Medical Home Model and Health Disparity
Nursing Research Proposal
The Impact of the Medical Home Model on Health Disparities
The Impact of the Medical Home Model on Healthcare Disparity
Medical homes are primary care practices where a physician or NP establishes a long-term care relationship with patients and provide patient/family-centered, coordinated, and culturally-sensitive care (AANP, n.d.; Strickland, Jones, Ghandour, Kogan, & Newacheck, 2011). The benefits include improved healthcare access, quality, and safety. A number of states have enacted statutes supporting the medical home model after research findings revealed health disparities for racial and ethnic minorities were reduced (NCSL, 2013).
As a nurse practitioner I am interested in how effective a medical home model would be in reducing healthcare disparities, especially for racial and ethnic minority children residing in underserved communities. Nurse practitioners have traditionally practiced in underserved communities and will continue to do so; therefore, any strategy that could improve the quality of care with little or no additional cost would be of great interest to me and my patients. To better understand how a medical home model can reduce health disparities this essay will review the findings of recent research...
This justified their investigation of a possible causal relationship between a child's racial identity and experiencing an unmet need for care coordination. The other independent variables they examined included socioeconomic status, personal provider, and family-centered care, with the latter two variables having been associated empirically with better care quality. They used the 2007 National Survey for Children's Health data to answer their questions, which included information from parents of 91,642 children residing in all 50 states and the District of Columbia. The prevalence of unmet care coordination need was 27, 38, and 40% for White, Black, and Latino children, respectively. Other predictors of unmet need were single parent households, low-income, non-English-speaking households, public insurance, no insurance, and the absence of a personal healthcare provider. In addition, children with special health care needs (CSHCNs) were more than twice as likely to have experienced an unmet need for care coordination compared to other children. Personal providers improved the chances of a minority child having access to coordinated care, but the level of health disparity was not significantly changed. In contrast, minority children with access to family-centered care were significantly less likely to experience an unmet need for coordinated care. These findings suggest that the family-centered component of medical homes can help reduce racial disparities in access to coordinated care.
Bennett and colleagues (2012)…
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting
Among the most important aspects to the health promotion plan will be the benefits associated with a care manager, who can ensure that all six core elements of CCM are implemented fully. If this is accomplished, there should be a significant reduction in health disparities for patient and caregiver outcomes across generations. References AHRQ. (2012). National Healthcare Disparities Report, 2011. No. 12-0006. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved
Desir, E. (2014). Exploring Obstacles to Success for Early Careerists in Healthcare Leadership. J Healthc Manag., 59(4), 250-3. The article begins with an introduction covering a short story about a young man of Caribbean descent. He showed remarkable leadership skills and attended a top-tier pre-med program. During his time as an MHA student, he was accepted into an internship program. However, his limited exposure to a healthcare environment led to not
Nurse-Patient Relations The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and
1903). The management goal for HCH is to improve the effectiveness of health care delivery to the homeless and indigent of Milwaukee in close partnership with the community. In this regard, the management of the HCH community health center requires careful and timely coordination between the community health care specialists, including family practice physicians and advanced practice nurses, who provide accessible primary care preventive health services. There are also management
" (AAFP, nd) The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAFP, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAFP,