Use of colocated multidisciplinary services to address family psychosocial needs at an urban pediatric primary care clinic

Aditi Vasan, Barry S. Solomon

Research output: Contribution to journalArticle

Abstract

Objective. To examine associations between use of on-site multidisciplinary services at a pediatric primary care clinic, perceptions of the clinic, and health care utilization.

Study Design. Eighty caregivers were interviewed during clinic visits assessing on-site service use, satisfaction, and perception of the clinic as a medical home. Acute care, emergency department, and well-child visit data were abstracted from children's medical records. Student's t test and multivariate regression were used to examine associations between service use, satisfaction, and health care utilization.

Results. Use of ≥3 clinic services was associated with improved satisfaction (Client Satisfaction Questionnaire-8 mean: 31.8 vs 31.0, P <.05), stronger perception of the clinic as a medical home (Parents' Perception of Primary Care mean: 97.6 vs 93.4, P <.01), and increased missed well-child care visits (mean: 0.49 vs 0.20, P <.05).

Conclusions. On-site service use was associated with improved caregiver satisfaction but decreased well-child visit adherence. Caregivers using support services may face barriers to accessing preventive care.

Original languageEnglish (US)
Pages (from-to)25-32
Number of pages8
JournalClinical pediatrics
Volume54
Issue number1
DOIs
StatePublished - Jan 10 2015

Keywords

  • colocated services
  • patient-centered care
  • psychosocial needs
  • urban populations

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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