Caregiver and Clinician Perspectives on Missed Well-Child Visits.

Abstract:

PURPOSE:Despite the benefits of well-child care visits, up to one-half of these visits are missed. Little is known about why children miss them, so we undertook a qualitative study to elucidate these factors. METHODS:We interviewed 17 caregivers whose children had missed well-child visits and 6 clinicians, focusing on 3 areas: the value of well-child visits, barriers to attendance, and facilitators of attendance. Transcripts were analyzed with a grounded theory approach and thematic analysis. RESULTS:Caregivers and clinicians identified similar important aspects of well-child visits: immunizations, detection of disease, and monitoring of growth and development. Both groups identified similar barriers to attendance: transportation, difficulty taking time off from work, child care, and other social stressors. CONCLUSIONS:Further work to explore how addressing social determinants of health might improve attendance of well-child visits is needed.

journal_name

Ann Fam Med

authors

Wolf ER,O'Neil J,Pecsok J,Etz RS,Opel DJ,Wasserman R,Krist AH

doi

10.1370/afm.2466

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

30-34

issue

1

eissn

1544-1709

issn

1544-1717

pii

18/1/30

journal_volume

18

pub_type

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