780-x
更新日期:2019-10-01 00:00:00
abstract::In the US, the prevalence of three-generation households, where a grandparent, parent and child coreside, has increased in the last decade. Three-generation coresidence during infancy is particularly common and as many as 15 % of infants live in a three-generation household shortly after birth. Although prior research...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1441-z
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Following the 1991 Gulf War, some veterans expressed concerns regarding their reproductive health. Our objective was to assess whether an association exists between deployment to the 1991 Gulf War and self-reported adverse pregnancy outcomes. METHODS:Using a modified Dillman technique with telephone follow-...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0122-y
更新日期:2006-11-01 00:00:00
abstract::The aim of this paper was to investigate the association between birthweight and prevalence of food allergies using a national sample of US children. Adult report of birthweight and child food allergies were obtained for years 2005-2009 from the National Health Interview Survey (NHIS), a cross-sectional household surv...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0960-8
更新日期:2013-01-01 00:00:00
abstract::Information on patterns and correlates of residential mobility can be important in studies of environmental factors and birth outcomes. The objective of this study was to describe residential mobility patterns and possible sociodemographic correlates of residential mobility among pregnant women. We obtained informatio...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-009-0492-z
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To assess trends in prenatal discussions about HIV testing and prenatal HIV testing during the period 1996-2001. METHODS:Using data from the Pregnancy Risk Assessment Monitoring System, a population-based postpartum survey of women, we calculated the self-reported prevalences of discussion of prenatal HIV te...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0197-0
更新日期:2007-11-01 00:00:00
abstract:INTRODUCTION:Depression is a common morbidity of the perinatal period (during pregnancy and up to one year postpartum). There is evidence for an association between diet and physical activity, and depression in the non-pregnant population but this association has been relatively less explored during the perinatal perio...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02933-3
更新日期:2020-12-01 00:00:00
abstract::Objectives Previous studies have identified racial/ethnic disparities in infertility care, but patterns among American Indian/Alaska Natives (AI/AN) have not been reported. Our objective was to evaluate infertility services use in the US by race/ethnicity using data from the National Survey of Family Growth (NSFG). Me...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2586-y
更新日期:2019-01-01 00:00:00
abstract::This study investigated the mediating roles of sleep and depression on the relationships between stress, fat intake, and fruit and vegetable intake among low-income overweight and obese pregnant women by trimesters. Participants (N = 213) completed a self-administered survey including stress (exogenous variable), depr...
journal_title:Maternal and child health journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s10995-014-1604-y
更新日期:2015-05-01 00:00:00
abstract::Beginning childbearing during adolescence is consistently linked with negative outcomes for both children and parents. Many have attributed this association to maternal background characteristics which are often difficult to change through policy. Though maternal educational attainment is often a side effect of adoles...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0585-8
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to assess and improve the management of postpartum haemorrhage (PPH) in maternity units in Malawi. The main objective was to determine whether criteria-based audit can improve adherence to standards for the management of PPH. METHODS:We used a before-and-after design and univariate...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0408-3
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the accuracy of computer-matched records for maternal and child health epidemiologic investigations. METHODS:Using Automatch probabilistic record linkage software, we linked electronic records in Georgia for the 2001 Medicaid paid delivery claims and infant deaths of the 2001 birth cohort to 2001...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0377-6
更新日期:2009-07-01 00:00:00
abstract::Socioeconomic disadvantage can be harmful for mother's health and can influence child's health long term. The aim of this study is to analyse social inequalities between pregnant women from four INMA (INfancia y Medio Ambiente) cohorts. The analysis included 2,607 pregnant women recruited between 2004 and 2008 from fo...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1134-4
更新日期:2013-09-01 00:00:00
abstract::The objective of this methodology note is to examine perinatal program evaluation methods as they relate to the life course health development model (LCHD) and risk reduction for poor birth outcomes. We searched PubMed, CDC, ERIC, and a list from the Association of Maternal and Child Health Programs (AMCHP) to identif...
journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
doi:10.1007/s10995-015-1677-2
更新日期:2015-07-01 00:00:00
abstract::Objectives Physical activity patterns can track from childhood into adulthood; therefore, establishing active behaviors early is imperative. Given the multidimensional nature of a mother's influence on their children, there is a need to utilize more comprehensive measures to assess the relationship between mother and ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2474-5
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVES:To determine if the quality of prenatal care predicts skilled institutional delivery, a primary means of reducing maternal mortality. METHODS:The probability of skilled institutional delivery is predicted among 4173 rural low-income women of reproductive age in seven Mexican states, as a function of materna...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0079-x
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:The Department of Health and Human Services (HHS) Advisory Committee on Heritable Disorders in Newborns and Children ("Advisory Committee") makes recommendations to the HHS Secretary regarding addition of new conditions to the national Recommended Uniform Screening Panel for newborns. The Advisory Committee'...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1869-9
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:This study sought to determine whether estimates of oral health-related indicators generated using a relatively small purposive sample of schools were reasonable. METHODS:We collected and analyzed data from two open-mouth school oral health surveys conducted in Ohio in 2004-2005. In each survey, data were g...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0343-3
更新日期:2009-05-01 00:00:00
abstract::This study examines whether an integrated behavioral intervention with proven efficacy in reducing psycho-behavioral risks (smoking, environmental tobacco smoke exposure (ETSE), depression, and intimate partner violence (IPV)) in African-Americans is associated with improved pregnancy outcomes. A randomized controlled...
journal_title:Maternal and child health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10995-009-0557-z
更新日期:2011-01-01 00:00:00
abstract:AIMS:This study examines the prevalence of khat chewing among women during pregnancy and some of the risk factors for this habit in Yemen. METHODS:Survey data on 7,343 ever-married women from the Yemen Demographic and Maternal and Health Survey (YDMHS), conducted in 1997 are used. Women who had a live birth during the...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0231-2
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:Concerns about financial barriers to vaccination led to the creation of the Vaccines for Children (VFC) program, which provides free vaccines to states for disadvantaged children. Our objective was to understand the effect of free vaccine and insurance on pediatric nurse practitioners' (PNPs) likelihood of re...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1009582919267
更新日期:2000-03-01 00:00:00
abstract::Introduction Anecdotal evidence suggests that parents protect their children from food insecurity and its effects, but few studies have concurrently assessed food insecurity among youth and parents. The purpose of this study was to examine food insecurity and eating behaviors among an urban sample of mother-adolescent...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2306-z
更新日期:2017-10-01 00:00:00
abstract::This study analyzed the relationship between maternal mortality and variables related to the use of health services (especially residence-hospital traveled distances estimated through transit networks). Deaths were identified for Rio de Janeiro and adjacent cities, from 2000 to 2002, and were matched by age and socio-...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1391-x
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVES:The purpose of the current study was to describe anxious pregnant women's concerns about using pharmacotherapy to treat anxiety symptoms, and the relationship of such concerns to women's willingness to use pharmacotherapy during pregnancy. METHODS:Between April 2011 and May 2012, 148 women who were pregnant...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02873-7
更新日期:2020-04-01 00:00:00
abstract::Objectives A number of interventions to reduce disparities in maternal health have been introduced and implemented without concrete evidence to support them. In Korea, a universal voucher scheme for antenatal care and birth services was initiated in December 2008 to improve Korea's fertility rate. This study explores ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2112-z
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:Few studies of children's access to care account for the independent effects of parental immigration characteristics. To address this gap in knowledge, we examine the association between parental nativity and where children usually obtain health care. DATA SOURCE:The 2002 National Survey of America's Families ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0278-0
更新日期:2008-07-01 00:00:00