PEDIATRICS Vol. 90 No. 5 November 1992, pp. 774
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation

The Medical Home

Ad Hoc Task Force on Definition of the Medical Home

The American Academy of Pediatrics believes that the medical care of infants, children, and adolescents ideally should be accessible, continuous, comprehensive, family centered, coordinated, and compassionate. It should be delivered or directed by well-trained physicians who are able to manage or facilitate essentially all aspects of pediatric care. The physician should be known to the child and family and should be able to develop a relationship of mutual responsibility and trust with them. These characteristics define the "medical home" and describe the care that has traditionally been provided by pediatricians in an office setting. In contrast, care provided through emergency departments, walk-in clinics, and other urgent-care facilities is often less effective and more costly.

We should strive to attain a "medical home" for all of our children. Although geographic barriers, personnel constraints, practice patterns, and economic and social forces make the ideal "medical home" unobtainable for many children, we believe that comprehensive health care of infants, children, and adolescents, wherever delivered, should encompass the following services:

1. Provision of preventive care including, but not restricted to, immunizations, growth and development assessments, appropriate screening, health care supervision, and patient and parental counseling about health and psychosocial issues.

2. Assurance of ambulatory and inpatient care for acute illnesses, 24 hours a day, 7 days a week; during the working day, after hours, on weekends, 52 weeks of the year.

3. Provision of care over an extended period of time to enhance continuity.

4. Identification of the need for subspecialty consultation and referrals and knowing from whom and where these can be obtained.




This article has been cited by other articles:


Home page
 PediatricsHome page
M. J. Briggs-Gowan and A. S. Carter
Social-Emotional Screening Status in Early Childhood Predicts Elementary School Outcomes
Pediatrics, May 1, 2008; 121(5): 957 - 962.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
M. Golzari, S. J. Hunt, and L. J. Chamberlain
Role of Pediatricians as Advocates for Incarcerated Youth
Pediatrics, February 1, 2008; 121(2): e397 - e398.
[Full Text] [PDF]

Home page
 PediatricsHome page
P. G. Szilagyi, C. M. Rand, J. McLaurin, L. Tan, M. Britto, A. Francis, E. Dunne, D. Rickert, and for the Working Group on Adolescent Vaccination in
Delivering Adolescent Vaccinations in the Medical Home: A New Era?
Pediatrics, January 1, 2008; 121(Supplement_1): S15 - S24.
[Abstract] [Full Text] [PDF]

Home page
 Health Aff (Millwood)Home page
H. H. Pham and P. B. Ginsburg
Unhealthy Trends: The Future Of Physician Services
Health Aff., November 1, 2007; 26(6): 1586 - 1598.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. A. Zuckerbrot, A. H. Cheung, P. S. Jensen, R. E.K. Stein, D. Laraque, and and the GLAD-PC Steering Group
Guidelines for Adolescent Depression in Primary Care (GLAD-PC): I. Identification, Assessment, and Initial Management
Pediatrics, November 1, 2007; 120(5): e1299 - e1312.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
C. E. Mercier, S. E. Barry, K. Paul, T. V. Delaney, J. D. Horbar, R. C. Wasserman, P. Berry, and J. S. Shaw
Improving Newborn Preventive Services at the Birth Hospitalization: A Collaborative, Hospital-Based Quality-Improvement Project
Pediatrics, September 1, 2007; 120(3): 481 - 488.
[Abstract] [Full Text] [PDF]

Home page
 AAP NewsHome page
S. Cash
Role model: The visionary behind the medical home concept looks back on career milestones
AAP News, June 1, 2007; 28(6): 24 - 25.
[Full Text] [PDF]

