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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results1 to 5 of 5 Research Studies Displayed
Sequeira GM, Kahn NF, Ricklefs C
Barriers pediatric PCP's identify to providing gender-affirming care for adolescents.
The purpose of this study was to explore pediatric primary care providers’ (PCPs) perspectives on barriers experienced in providing gender-affirming care to transgender and gender diverse (TGD) youth. Pediatric PCPs who had sought support from the Seattle Children's Gender Clinic were recruited to participate in semi-structured, one-hour interviews. They identified both health system and community-level barriers to providing gender-affirming care. The authors concluded that these barriers must be overcome in the pediatric primary care setting to ensure that TGD youth receive timely, effective, and more equitable gender-affirming care.
Citation: Sequeira GM, Kahn NF, Ricklefs C . Barriers pediatric PCP's identify to providing gender-affirming care for adolescents. J Adolesc Health 2023 Aug; 73(2):367-74. doi: 10.1016/j.jadohealth.2023.04.007..
Keywords: Children/Adolescents, Primary Care, Access to Care
Han B, Chen PG, Yu H
Access to after-hours primary care: a key determinant of children's medical home status.
Researchers sought to identify individual survey items or domains that best predict medical home (MH) status for children and use them to develop brief markers of MH status. Using MEPS data, they found that accessibility, especially the ability to access health care after regular office hours, appeared to be the major predictor of having a MH among children. They recommended that the ongoing efforts to promote the MH model target improving accessibility of health care after regular hours for children overall and especially for Latino children.
Citation: Han B, Chen PG, Yu H . Access to after-hours primary care: a key determinant of children's medical home status. BMC Health Serv Res 2021 Feb 27;21(1):185. doi: 10.1186/s12913-021-06192-y..
Keywords: Medical Expenditure Panel Survey (MEPS), Children/Adolescents, Primary Care: Models of Care, Primary Care, Patient-Centered Healthcare, Access to Care, Healthcare Delivery, Disparities, Racial and Ethnic Minorities
Toomey SL, Elliott MN, Schwebel DC
Relationship between adolescent report of patient-centered care and of quality of primary care.
This study investigated whether adolescent self-report of patient-centered care (PCC) varied by patient characteristics and whether receipt of PCC is associated with measures of adolescent primary care quality. It found that adolescent-reported PCC positively correlates with measures of high-quality adolescent primary care. The study provides support for using adolescent-report of PCC as a measure of adolescent primary care quality.
Citation: Toomey SL, Elliott MN, Schwebel DC . Relationship between adolescent report of patient-centered care and of quality of primary care. Acad Pediatr 2016 Nov - Dec;16(8):770-76. doi: 10.1016/j.acap.2016.01.006.
Keywords: Children/Adolescents, Primary Care, Clinician-Patient Communication, Quality of Care, Access to Care
Ray KN, Mehrotra A
Trends in access to primary care for children in the United States, 2002-2013.
Using MEPS data, the authors described how access to primary care has changed over the last decade for children. They found no change in the proportion of children with a usual source of care (USC). Other measures improved, but out-of-pocket costs increased among privately insured children. Results suggested that after-hours accommodation within the USC is worsening, despite the promotion of patient-centered medical home initiatives. All measures of acceptability improved, consistent with a growing focus on family-centeredness of care.
Citation: Ray KN, Mehrotra A . Trends in access to primary care for children in the United States, 2002-2013. JAMA Pediatr 2016 Oct;170(10):1023-25. doi: 10.1001/jamapediatrics.2016.0985.
Keywords: Access to Care, Children/Adolescents, Health Services Research (HSR), Medical Expenditure Panel Survey (MEPS), Primary Care
Aalsma MC, Gilbert AL, Xiao S
Parent and adolescent views on barriers to adolescent preventive health care utilization.
The objective of the study was to determine adolescent and parent views of barriers to annual adolescent preventive care. Barriers for parents and adolescents include the belief that an appointment is only needed when a child is sick and family cannot afford cost. Barriers for parents include having their child see a specialist.
Citation: Aalsma MC, Gilbert AL, Xiao S . Parent and adolescent views on barriers to adolescent preventive health care utilization. J Pediatr 2016 Feb;169:140-5. doi: 10.1016/j.jpeds.2015.10.090.
Keywords: Children/Adolescents, Access to Care, Prevention, Primary Care, Healthcare Utilization