The impact of a Medical Home for children with developmental disability within a pediatric resident continuity clinic.
Butcher, J.S.; Wolraich, M.L.; Gillaspy, S.R.; Martin, V.G.; Wild, R.C.
Journal of the Oklahoma State Medical Association 107(12): 632-638
2014
ISSN/ISBN: 0030-1876 PMID: 25790586 Document Number: 678175
Primary care provided in a Medical Home (MH) can improve outcomes for Children with Special Health Care Needs. It is important for residents to experience MH in their training. The Oklahoma Family Support 360 project, a five-year collaborative initiative, established a MH in a pediatric primary care resident continuity clinic at the University of Oklahoma Health Sciences Center. A study of the effects of enhancement of the seven key MH attributes showed a significant decrease in Emergency Service use, a significant increase in Dental Service use, high satisfaction with MH activities, and high ratings for a positive impact on quality of life for the child and family. The project demonstrated that a MH could be established in a pediatric academic program, improved health service use, and had a high level of satisfaction from participating families. This model provides a good example of the MH qualities for residents in training.