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Why parents seek medical evaluations for their children with mild acute illnesses
Robert G Voigt1, Shirley K Johnson, Andrew H Hashikawa
1Departments of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN 55905, USA. voigt.robert@mayo.edu
Insights
Parents often seek medical evaluations for mildly ill children due to work concerns and smoking habits. Spouse
Area of Science:
- Pediatrics
- Health Services Research
- Family Medicine
Background:
- Understanding parental decision-making for seeking medical care for mildly ill children is crucial.
- Existing research has not fully elucidated the factors influencing these decisions.
Purpose of the Study:
- To identify key factors associated with parents seeking on-site medical evaluations for their mildly ill children.
- To explore the relationship between parental concerns, demographics, and healthcare seeking behavior.
Main Methods:
- Cross-sectional study design involving parent-completed questionnaires.
- Logistic regression analysis was employed to identify significant predictors.
- Data collected from a convenience sample of 196 parents at a sick child care program.
Main Results:
- Parents concerned about missing work were significantly more likely to seek medical evaluations (OR=8.6).
- Smoking parents (OR=3.7) and those with spouses having lower educational attainment (OR=0.4) also showed associations.
- 31.6% of parents sought medical evaluations for their children.
Conclusions:
- Parental concerns about work significantly drive healthcare seeking behavior for sick children.
- Convenient healthcare access programs may alleviate challenges faced by working parents.
- Socioeconomic factors, including spouse's education, play a role in healthcare utilization decisions.
Abstract:
The reasons underlying parents' decisions to seek medical evaluations for their mildly ill children are not well understood. This cross-sectional study tracked parents' requests for on-site medical evaluations at a sick child care program. A logistic regression model identified factors associated with parents' decisions to seek medical evaluations for their children based on the data from parent-completed questionnaires. A convenience sample of 196 parents completed all questionnaires; 62 (31.6%) parents sought medical evaluations. Parents were more likely to seek medical evaluations if they were concerned about missing work (odds ratio = 8.6; 95% confidence interval, 3.3-22.0; P = .0001), if they smoked (odds ratio = 3.7; 95% confidence interval, 1.1-12.4; P = .037), or if their spouse's highest educational attainment was some high school (odds ratio = 0.4; 95% confidence interval, 0.1-1.0; P = .044). The data highlight the problems working parents have in accessing health care during usual working hours and the potential value of convenient health care programs.
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