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Access
to Care
Access to care encompasses all aspects of accessibility
to health care including financial, geographic, physical,
and communicative access. The AAP believes that all children,
women, and their families must have adequate health insurance
regardless of income. All health insuranceplans should
have a comprehensive age appropriate benefits package such
as that of the AAP.
Ideally, in a medical home, primary care is provided in
the child's/youth's community and families are able to speak
directly to the physician when needed. The practice should
meet the Americans with Disabilities Act requirements for
physical accessibility and be accessible by public transportation
where available.
Accessible Care in a Medical Home
- Care is provided in the child’s or youth’s
community
- All insurance, including Medicaid, is accepted and
changes are accommodated
- Families or youth are able to speak directly to the
physician when needed
- Practice is accessible by public transportation, where
available.
- The practice is physically accessible and meets Americans
With Disabilities Act requirements. 1
The AAP Pediatrician Referral Service is intended for
use by the general public to allow them quick access to information
on pediatricians. If you are looking for a pediatrician who
specializes in the care of children with disabilities and
or children with developmental or behavioral issues, you can
use the Pediatrician Referral Service to search for a pediatrician
by specialty. You can also search for a pediatrician by last
name, city, state, zip code or area code.
Click
here to access the AAP Pediatrician Referral Service.
(This link will take you to information on "terms and
conditions of use" of this service)
Americans with Disabilities Act Information
Americans with Disabilities Act: www.usdoj.gov/crt/ada/adahom1.htm
(ADA home page with links to technical assistance, enforcement,
certification, TA program, new regulations, mediation and
general information) or www.usdoj.gov/crt/ada/statute.html
(Act of 1990 to establish a clear and comprehensive prohibition
of discrimination on the basis of disability).
Americans with Disabilities Act Accessibility Guidelines:
www.jan.wvu.edu/links/adalinks.htm
This web site contains copies of the Americans with Disabilities
Act of 1990 (ADA), ADA regulations, technical assistance
manuals prepared by the United States Equal Employment Opportunity
Commission (EEOC) or the and other United States Department
of Justice(DOJ), technical assistance documents sponsored
by the National Institute on Disability and Rehabilitation
Research (NIDRR) and reviewed by EEOC or DOJ.
Accessibility guidelines for buildings and facilities: www.access-board.gov/adaag/checklist/a16.html
A source for legal requirements, professional articles,
and discussions relating to the living and working surroundings
for people with special needs under the Americans with Disabilities
Act.
Section 508 of the Rehabilitation Act:
www.section508.gov/
Section 508 requires that when Federal agencies develop,
procure, maintain, or use electronic and information technology,
they shall ensure that this technology allows:
- Federal employees with disabilities to have access
to and use of information and data that is comparable
to that by Federal employees who are not individuals with
disabilities, unless an undue burden would be imposed
on the agency, and
- Individuals with disabilities, who are members of the
public seeking information or services from a Federal
agency, to have access to and use of information and data
that is comparable to that provided to the public who
are not individuals with disabilities.
Telehealth Connections for Children and Youth
telehealthconnections.ichp.ufl.edu/
The purpose of this project is to build a sustainable
medical home for CSHCN in the safety net by linking Florida’s
Title V program (CMS) and local Community Health Centers.
This includes:
- Reach and identify uninsured children with special health
care needs in Florida and enroll them in insurance
- Focus on underserved communities that traditionally
have faced numerous barriers to care, particularly those
in the black and Hispanic communities, and children living
in rural areas
- Use telemedicine to facilitate enrollment in CMS, care
coordination, and access to specialty care
- Work with trusted community elders -- grandmothers --
as lay health partners to facilitate health-related outreach
and support to children with special health care needs
and their families.
- In short, the project seeks to build a sustainable medical
home for children with special health care needs in the
safety net.
Telehealth Connections is a project of the Institute for
Child Health Policy at the University of Florida. The project
is funded by two grants from the Maternal and Child Health
Bureau (MCHB), Health Resources and Services Administration,
within the Department of Health and Human Services (H93MC
00073 and H02 MC02619). In addition, the project receives
generous match support from the Florida Department of Health,
Children’s Medical Services (CMS).
1. The medical home. Pediatrics. 2002;
110: 184-186
Last Updated August 8, 2008
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