{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T07:55:01Z","timestamp":1780991701495,"version":"3.54.1"},"reference-count":38,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>To determine the association between enrollment in patient-centered medical homes (PCMHs) and the receipt of preventive services among adolescents and young adults.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>Retrospective cohort study including patients of Hennepin County aged 10 to 24 who had face-to-face or telephone encounters with health care providers between 2010 and 2014 at clinics with PCMHs at the Hennepin County Medical Center, Minnesota. Exposure was enrollment in PCMHs. Outcomes were receipt of (1) preventive visits; (2) prescriptions for influenza, meningococcal, and human papillomavirus vaccinations; (3) screening for sexually transmitted infections; (4) prescription of any contraceptive and long-acting reversible contraceptives; and (5) cervical cancer screening. Generalized mixed effect models in a propensity-score-matched sample were used for data analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Overall, 21\u2009704 patients were included. Most patients were female, US-born, Hispanic\/Latino, with an average age of 20.8 years. Patients enrolled in PCMH (n = 729) were more likely to be Latino, students, and have health insurance (P &amp;lt; .001). Adjusted odds ratios (99% confidence intervals) comparing the receipt of preventive services of patients enrolled in PCMHs to youth who did not receive these services were as follows: (1) preventive visits 1.10 (0.93\u20131.29); (2) influenza 0.89 (0.74\u20131.07), meningococcal 1.53 (1.30\u20131.80), and human papillomavirus vaccinations 1.53 (1.28\u20131.84); (3) screening for sexually transmitted infections 1.69 (1.28\u20132.24); (4) prescription of any type of contraception 2.18 (1.56\u20133.03) and long-acting reversible contraceptives 2.66 (1.89\u20133.74); and (5) cervical cancer screening 1.14 (0.87\u20131.48).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Overall, patients enrolled in PCMHs had higher odds of receiving multiple preventive services.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2015-3813","type":"journal-article","created":{"date-parts":[[2016,5,16]],"date-time":"2016-05-16T12:22:31Z","timestamp":1463401351000},"source":"Crossref","is-referenced-by-count":20,"title":["Effect of Patient-Centered Medical Home on Preventive Services for Adolescents and Young Adults"],"prefix":"10.1542","volume":"137","author":[{"given":"Diego","family":"Garcia-Huidobro","sequence":"first","affiliation":[{"name":"Aqui Para Ti\/Here for You,"},{"name":"Division of General Pediatrics and Adolescent Health, Department of Pediatrics, and"},{"name":"Department of Family Medicine, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Shippee","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Joseph-DiCaprio","sequence":"additional","affiliation":[{"name":"Department of Pediatrics,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M.","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Henne-teen, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Veronica","family":"Svetaz","sequence":"additional","affiliation":[{"name":"Aqui Para Ti\/Here for You,"},{"name":"Henne-teen, and"},{"name":"Department of Family and Community Medicine, Hennepin County Medical Center, Minneapolis, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2016,6,1]]},"reference":[{"key":"2021120904524423600_B1","unstructured":"US Census Bureau\n          . 2013 population estimates: annual estimates of the resident population for selected age groups by sex for the United States, states, counties, and Puerto Rico commonwealth and municipalities . Available at: http:\/\/factfinder.census.gov\/faces\/tableservices\/jsf\/pages\/productview.xhtml?src=bkmk. Accessed April 12, 2016"},{"key":"2021120904524423600_B2","volume-title":"Adolescent Health Services: Missing Opportunities","author":"National Research Council and Institute of Medicine, Committee on Adolescent Health Care Services and Models of Care for Treatment, Prevention, and Healthy Development","year":"2009"},{"issue":"3","key":"2021120904524423600_B3","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1001\/archpediatrics.2011.794","article-title":"Young adult preventive health care guidelines: there but can\u2019t be found.","volume":"166","author":"Ozer","year":"2012","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"4","key":"2021120904524423600_B4","doi-asserted-by":"crossref","first-page":"e565","DOI":"10.1542\/peds.2008-2601","article-title":"Preventive care for adolescents: few get visits and fewer get services.","volume":"123","author":"Irwin","year":"2009","journal-title":"Pediatrics"},{"issue":"2","key":"2021120904524423600_B5","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.amepre.2015.02.022","article-title":"Adolescent and young adult preventive care: comparing national survey rates.","volume":"49","author":"Adams","year":"2015","journal-title":"Am J Prev Med"},{"key":"2021120904524423600_B6","first-page":"80","article-title":"Chlamydia screening among females aged 15\u201321 years\u2014multiple data sources, United States, 1999\u20132010.","volume":"63","author":"Hoover","year":"2014","journal-title":"MMWR Suppl"},{"issue":"6","key":"2021120904524423600_B7","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.jadohealth.2008.12.016","article-title":"Are adolescents being screened for emotional distress in primary care?","volume":"44","author":"Ozer","year":"2009","journal-title":"J Adolesc Health"},{"issue":"1","key":"2021120904524423600_B8","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.jadohealth.2012.04.017","article-title":"Receipt of preventive health services in young adults.","volume":"52","author":"Lau","year":"2013","journal-title":"J Adolesc Health"},{"issue":"6","key":"2021120904524423600_B9","doi-asserted-by":"crossref","first-page":"379","DOI":"10.7326\/0003-4819-151-6-200909150-00002","article-title":"Ambulatory care among young adults in the United States.","volume":"151","author":"Fortuna","year":"2009","journal-title":"Ann Intern Med"},{"issue":"2","key":"2021120904524423600_B10","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.jadohealth.2005.02.008","article-title":"Preventive counseling at adolescent ambulatory visits.","volume":"37","author":"Rand","year":"2005","journal-title":"J Adolesc Health"},{"issue":"5","key":"2021120904524423600_B11","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.jadohealth.2004.08.024","article-title":"U.S. adolescents receive suboptimal preventive counseling during ambulatory care.","volume":"36","author":"Ma","year":"2005","journal-title":"J Adolesc Health"},{"key":"2021120904524423600_B12","first-page":"71","article-title":"Tobacco use screening and cessation assistance during physician office visits among persons aged 11\u201321 years\u2014National Ambulatory Medical Care Survey, United States, 2004\u20132010.","volume":"63","author":"Jamal","year":"2014","journal-title":"MMWR Suppl"},{"key":"2021120904524423600_B13","first-page":"47","article-title":"Hypertension screening in children and adolescents\u2014National Ambulatory Medical Care Survey, National Hospital Ambulatory Medical Care Survey, and Medical Expenditure Panel Survey, United States, 2007\u20132010.","volume":"63","author":"George","year":"2014","journal-title":"MMWR Suppl"},{"issue":"9","key":"2021120904524423600_B14","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1001\/archpedi.157.9.867","article-title":"Racial and ethnic disparities in health care for adolescents: a systematic review of the literature.","volume":"157","author":"Elster","year":"2003","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"9","key":"2021120904524423600_B15","first-page":"534","article-title":"Impact of medical homes on quality, healthcare utilization, and costs.","volume":"18","author":"DeVries","year":"2012","journal-title":"Am J Manag Care"},{"issue":"4","key":"2021120904524423600_B16","doi-asserted-by":"crossref","first-page":"e922","DOI":"10.1542\/peds.2007-3762","article-title":"A review of the evidence for the medical home for children with special health care needs.","volume":"122","author":"Homer","year":"2008","journal-title":"Pediatrics"},{"issue":"4","key":"2021120904524423600_B17","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.acap.2009.05.002","article-title":"Association of medical home care and disparities in emergency care utilization among children with special health care needs.","volume":"9","author":"Raphael","year":"2009","journal-title":"Acad Pediatr"},{"issue":"1","key":"2021120904524423600_B18","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1542\/peds.2008-2600","article-title":"Improved outcomes associated with medical home implementation in pediatric primary care.","volume":"124","author":"Cooley","year":"2009","journal-title":"Pediatrics"},{"issue":"4","key":"2021120904524423600_B19","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1542\/peds.2009-3555","article-title":"The medical home: health care access and impact for children and youth in the United States.","volume":"127","author":"Strickland","year":"2011","journal-title":"Pediatrics"},{"key":"2021120904524423600_B20","unstructured":"Hennepin County Medical Center\n          . About Hennepin County Medical Center. Available at: http:\/\/hcmc.org\/aboutus\/index.htm. Accessed April 12, 2016"},{"key":"2021120904524423600_B21","unstructured":"US Census Bureau\n          . State & county QuickFacts: Hennepin County, Minnesota. Available at: http:\/\/quickfacts.census.gov\/qfd\/states\/27\/27053.html. Accessed April 12, 2016"},{"key":"2021120904524423600_B22","unstructured":"Minnesota Department of Health\n          . Certified Healthcare Homes. Available at: http:\/\/www.health.state.mn.us\/healthreform\/homes\/documents\/certhch.pdf. Accessed April 12, 2016"},{"key":"2021120904524423600_B23","unstructured":"Minnesota Department of Health\n          . Health Care Homes: certification & recertification. Available at: http:\/\/www.health.state.mn.us\/healthreform\/homes\/certification\/certification\/certassess.html. Accessed April 12, 2016"},{"issue":"1","key":"2021120904524423600_B24","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1515\/ijamh-2014-0073","article-title":"Can a healthy youth development clinic serving Latino families be youth friendly and family