Melissa A Romaire

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OBJECTIVE Little is known about the role of the medical home in promoting essential preventive health care services in the general pediatric population. This study examined associations between having a medical home and receipt of health screenings and anticipatory guidance. METHODS We conducted a cross-sectional analysis of the 2004-2006 Medical(More)
BACKGROUND The pediatric medical home is an approach to the delivery of family-centered health care. Policy-makers and payers are interested in potential changes to health care utilization and expenditures under this model. OBJECTIVE To test associations between having a medical home and health service use and expenditures among US children and youth. (More)
OBJECTIVE To test associations between having a medical home and health services use and expenditures among US children with special health care needs (CSHCN). DESIGN Cross-sectional analysis. SETTING The 2003-2008 Medical Expenditure Panel Surveys. PARTICIPANTS A total of 9816 CSHCN up to 17 years, including 1056 with a functional or sensory(More)
OBJECTIVE To evaluate a telephone-based child mental health consult service for primary care providers (PCPs). DESIGN Record review, provider surveys, and Medicaid database analysis. SETTING Washington State Partnership Access Line (PAL) program. PARTICIPANTS A total of 2285 PAL consultations by 592 PCPs between April 1, 2008, and April 30, 2011. (More)
BACKGROUND Although state Medicaid programs cover cancer screening, Medicaid beneficiaries are less likely to be screened for cancer and are more likely to present with tumors of an advanced stage than are those with other insurance. The current study was performed to determine whether state Medicaid eligibility and reimbursement policies affect the receipt(More)
OBJECTIVE To compare estimates of dental service use and delayed dental care across 4 national surveys of children's health. METHODS Among children 2 to 17 years of age, prevalence estimates of the use of any dental services, preventive dental services, and delayed dental care in the past year were obtained from the 2003 and 2007 National Survey of(More)
OBJECTIVE Reminder letters are effective at prompting women to schedule mammograms. Less well studied are reminders addressing multiple preventive service recommendations. We compared the effectiveness of a mammogram-specific reminder sent when a woman was due for a mammogram to a reminder letter addressing multiple preventive services and sent on a woman's(More)
PURPOSE Effective communication between physicians and adolescents is critical to convey health information, provide counseling and identify emerging health problems. This article addressed two questions: (a) After an adolescent enrolls in a State Children's Health Insurance Program (SCHIP), is there a change reported in communication between the adolescent(More)
BACKGROUND Little is known as to whether medical home principles, such as continuity of care (COC), would have the same effect on health service use for individuals whose primary (or predominant) provider is a specialist instead of a primary care provider (PCP). OBJECTIVE To test associations between health service use and expenditures and (1)(More)
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