Preterm infants are less likely to have a family-centered medical home than term-born peers

Objectivethe family-centered medical home (fcmh) is the recommended healthcare delivery model for children. it is unknown how frequently preterm (pt) children receive care in a fcmh and how this affects health services use.study designwe studied 18,397 children aged 0–3 years in the 2010/2011 national survey of children’s health. we compared pt (<37 weeks) and full-term (ft) children on rates of fcmh and receiving prescribed health services. regression models included sex, race, income, insurance status, and having a special health care need (shcn).resultspt children were significantly less likely to have a fcmh (57% vs. 66%) compared to ft peers despite higher rates of shcn (16% vs. 5%). pt children were less likely to receive prescribed services (aor 0.34, 95% ci 0.34, 0.34); lacking a fcmh explained 69% of this effect.conclusionsensuring pt children have access to medical homes may decrease unmet service needs post-hospital discharge.