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Iowa Value:
Percentage of children ages 0-17 who received coordinated, ongoing and comprehensive care within a medical home that served as a consistent, non-emergency source of care and where they had a personal doctor or nurse and access to family-centered care, referrals when needed, and effective care coordination
Iowa Rank:
Appears In:
Percentage of children ages 0-17 who received coordinated, ongoing and comprehensive care within a medical home that served as a consistent, non-emergency source of care and where they had a personal doctor or nurse and access to family-centered care, referrals when needed, and effective care coordination
Percentage of children ages 0-17 who received coordinated, ongoing and comprehensive care within a medical home that served as a consistent, non-emergency source of care and where they had a personal doctor or nurse and access to family-centered care, referrals when needed, and effective care coordination
US Value: 46.0%
Top State(s): New Hampshire: 54.7%
Bottom State(s): Nevada: 34.1%
Definition: Percentage of children ages 0-17 who received coordinated, ongoing and comprehensive care within a medical home that served as a consistent, non-emergency source of care and where they had a personal doctor or nurse and access to family-centered care, referrals when needed, and effective care coordination
Data Source and Years(s): National Survey of Children's Health, U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB), 2020-2021
Suggested Citation: America's Health Rankings analysis of National Survey of Children's Health, U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB), United Health Foundation, AmericasHealthRankings.org, accessed 2024.
The medical home model was developed by the American Academy of Pediatrics to promote information exchange, improve quality and cultural competence of care and increase continuity of care among children and adolescents.
Children both with and without special health care needs who receive care in a medical home model experience better outcomes than children receiving care in non-medical home settings. Children with special health care needs outside of a medical home setting are nearly three times as likely to have unmet health care needs as those who receive care within a medical home. Those without special health care needs are nearly twice as likely compared with similar children who receive care within a medical home.
Populations of children who have higher rates of attaining care that meets medical home criteria include:
Strategies to expand medical homes among children include:
Healthy People 2030 has an objective to increase the proportion of children and adolescents who receive care in a medical home.
Akobirshoev, Ilhom, Susan Parish, Monika Mitra, and Robbie Dembo. 2019. “Impact of Medical Home on Health Care of Children With and Without Special Health Care Needs: Update from the 2016 National Survey of Children’s Health.” Maternal and Child Health Journal 23 (11): 1500–1507. https://doi.org/10.1007/s10995-019-02774-9.
Bachrach, Andrea, Elizabeth Isakson, David Seith, and Christel Brellochs. 2011. “Pediatric Medical Homes: Laying the Foundation of a Promising Model of Care.” New York: National Center for Children in Poverty. https://www.nccp.org/wp-content/uploads/2020/05/text_1041.pdf.
Hadland, Scott E., and Webb E. Long. 2014. “A Systematic Review of the Medical Home for Children Without Special Health Care Needs.” Maternal and Child Health Journal 18 (4): 891–98. https://doi.org/10.1007/s10995-013-1315-9.
Homer, Charles J., Kirsten Klatka, Diane Romm, Karen Kuhlthau, Sheila Bloom, Paul Newacheck, Jeanne Van Cleave, and James M. Perrin. 2008. “A Review of the Evidence for the Medical Home for Children With Special Health Care Needs.” Pediatrics 122 (4): e922–37. https://doi.org/10.1542/peds.2007-3762.
Medical Home Initiatives for Children With Special Needs Project Advisory Committee. 2002. “The Medical Home.” Pediatrics 110 (1): 184–86. https://doi.org/10.1542/peds.110.1.184.
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We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.