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Paediatric primary care quality and accessibility: Parents' perspective
Marie-Hélène Lemoine1, Claude Lemoine, Claude Cyr
1Centre hospitalier universitaire de Sherbrooke, Département de pédiatrie, Université de Sherbrooke, Sherbrooke, Québec.
Insights
Parents reported higher satisfaction with paediatric primary care when provided by physicians compared to non-physicians. However, essential evidence-based guidance was infrequently delivered by healthcare providers.
Area of Science:
- Pediatric Primary Care
- Health Services Research
- Patient Satisfaction
Background:
- High-quality pediatric primary care is crucial for improving health outcomes, enhancing access to care, and managing healthcare costs.
- A robust primary care system is linked to better health results, including reduced mortality rates.
Purpose of the Study:
- To assess parental satisfaction with the quality and accessibility of pediatric primary care.
- To compare satisfaction levels based on the type of healthcare provider delivering care.
Main Methods:
- A cross-sectional survey was conducted using the Parents' Perception of Primary Care questionnaire.
- Evidence-based items from the Rourke Baby Record were incorporated to measure satisfaction.
Main Results:
- Most children (66%) received primary care from general practitioners, followed by pediatricians (19%).
- Parental satisfaction was higher when care was provided by general practitioners or pediatricians compared to non-physicians (midwives, chiropractors, nurses).
- Key evidence-based guidance on topics like breastfeeding, safe sleep, and car seat safety was provided to parents in less than half of the cases.
Conclusions:
- Physicians, particularly general practitioners and pediatricians, are the preferred primary care providers for children.
- Parents express greater satisfaction with physician-led pediatric primary care over care from alternative providers.
- There is a significant gap in the delivery of recommended evidence-based guidance during pediatric primary care visits.
Objective:
To measure parents' satisfaction with paediatric primary care quality and accessibility.
Background:
High-quality paediatric primary care is a cornerstone of efforts to improve health outcomes and access to care, as well as to control health care spending. A strong primary care infrastructure is related to improved health outcomes, including an improved mortality rate.
Methods:
A cross-sectional survey using the Parents' Perception of Primary Care questionnaire and evidence-based items from the Rourke Baby Record were used to measure parents' satisfaction.
Results:
Of 200 questionnaires sent, 130 were returned. The mean number of children per family was 1.7+/-0.8 (mean +/- SD). Sixty-six per cent of children received their primary care from general practitioners, 19% received their primary care from paediatricians, and 15% had no regular physician and identified other professionals (community nurses, midwives or chiropractors) as their primary care providers. Parents were questioned about their child's hearing in 66% of cases. Only 41% of parents received guidance about breastfeeding, 37% about adequate sleeping position, 17% about the dangers of second-hand smoke and 16% about car safety seats. The level of satisfaction with communication, contextual knowledge and coordination of care was higher for families followed by general practitioners and paediatricians than for families followed by nonphysicians. According to the Parents' Perception of Primary Care scores, the overall satisfaction with primary care was higher for care given by general practitioners and paediatricians than for care given by midwives or chiropractors, and intermediate when given by nurses.
Conclusion:
In this survey, the majority of children received their primary care from physicians, most commonly general practitioners. Parents' overall satisfaction regarding their infant's primary health care was higher when it was delivered by physicians than by alternative health care providers. Evidence-based guidance recommendations were rarely followed.
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