The “medical home” model was first proposed by the American Academy of Pediatrics in the 1960’s as the standard of care for CSHCN. These children have chronic medical conditions associated with developmental and possibly behavioral, or emotional problems. They need a level of health care and related services that often exceeds that which is typical for other children. The medical home model was proposed as a way to ensure continuity of care throughout childhood and adolescence, and coordination of care from multiple providers and systems. The medical home model encompasses health care that is:
While Children’s Health Fund (CHF) endorses the American Academy of Pediatrics’ (AAP) recommendation for a medical home for all children, it also advocates for an enhanced medical home model for those who are medically underserved. Because medically underserved children tend to have a higher than typical rate of many chronic conditions and economic, geographic and psychosocial social factors will commonly cause these conditions to become more severe, a more demanding approach to health care is required.
An enhanced medical home model however further emphasizes the need for intensive primary care, an integrative approach between disciplines, and an increased emphasis on the use of health information technology.