Home page
 PediatricsHome page
N. J. Allred, K. G. Wooten, and Y. Kong
The Association of Health Insurance and Continuous Primary Care in the Medical Home on Vaccination Coverage for 19- to 35-Month-Old Children
Pediatrics, February 1, 2007; 119(Supplement_1): S4 - S11.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
B. A. Mulvihill, M. Altarac, S. Swaminathan, R. S. Kirby, A. Kulczycki, and D. E. Ellis
Does Access to a Medical Home Differ According to Child and Family Characteristics, Including Special-Health-Care-Needs Status, Among Children in Alabama?
Pediatrics, February 1, 2007; 119(Supplement_1): S107 - S113.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
P. C. Damiano, E. T. Momany, M. C. Tyler, A. J. Penziner, and J. G. Lobas
Cost of Outpatient Medical Care for Children and Youth With Special Health Care Needs: Investigating the Impact of the Medical Home
Pediatrics, October 1, 2006; 118(4): e1187 - e1194.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
P. J. Smith, J. M. Santoli, S. Y. Chu, D. Q. Ochoa, and L. E. Rodewald
The Association Between Having a Medical Home and Vaccination Coverage Among Children Eligible for the Vaccines for Children Program
Pediatrics, July 1, 2005; 116(1): 130 - 139.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. C. Sneed, W. L. May, and C. Stencel
Policy Versus Practice: Comparison of Prescribing Therapy and Durable Medical Equipment in Medical and Educational Settings
Pediatrics, November 1, 2004; 114(5): e612 - e625.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
T. V. Williams, E. M. Schone, N. D. Archibald, and J. W. Thompson
A National Assessment of Children With Special Health Care Needs: Prevalence of Special Needs and Use of Health Care Services Among Children in the Military Health System
Pediatrics, August 1, 2004; 114(2): 384 - 393.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
E. G. Schulz, G. Buchanan, and E. Ochoa
How Do I Judge the "Medical Homeness" of My Practice?
Clinical Pediatrics, June 1, 2004; 43(5): 431 - 435.
[Abstract] [PDF]

Home page
 PediatricsHome page
T. L. Cheng
Primary Care Pediatrics: 2004 and Beyond
Pediatrics, June 1, 2004; 113(6): 1802 - 1809.
[Full Text] [PDF]

Home page
 PediatricsHome page
C. Sia, T. F. Tonniges, E. Osterhus, and S. Taba
History of the Medical Home Concept
Pediatrics, May 1, 2004; 113(5/S1): 1473 - 1478.
[Full Text] [PDF]

Home page
 PediatricsHome page
J. S. Palfrey, L. A. Sofis, E. J. Davidson, J. Liu, L. Freeman, and M. L. Ganz
The Pediatric Alliance for Coordinated Care: Evaluation of a Medical Home Model
Pediatrics, May 1, 2004; 113(5/S1): 1507 - 1516.
[Abstract] [Full Text] [PDF]

Home page
 Child MaltreatHome page
A. Duggan, L. Fuddy, E. McFarlane, L. Burrell, A. Windham, S. Higman, and C. Sia
Evaluating a Statewide Home Visiting Program to Prevent Child Abuse in at-Risk Families of Newborns: Fathers' Participation and Outcomes
Child Maltreat, February 1, 2004; 9(1): 3 - 17.
[Abstract] [PDF]

Home page
 Ann Fam MedHome page
D. A. Christakis
Continuity of Care: Process or Outcome?
Ann. Fam. Med, September 1, 2003; 1(3): 131 - 133.
[Full Text] [PDF]

Home page
 The Journal of School NursingHome page
The American Academy of Pediatrics POLICY STATEMENT: The Role of the School Nurse in Providing School Health Services
The Journal of School Nursing, June 1, 2003; 19(3): 127 - 129.
[Abstract] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
S. J. Rolnick, S. K. Flores, K. J. Paulsen, and S. Thorson
Identification of Children With Special Health Care Needs Within a Managed Care Setting
Arch Pediatr Adolesc Med, March 1, 2003; 157(3): 273 - 278.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
A. M. Kelly, B. Kratz, M. Bielski, and P. M. Rinehart
Implementing Transitions for Youth With Complex Chronic Conditions Using the Medical Home Model
Pediatrics, December 1, 2002; 110(6): 1322 - 1327.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
I. M. Gonzalez, F. M. Averhoff, M. S. Massoudi, H. Yusuf, F. DeStefano, P. Kramarz, J. E. Maher, J. P. Mullooly, C. Chun, R. L. Davis, et al.
Hepatitis B Vaccination Among Adolescents in 3 Large Health Maintenance Organizations
Pediatrics, November 1, 2002; 110(5): 929 - 934.
[Abstract] [Full Text] [PDF]

