{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:12:12Z","timestamp":1791216732464,"version":"4.1.0"},"reference-count":28,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND AND OBJECTIVES<\/jats:title>\n                  <jats:p>Since 2001, the American Academy of Pediatrics (AAP) has advocated for improving the effectiveness of early hearing screening, diagnosis, and intervention (EHDI) and reducing hearing health disparities through the medical home model of care (MHMOC). However, the scope of the MHMOC and its components and potential disparities among US children with deafness or hearing problems (DHH) have not been identified.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Data from the 2016 to 2020 National Survey of Children\u2019s Health (N = 174\u2009551) were analyzed, including 12\u2009121 children with DHH, 171\u2009523 children without DHH, and 38\u2009722 with other special health needs (SHCN). Univariable statistics and multivariable logistic regression were used to analyze the association of hearing problems with medical home composite and components and cohort disparities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>After adjusting for sociodemographic characteristics, medical home care was less likely for children with DHH (adjusted odds ratio: 0.74; 95% confidence interval: 0.56\u20130.97) compared with children without DHH. Children with DHH and SHCN were also less likely to receive medical home care compared with other SHCN children (adjusted odds ratio: 0.71; 95% confidence interval: 0.55\u20130.92). Specific medical home components significantly less prevalent among children with DHH included family-centered care, ease of referrals, and effective care coordination, whereas a usual source for sick care was more prevalent, although not statistically significant.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Despite over two decades of efforts to improve EHDI through the medical home, rates of the MHMOC for children with DHH remain disparately low. Systems-level quality improvement efforts supporting the medical home will be necessary to allow the MHMOC to support early hearing detection and intervention (EHDI) systems.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2023-063929","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T08:12:42Z","timestamp":1726215162000},"source":"Crossref","is-referenced-by-count":1,"title":["Medical Home Care for Children with Deafness and Hearing Problems"],"prefix":"10.1542","volume":"154","author":[{"given":"Inderpreet Kaur","family":"Khalsa","sequence":"first","affiliation":[{"name":"aSchool of Medicine, University of California, San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan K.","family":"Chan","sequence":"additional","affiliation":[{"name":"bDepartment of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2024,9,13]]},"reference":[{"issue":"8","key":"2024100102515742700_B1","first-page":"220","article-title":"Identifying infants with hearing loss - United States, 1999-2007","volume":"59","author":"Centers for Disease Control and Prevention (CDC)","year":"2010","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"19","key":"2024100102515742700_B2","doi-asserted-by":"crossref","first-page":"2038","DOI":"10.1001\/jama.2009.691","article-title":"The patient-centered medical home: will it stand the test of health reform?","volume":"301","author":"Rittenhouse","year":"2009","journal-title":"JAMA"},{"issue":"6","key":"2024100102515742700_B3","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1097\/01.mop.0000146440.79293.5b","article-title":"Redefining primary pediatric care for children with special health care needs: the primary care medical home","volume":"16","author":"Cooley","year":"2004","journal-title":"Curr Opin Pediatr"},{"issue":"1","key":"2024100102515742700_B4","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1542\/peds.110.1.184","article-title":"The medical home","volume":"110","author":"Medical Home Initiatives for Children With Special Needs Project Advisory Committee","year":"2002","journal-title":"Pediatrics"},{"issue":"11","key":"2024100102515742700_B5","doi-asserted-by":"crossref","first-page":"1869","DOI":"10.1016\/j.ijporl.2013.08.031","article-title":"Barriers to early pediatric cochlear implantation","volume":"77","author":"Armstrong","year":"2013","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2024100102515742700_B6","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1542\/peds.113.S4.1473","article-title":"History of the medical home concept","volume":"113","author":"Sia","year":"2004","journal-title":"Pediatrics"},{"key":"2024100102515742700_B7","unstructured":"Office of Disease Prevention and Health Promotion; U.S. Department of Health and Human Services. 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