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Table 1 MEPS survey items and scoring by MH domain a

From: Access to after-hours primary care: a key determinant of children’s medical home status

Domain and item Description of MEPS question and scoring
Usual source of care b
 USC1 Is there a particular doctor’s office, clinic, health center, or other place that the individual usually goes to if he/she is sick or needs advice about his/her health?
 USC2 Is the individual’s provider a person, facility, or person in a facility?
Accessibility (average of ACC1 to ACC4)
 ACC1 Does the provider have office hours at night or on the weekend? No (0) Yes (100)
 ACC2 Any difficulty accessing care after hours? Very difficult (0) Somewhat difficult (25) Not too difficult (75) Not at all difficult (100)
 ACC3 Any difficulty getting to care? Very difficult (0) Somewhat difficult (25) Not too difficult (75) Not at all difficult (100)
ACC4 Any difficulty accessing provider by phone? Very difficult (0) Somewhat difficult (25) Not too difficult (75) Not at all difficult (100)
Family centered (average of FAM1 to FAM7)
 FAM1 Provider listened to the parent? Never (0) Sometimes (25) Usually (75) Always (100)
 FAM2 Provider spent enough time with the person and parent? Never (0) Sometimes (25) Usually (75) Always (100)
 FAM3 Provider seeks the parent’s advice when deciding treatments? No (0) Yes (100)
 FAM4 Provider shows respect for treatments other doctors may give? Never (0) Sometimes (25) Usually (75) Always (100)
 FAM5 Provider asks the parent to help make decisions? No (0) Yes (100)
 FAM6 Provider explains options to the parent? No (0) Yes (100)
 FAM7 Provider explains things in a way the parent can understand? Never (0) Sometimes (25) Usually (75) Always (100)
Comprehensive (average of CPR2, CPR4, CPR6, and CPR8, excluding legitimate skips defined by CPR1, CPR3, CPR5, and CPR7; domain scored 100 if all items skipped legitimately)
 CPR1 Did the child need to see a specialist?
 CPR2 If needed a specialist, any problems accessing specialist? A big problem (0) A small problem (50) Not a problem (100)
 CPR3 Did the child have an illness, injury, or condition that needed care right away from a clinic, emergency room, or doctor’s office?
 CPR4 If needed care right away, how often was care received as soon as wanted? Never (0) Sometimes (25) Usually (75) Always (100)
 CPR5 Were there any appointments made to see a doctor or other health provider for routine health care?
 CPR6 If appointments were made for routine care, how often was an appointment secured as soon as wanted? Never (0) Sometimes (25) Usually (75) Always (100)
 CPR7 Did the parent or a doctor believe the person needed any care, tests, or treatment?
 CPR8 If needed care or treatment, any problems receiving care? A big problem (0) A small problem (50) Not a problem (100)
Compassionate (CPA1)
 CPA1 Provider shows respect for what the parent has to say? Never (0) Sometimes (25) Usually (75) Always (100)
  1. a Table reproduced from Romaire and Bell [7]
  2. b USC is the prerequisite of MH status. No USC or no qualified USC results in a MH score of 0 and hence not having a MH
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