Home page
 Journal of the American Dental AssociationHome page
A. J. NOWAK and P. S. CASAMASSIMO
The dental home: A primary care oral health concept
J Am Dent Assoc, January 1, 2002; 133(1): 93 - 98.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
E. F. Lamberth, E. P. Rothstein, T. J. Hipp, R. L. Souder, T. I. Kennedy, D. F. Faccenda, D. Casher, R. T. Kratz, and B. P. Homeier
Rates of Missed Appointments Among Pediatric Patients in a Private Practice: Medicaid Compared With Private Insurance
Arch Pediatr Adolesc Med, January 1, 2002; 156(1): 86 - 87.
[Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
D. Spar and M. Macknin
Use of Letters and Phone Calls to Encourage Preparticipation Special Olympics Physical Examinations To Be Done in a Medical Home: A Randomized, Controlled Trial
Clinical Pediatrics, December 1, 2001; 40(12): 685 - 687.
[PDF]

Home page
 PediatricsHome page
Provisional Section on Breastfeeding
WIC Program
Pediatrics, November 1, 2001; 108(5): 1216 - 1217.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Committee on School Health
The Role of the School Nurse in Providing School Health Services
Pediatrics, November 1, 2001; 108(5): 1231 - 1232.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child.Home page
T. WATERSTON and T. TONNIGES
Advocating for children's health: a US and UK perspective
Arch. Dis. Child., September 1, 2001; 85(3): 180 - 182.
[Full Text] [PDF]

Home page
 PediatricsHome page
Task Force on Medical Informatics
Special Requirements for Electronic Medical Record Systems in Pediatrics
Pediatrics, August 1, 2001; 108(2): 513 - 515.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
F. Desposito, M. A. Lloyd-Puryear, T. F. Tonniges, F. Rhein, and M. Mann
Survey of Pediatrician Practices in Retrieving Statewide Authorized Newborn Screening Results
Pediatrics, August 1, 2001; 108 (2): e22 - e22.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
E. A. Alessandrini, K. N. Shaw, W. B. Bilker, K. A. Perry, M. D. Baker, and D. F. Schwarz
Effects of Medicaid Managed Care on Health Care Use: Infant Emergency Department and Ambulatory Services
Pediatrics, July 1, 2001; 108(1): 103 - 110.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Children With Disabilities
Developmental Surveillance and Screening of Infants and Young Children
Pediatrics, July 1, 2001; 108(1): 192 - 195.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. C. Sneed, W. L. May, and C. Stencel
Physicians' Reliance on Specialists, Therapists, and Vendors When Prescribing Therapies and Durable Medical Equipment for Children With Special Health Care Needs
Pediatrics, June 1, 2001; 107(6): 1283 - 1290.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Children With Disabilities
Technical Report: The Pediatrician's Role in the Diagnosis and Management of Autistic Spectrum Disorder in Children
Pediatrics, May 1, 2001; 107(5): 85e - 85.
[Abstract] [Full Text]

Home page
 PediatricsHome page
Committee on Children With Disabilities
The Pediatrician's Role in the Diagnosis and Management of Autistic Spectrum Disorder in Children
Pediatrics, May 1, 2001; 107(5): 1221 - 1226.
[Abstract] [Full Text]

Home page
 CLIN PEDIATRHome page
J. E. Farmer and L. Muhlenbruck
Telehealth for Children with Special Health Care Needs: Promoting Comprehensive Systems of Care
Clinical Pediatrics, February 1, 2001; 40(2): 93 - 98.
[Abstract] [PDF]

Home page
 PediatricsHome page
Committee on School Health
School Health Centers and Other Integrated School Health Services
Pediatrics, January 1, 2001; 107(1): 198 - 201.
[Abstract] [Full Text]

Home page
 CLIN PEDIATRHome page
J. Macknin, M. Marks, and M. L. Macknin
Effect of Telephone Follow-up on Frequency of Health Maintenance Visits Among Children Attending Free Immunization Clinics:A Randomized, Controlled Trial
Clinical Pediatrics, November 1, 2000; 39(11): 679 - 681.
[PDF]

