Qualitative Evaluation of Individual and Group Well-Child Care
| Autor: | Matilde Irigoyen, Etienne Phipps, Andrew Paoletti, Magdalena Kazmierczak, Brittany Dickens, Cynthia DeLago |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Urban Population Demographics media_common.quotation_subject Academic practice Survey result Primary care Health Services Accessibility Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics medicine Humans Well child 030212 general & internal medicine Child Care Poverty Qualitative Research media_common Academic Medical Centers Child Health Infant Social Support Focus Groups Focus group United States Black or African American Minority community Child Preschool Family medicine Pediatrics Perinatology and Child Health Female Psychological resilience Psychology Attitude to Health Delivery of Health Care |
| Zdroj: | Academic Pediatrics. 18:516-524 |
| ISSN: | 1876-2859 |
| DOI: | 10.1016/j.acap.2018.01.005 |
| Popis: | Individual well care (IWC) is the standard delivery model for well-child care in the United States. Alternative models, such as group well care (GWC), may create opportunities to enhance care for babies. The purpose of this study was to evaluate parents' perceptions of social/wellness benefits and system challenges of IWC and GWC.Since 2014, we have provided both IWC and GWC at an urban academic practice serving a low-income minority community. We conducted a mixed method study involving surveys and 18 focus groups (11 IWC groups, n = 32 parents; 7 GWC groups, n = 33 parents). Parents completed surveys before convening focus group discussions. Survey results were analyzed using independent t tests; focus groups were digitally recorded, transcribed, and analyzed to identify themes.Both groups had similar demographics: parents were mostly female (91%) and black (80%); about half had incomes $20,000. Parents' mean age was 27 years; children's mean age was 11 months. There were no significant differences in overall scores measuring trust in physicians, parent empowerment, or stress. IWC parents' themes highlighted ways to improve care delivery, while GWC parents highlighted both satisfaction with care delivery and social/wellness benefits. GWC parents strongly endorsed this model and reported unique benefits, such as garnering social support and learning from other parents.Parents receiving both models of care identified ways to improve primary care delivery. Given some of the benefits reported by GWC parents, this model may provide the means to enhance resilience in parents and children in low-income communities. |
| Databáze: | OpenAIRE |
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