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Medical Home

A number of characteristics of high-quality health care for children can be combined into the concept of the medical home. As defined by the American Academy of Pediatrics, children's medical care should be accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective. The survey included several questions that sought to measure whether a child's health care met this standard:

A child was defined as having a medical home if his or her care is reported to meet all of these criteria. Note that the questions and requirements that make up the definition of a medical home have changed since the 2003 survey, so the findings presented here cannot be compared with the previous version.

Overall, the care of 57.5 percent of children met this standard. This proportion varied substantially by the race and ethnicity of the child: 68.0 percent of White children received care from a medical home, compared to 44.2 percent of Black children, 63.0 percent of multiracial children, 38.5 percent of Hispanic children, and 48.6 percent of children of other races.

A medical home is particularly important for children with special health care needs (CSHCN), who are more likely to require specialized care and services, follow-up, and Care Coordination. Of CSHCN, 49.8 percent were reported to have a medical home, compared to 59.4 percent of children without special health care needs.