Understanding barriers to well-child visit attendance among racial and ethnic minority parents.

Autor:	Fahey, Nisha, Holt, Allison, Cataltepe, Deniz, Brochier, Annelise, Stern, Amy, Mazanec, Morgan, Courtemanche, James W., Wilkie, Tracey, Tan, Kellie, Lyu, Rulan, Alper, Eric, Fowler, Josephine, Rhein, Lawrence, Garg, Arvin
Předmět:	HEALTH services accessibility CROSS-sectional method HEALTH literacy QUALITATIVE research SAFETY-net health care providers INTERVIEWING CONTENT analysis MOTHERS PRIMARY health care PARENT attitudes RACE PEDIATRICS THEMATIC analysis TRANSPORTATION MEDICAL appointments RESEARCH methodology SPANISH language FATHERS MINORITIES PSYCHOLOGY of parents INTERPERSONAL relations DISCRIMINATION (Sociology) HEALTH equity COMMUNICATION barriers
Zdroj:	BMC Primary Care; 6/3/2024, Vol. 25 Issue 1, p1-7, 7p
Abstrakt:	Objectives: To assess racial and ethnic minority parents' perceptions about barriers to well-child visit attendance. Methods: For this cross-sectional qualitative study, we recruited parents of pediatric primary care patients who were overdue for a well-child visit from the largest safety net healthcare organization in central Massachusetts to participate in semi-structured interviews. The interviews focused on understanding potential knowledge, structural, and experiential barriers for well-child visit attendance. Interview content was inductively coded and directed content analysis was performed to identify themes. Results: Twenty-five racial and ethnic minority parents participated; 17 (68%) of whom identified Spanish as a primary language spoken at home. Nearly all participants identified the purpose, significance, and value of well-child visits. Structural barriers were most cited as challenges to attending well-child visits, including parking, transportation, language, appointment availability, and work/other competing priorities. While language emerged as a distinct barrier, it also exacerbated some of the structural barriers identified. Experiential barriers were cited less commonly than structural barriers and included interactions with office staff, racial/ethnic discrimination, appointment reminders, methods of communication, wait time, and interactions with providers. Conclusions: Racial and ethnic minority parents recognize the value of well-child visits; however, they commonly encounter structural barriers that limit access to care. Furthermore, a non-English primary language compounds the impact of these structural barriers. Understanding these barriers is important to inform health system policies to enhance access and delivery of pediatric care with a lens toward reducing racial and ethnic-based inequities. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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