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

Table 4 Reliability of the selected items and domain in predicting MH status by special health care needs status and race/ethnicity

Selected Item/Domain	Specificity	Sensitivity	PPV	NPV	Efficiency	Kappa	Positive rate ^a
Item— ACC1
Special health care needs Status
Yes	0.70	0.79	0.71	0.78	0.74	0.49	0.54
No	0.75	0.78	0.76	0.78	0.77	0.53	0.51
Race/Ethnicity
Non-Latino white	0.71	0.80	0.76	0.75	0.76	0.51	0.56
Non-Latino Black	0.65	0.83	0.71	0.78	0.74	0.48	0.59
Latino	0.80	0.76	0.71	0.84	0.78	0.55	0.42
Item— ACC2
Special health care needs status
Yes	0.52	0.94	0.65	0.90	0.72	0.45	0.70
No	0.53	0.94	0.67	0.90	0.74	0.47	0.70
Race/Ethnicity
Non-Latino white	0.46	0.95	0.67	0.88	0.72	0.42	0.76
Non-Latino Black	0.46	0.91	0.64	0.84	0.69	0.37	0.73
Latino	0.59	0.92	0.59	0.92	0.72	0.46	0.61
Domain—Accessibility
Special health care needs status
Yes	0.80	1.00	0.81	1.00	0.89	0.79	0.57
No	0.85	1.00	0.87	1.00	0.92	0.85	0.57
Race/Ethnicity
Non-Latino white	0.80	1.00	0.86	1.00	0.91	0.81	0.64
Non-Latino Black	0.84	1.00	0.86	1.00	0.92	0.84	0.58
Latino	0.88	1.00	0.85	1.00	0.93	0.86	0.48

^a This is the proportion of patients in the subgroup having positive status for an item or domain

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