Evaluating the Impact of Parent-Reported Medical Home Status on Children's Health Care Utilization, Expenditures, and Quality: A Difference-in-Differences Analysis with Causal Inference Methods.

ABSTRACT:

Objective

To evaluate the effects of the parent-reported medical home status on health care utilization, expenditures, and quality for children.

Data sources

Medical Expenditure Panel Survey (MEPS) during 2004-2012, including a total of 9,153 children who were followed up for 2 years in the survey.

Study design

We took a causal difference-in-differences approach using inverse probability weighting and doubly robust estimators to study how changes in medical home status over a 2-year period affected children's health care outcomes. Our analysis adjusted for children's sociodemographic, health, and insurance statuses. We conducted sensitivity analyses using alternative statistical methods, different approaches to outliers and missing data, and accounting for possible co

SUBMITTER: Han B 

PROVIDER: S-EPMC5346503 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature