Michelle Katz|Lori M. Laffel|James M. Perrin|Karen Kuhlthau
Impact of Type 1 Diabetes Mellitus on the Family is Reduced with the Medical Home, Care Coordination, and Family-Centered Care
Massachusetts General Hospital|Joslin Diabetes Center|Joslin Diabetes Center|Massachusetts General Hospital|Massachusetts General Hospital
examine whether medical home care coordination familycentered care associated less impact type 1 diabetes mellitus t1d families work finances time school attendancewith 2005 2006 national survey children special health care needs compared impact children t1d n 583 children special health care needs n 39 944 children without special health care needs n 4945 modeled associations medical home care coordination familycentered care family impact t1dseventyfive percent families children t1d reported major impact compared 45 families children special health care needs p 0001 17 families children without special health care needs p 0001 families children t1d 35 reported restricting work 38 reported financial impact 41 reported medical expenses 1000year 24 reported spending 11 hoursweek caring coordination care 20 reported 11 school absencesyear medical home care coordination familycentered care associated less work financial impactin childhood t1d families experience major impact better systems health care delivery may help families reduce impact