Online Program

Medical Home for Children with Special Health Care Needs (CSHCN) in Mississippi

Tuesday, November 3, 2015

Mina Qobadi, PhD, Epidemiology, Jackson State University, Jackson, MS
Lei Zhang, PhD, MSc, MBA, Office of Health Data & Research, Mississippi State Department of Health, Jackson, MS
Mohammad Shahbazi, PhD, MPH, MCHES, Jackson State University, Jackson, MS
Background: It is well established that Medical Home can facilitate comprehensive care for CSHCN and improve quality of life for them and their families.

Objective: To assess estimates of medical home prevalence and compare its components by race for the population of CSHCN in Mississippi.

Methods: Data from the 2009-2010 National Survey of Children with Special Health Care Needs were analyzed by using descriptive analysis and cross tabulation (n=1,135).

Results: Prevalence of children with special health care needs in Mississippi was 16.4% (18.5% Black vs. 14.5% White). Among these children, 31.9% (15.2% Black vs. 50.2% White) had private insurance, 54% (70% Black vs. 37.9% White) had public insurance and 5.4% (5.8% Black vs. 4.6% White) were uninsured, while 14.3% (18.4% Black vs. 9.9% White) of CSHCN in Mississippi had no usual source for sick care and only relied on ER. Moreover, prevalence of receiving adequate care within medical home in Mississippi was 36.8% (51.6% White vs. 24.4% Black) which is among the lowest in the nation. About 44.2% (55.4% Black vs. 33.2% White) of these children did not receive family-centered care from health providers; 41.1% (51% Black vs. 29.7% White) did not receive help coordinating care when needed, and 17.8% (18.8% Black vs. 15.9% White) had problems getting needed referral.

 Conclusion: Initial findings indicate the low prevalence of receiving adequate care and racial disparity in Medical Home in Mississippi which must be addressed by healthcare providers and policymakers.

Learning Areas:

Provision of health care to the public
Public health or related public policy
Public health or related research

Learning Objectives:
Assess estimates of Medical Home prevalence and compare its components by race for the population of CSHCN in Mississippi. Identify racial disparity as a potential risk factor of not getting comprehensive health care services.

Keyword(s): Children With Special Needs, Medical Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am DrPh student working as a Research Assistant at the Mississippi State Department of Health. I have a solid background in public health research methodology and have worked with underserved populations nationally and internationally for more than 7 years. My experiences include project design, data collection and analysis, preparing abstracts and writing manuscripts.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.