Medical Home: Access and Care Coordination
Another important component of the medical home is children’s access to primary and preventive care, consistent care when they are sick, access to referrals when they are needed, and support to help ensure that the various services they receive are coordinated.
Each of the access and care coordination criteria were met for the vast majority of children. Overall, 91.4 percent of children were reported to have a regular source of sick care, 90.3 percent had a personal doctor or nurse, and 79.2 percent had no problems obtaining referrals when needed. Children were less likely to receive effective care coordination services when needed, which was reported for 66.1 percent of children.
With regard to location, children in urban areas were significantly less likely to receive effective care coordination services when needed compared to those in rural areas (65.4 versus more than 69 percent in rural areas). Urban children were also slightly less likely to have a regular source of sick care than those in rural areas (91.2 versus about 93 percent, respectively). The proportions of children with a personal doctor or nurse and who have no problems obtaining needed referrals did not differ by location.