We train 56 pediatric continuity residents who have their weekly clinic in CHC over the 3 years of training. Over 80% of the patient population receives health insurance through Medicaid. Demographics reflect the neighboring community, with 56% of the patients identifying as Hispanic 40% speak Spanish as their primary language. The patients are primarily from underserved racial and ethnic communities. Our large urban primary care teaching clinic, the Child Health Clinic (CHC), cares for approximately 13,000 patients with 33,000 visits per year. We continued to collect data from 2017 to the present. To solidify the medical home concept for our patients and families, we aimed to increase the percentage of patients who attended all of the first 5 recommended well visits in the first year of life (2, 4, 6, 9, and 12 months) by at least 25% from baseline (50% or higher) and increase the continuity of care delivered by the same providers by 20% (64% or higher) between 20. 13 In our large teaching clinic, we discovered that families would often see different providers each time and come to the clinic for other reasons, yet miss well-child visits that included essential services such as immunizations and developmental screening. Various strategies exist to improve well-child care yet, it remains unclear what is the best way to provide anticipatory guidance and parental support. 7, 8 Greater continuity of primary care, seeing the same provider for visits, is associated with a higher quality of care and overall satisfaction as reported by parents. 2, 5, 6 Decreased continuity of primary care is associated with a higher risk of Emergency Department utilization and hospitalizations. Still, they are less likely to receive the recommended number of Well-Child Check (WCC) visits if they are from low income families. ![]() All children and their families benefit from preventive child visits. ![]() 1– 4 The patient-centered medical home’s focus is to provide accessible, coordinated, and patient-centered care with the goals of improving the quality of care and patient experience while reducing costs. The medical home concept started in pediatrics with children with special health care needs has been increasingly recognized as valuable for all children and their families.
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