Elizabeth R Wolf1,2, Jennifer O'Neil3, James Pecsok3, Rebecca S Etz3, Douglas J Opel4, Richard Wasserman5, Alex H Krist3. 1. Department of Pediatrics, Virginia Commonwealth University, Richmond, Virginia elizabeth.wolf@vcuhealth.org. 2. Children's Hospital of Richmond at VCU, Richmond, Virginia. 3. Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia. 4. Department of Pediatrics, University of Washington, Seattle, Washington. 5. Department of Pediatrics, Larner College of Medicine, University of Vermont, Burlington, Vermont.
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.
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.
Authors: Elizabeth R Wolf; Camille J Hochheimer; Roy T Sabo; Jennifer DeVoe; Richard Wasserman; Erik Geissal; Douglas J Opel; Nate Warren; Jon Puro; Jennifer O'Neil; James Pecsok; Alex H Krist Journal: Pediatrics Date: 2018-10-10 Impact factor: 7.124
Authors: Nicole M Wagner; Amanda F Dempsey; Komal J Narwaney; Kathy S Gleason; Courtney R Kraus; Jennifer Pyrzanowski; Jason M Glanz Journal: Vaccine Date: 2021-05-28 Impact factor: 4.169