Home page
 PediatricsHome page
Joint Committee on Infant Hearing, American Academy of Audiology, American Academy of Pediatrics, American Speech-Language-Hearing Association, and Directors of Speech and Hearing Programs in State
Year 2000 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs
Pediatrics, October 1, 2000; 106(4): 798 - 817.
[Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Children With Disabilities
The Role of the Pediatrician in Transitioning Children and Adolescents With Developmental Disabilities and Chronic Illnesses From School to Work or College
Pediatrics, October 1, 2000; 106(4): 854 - 856.
[Abstract] [Full Text]

Home page
 PediatricsHome page
Serving the Family From Birth to the Medical Home. Newborn Screening: A Blueprint for the Future - A Call for a National Agenda on State Newborn Screening Programs
Pediatrics, August 1, 2000; 106(2): 389 - 422.
[Full Text]

Home page
 PediatricsHome page
A. Kempe, B. Beaty, B. P. Englund, R. J. Roark, N. Hester, and J. F. Steiner
Quality of Care and Use of the Medical Home in a State-Funded Capitated Primary Care Plan For Low-Income Children
Pediatrics, May 1, 2000; 105(5): 1020 - 1028.
[Abstract] [Full Text]

Home page
 PediatricsHome page
R. C. Sneed, W. L. May, and C. S. Stencel
Training of Pediatricians in Care of Physical Disabilities in Children With Special Health Needs: Results of a Two-State Survey of Practicing Pediatricians and National Resident Training Programs
Pediatrics, March 1, 2000; 105(3): 554 - 561.
[Abstract] [Full Text]

Home page
 CLIN PEDIATRHome page
A. N. Ortega, D. C. L. Stewart, S. A. Dowshen, and S. H. Katz
The Impact of a Pediatric Medical Home on Immunization Coverage
Clinical Pediatrics, February 1, 2000; 39(2): 89 - 96.
[Abstract] [PDF]

Home page
 PediatricsHome page
Committee on Child Health Financing
Guiding Principles for Managed Care Arrangements for the Health Care of Newborns, Infants, Children, Adolescents, and Young Adults
Pediatrics, January 1, 2000; 105(1): 132 - 135.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Children With Disabilities
Care Coordination: Integrating Health and Related Systems of Care for Children With Special Health Care Needs
Pediatrics, October 1, 1999; 104(4): 978 - 981.
[Abstract] [Full Text]

Home page
 PediatricsHome page
J. M. Santoli, L. E. Rodewald, E. F. Maes, M. P. Battaglia, and V. G. Coronado
Vaccines for Children Program, United States, 1997
Pediatrics, August 1, 1999; 104(2): 15e - 15.
[Abstract] [Full Text]

Home page
 PediatricsHome page
Committee on Children With Disabilities
The Pediatrician's Role in Development and Implementation of an Individual Education Plan (IEP) and/or an Individual Family Service Plan (IFSP)
Pediatrics, July 1, 1999; 104(1): 124 - 127.
[Abstract] [Full Text]

Home page
 PediatricsHome page
Committee on Pediatric Emergency Medicine
Pediatric Care Recommendations for Freestanding Urgent Care Facilities
Pediatrics, May 1, 1999; 103(5): 1048 - 1049.
[Abstract] [Full Text]

Home page
 PediatricsHome page
Committee on Child Health Financing
Principles of Child Health Care Financing
Pediatrics, October 1, 1998; 102(4): 994 - 995.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Pediatric Workforce
Pediatric Workforce Statement
Pediatrics, August 1, 1998; 102(2): 418 - 427.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Pediatric Emergency Medicine
The Emergency Physician and the Office-Based Pediatrician: An EMSC Team
Pediatrics, May 1, 1998; 101(5): 936 - 937.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. J. D. Pan and J. A. Finkelstein
Pediatric Education and Managed Care: A Literature Review
Pediatrics, April 1, 1998; 101(4): 739 - 745.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
J. S. Palfrey
Comprehensive Child Health: Is It in the Picture?
Arch Pediatr Adolesc Med, March 1, 1998; 152(3): 222 - 223.
[Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Child Health Financing
Scope of Health Care Benefits for Newborns, Infants, Children, Adolescents, and Young Adults Through Age 21 Years
Pediatrics, December 1, 1997; 100(6): 1040 - 1041.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Children With Disabilities
General Principles in the Care of Children and Adolescents With Genetic Disorders and Other Chronic Health Conditions
Pediatrics, April 1, 1997; 99(4): 643 - 644.
[Abstract] [Full Text] [PDF]