- Racial/ethnic disparities in access to care across a broad range of health services have been well established. In adults, having a medical home has been shown to reduce disparities. The objective of this study was to assess the extent to which children of different race/ethnicities receive primary care consistent with a medical home.
- The tristate Reaching Children Initiative (RCI) was designed to engage primary care physicians (PCPs) and increase reported knowledge and skills in the diagnosis and management of the most common mental health (MH) problems among children and adolescents.
- It is increasingly understood that at the root of hope for recovery from a mental health disorder is the therapeutic alliance created by the partnership of the clinician, the patient, and the family and their engagement in the process of care.1,2 Elements of a therapeutic alliance and utilization of mental health services include access and availability of the clinician; a shared belief in what has caused the disability; a common understanding of the possible therapies and their effectiveness; trust in the relationship between healer and the one to be healed; and an understanding of what needs to be done, how it is to be done, and the time course.
- Children enrolled in Medicaid have disproportionately high emergency department (ED) visit rates. Despite the growing importance of patient reported quality-of-care assessments, little is known about the association between parent-reported quality of primary care and ED utilization for these high-risk children. Our goal was to determine the association between parent-reported primary care quality and subsequent ED utilization for children in Medicaid.