Another essential element of the medical home is having one or more personal doctors or nurses, defined as the health care provider(s) who know the child best. Because the health conditions and risks faced by CSHCN can be complex, having a consistent source of care can be especially important.

Overall, 93.1 percent of CSHCN are reported to have at least one personal doctor or nurse, and 6.9 percent do not have any. The proportion of CSHCN who have a personal doctor or nurse is highest among CSHCN with private insurance (95.4 percent), and lowest among uninsured CSHCN (80.8 percent). Likewise, of children in poverty, only 88.9 percent have at least one personal doctor or nurse, compared to 96.0 percent of children with family incomes of 400 percent of the Federal Poverty Level or more.

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