oriented? A mixed-methods evaluation.","volume":"28","author":"Svetaz","year":"2016","journal-title":"Int J Adolesc Med Health"},{"key":"2021120904524423600_B25","unstructured":"Centers for Disease Control and Prevention\n          . Chlamydia\u2014reported cases and rates of reported cases in counties and independent cities ranked by number of reported cases, United States, 2014. Available at: http:\/\/www.cdc.gov\/STI\/stats14\/tables\/9.htm. Accessed April 12, 2016"},{"issue":"8 pt 2","key":"2021120904524423600_B26","doi-asserted-by":"crossref","first-page":"757","DOI":"10.7326\/0003-4819-127-8_Part_2-199710151-00064","article-title":"Estimating causal effects from large data sets using propensity scores.","volume":"127","author":"Rubin","year":"1997","journal-title":"Ann Intern Med"},{"issue":"9826","key":"2021120904524423600_B27","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1016\/S0140-6736(12)60149-4","article-title":"Adolescence and the social determinants of health.","volume":"379","author":"Viner","year":"2012","journal-title":"Lancet"},{"issue":"4","key":"2021120904524423600_B28","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1001\/jamainternmed.2014.8263","article-title":"Patient-centered medical home implementation and use of preventive services: the role of practice socioeconomic context.","volume":"175","author":"Markovitz","year":"2015","journal-title":"JAMA Intern Med"},{"issue":"4","key":"2021120904524423600_B29","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1093\/oxfordjournals.aje.a115716","article-title":"Does nondifferential misclassification of exposure always bias a true effect toward the null value?","volume":"132","author":"Dosemeci","year":"1990","journal-title":"Am J Epidemiol"},{"issue":"10","key":"2021120904524423600_B30","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/j.jclinepi.2012.05.005","article-title":"Cumulative complexity: a functional, patient-centered model of patient complexity can improve research and practice.","volume":"65","author":"Shippee","year":"2012","journal-title":"J Clin Epidemiol"},{"key":"2021120904524423600_B31","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.1097\/MLR.0000000000000045","article-title":"A conceptual model of the role of complexity in the care of patients with multiple chronic conditions.","volume":"52","author":"Grembowski","year":"2014","journal-title":"Med Care"},{"issue":"3","key":"2021120904524423600_B32","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1370\/afm.141","article-title":"What is an intracluster correlation coefficient? Crucial concepts for primary care researchers.","volume":"2","author":"Killip","year":"2004","journal-title":"Ann Fam Med"},{"issue":"4","key":"2021120904524423600_B33","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/S0895-4356(00)00314-0","article-title":"Adjusting for multiple testing\u2014when and how?","volume":"54","author":"Bender","year":"2001","journal-title":"J Clin Epidemiol"},{"issue":"6","key":"2021120904524423600_B34","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/j.jadohealth.2012.12.014","article-title":"Assessment of youth-friendly health care: a systematic review of indicators drawn from young people\u2019s perspectives.","volume":"52","author":"Ambresin","year":"2013","journal-title":"J Adolesc Health"},{"key":"2021120904524423600_B35","unstructured":"US Department of Health and Human Services\n          . The Affordable Care Act supports patient-centered medical homes in health centers. 2016. Available at: http:\/\/www.hhs.gov\/news\/press\/2014pres\/08\/20140826a.html. Accessed April 12, 2016"},{"issue":"12","key":"2021120904524423600_B36","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1001\/jamapediatrics.2014.1691","article-title":"Improvement in preventive care of young adults after the affordable care act: the affordable care act is helping.","volume":"168","author":"Lau","year":"2014","journal-title":"JAMA Pediatr"},{"issue":"10","key":"2021120904524423600_B37","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.1007\/s10995-015-1737-7","article-title":"Opportunities and challenges for adolescent health under the Affordable Care Act.","volume":"19","author":"Tebb","year":"2015","journal-title":"Matern Child Health J"},{"issue":"11","key":"2021120904524423600_B38","first-page":"677","article-title":"Patient-centered medical home cost reductions limited to complex patients.","volume":"18","author":"Flottemesch","year":"2012","journal-title":"Am J Manag Care"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2015-3813\/1097515\/peds_20153813.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2015-3813\/1097515\/peds_20153813.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T21:51:04Z","timestamp":1639086664000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/137\/6\/e20153813\/52439\/Effect-of-Patient-Centered-Medical-Home-on"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,1]]},"references-count":38,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2016,6,1]]},"published-print":{"date-parts":[[2016,6,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2015-3813","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,1]]},"article-number":"e20153813"}}