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- Title
Caregiver and Clinician Perspectives on Missed Well-Child Visits.
- Authors
Wolf, Elizabeth R.; O'Neil, Jennifer; Pecsok, James; Etz, Rebecca S.; Opel, Douglas J.; Wasserman, Richard; Krist, Alex H.
- Abstract
<bold>Purpose: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>Further work to explore how addressing social determinants of health might improve attendance of well-child visits is needed.
- Subjects
MEDICAL examinations of children; MEDICAL appointments; CHILD care; GROUNDED theory; THEMATIC analysis; CAREGIVERS
- Publication
Annals of Family Medicine, 2020, Vol 18, Issue 1, p30
- ISSN
1544-1709
- Publication type
journal article
- DOI
10.1370/afm.2466