Examining Factors Related to Medical Home Attainment for Youth in Working Poor Households

The medical home model has been recognized as an effective approach for promoting comprehensive primary health care services. Even though income-related disparities have been highlighted as a barrier for equal access to health care, within pediatrics, youth in working poor households have been vastly understudied regarding risk factors for medical home attainment. To address this gap, this study uses conceptual guidance from the Andersen Health Care Utilization Model and applies hierarchical logistic regression methods to examine factors related to medical home attainment for youth in working poor homes. Results indicate that race, parental education, insurance coverage, English language proficiency, and health status are all significant predictors of medical home attainment, yielding important implications for policy and program planning.