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Author Spotlight: Capturing Infant-Caregiver Interactions Through Synchronized Multimodal Data Collection
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Caregiver and Clinician Perspectives on Missed Well-Child Visits

Elizabeth R Wolf1,2, Jennifer O'Neil3, James Pecsok3

  • 1Department of Pediatrics, Virginia Commonwealth University, Richmond, Virginia elizabeth.wolf@vcuhealth.org.

Annals of Family Medicine
|January 16, 2020
PubMed

Insights

Many children miss important well-child visits. Caregivers and clinicians agree that barriers like transportation and work conflicts prevent attendance, highlighting the need to address social determinants of health.

Area of Science:

  • Pediatric Health
  • Qualitative Research

Background:

  • Well-child care visits are crucial for child development and disease prevention.
  • A significant proportion of scheduled well-child visits are missed, with limited understanding of contributing factors.

Purpose of the Study:

  • To explore the reasons behind missed well-child visits from the perspectives of caregivers and clinicians.
  • To identify barriers and facilitators influencing attendance at well-child care appointments.

Main Methods:

  • A qualitative study involving interviews with 17 caregivers and 6 clinicians.
  • Grounded theory and thematic analysis were used to analyze interview transcripts.

Main Results:

  • Caregivers and clinicians recognized the importance of well-child visits for immunizations, disease detection, and monitoring growth and development.
  • Common barriers to attendance included transportation issues, work-related scheduling conflicts, childcare needs, and social stressors.

Conclusions:

  • Addressing social determinants of health is essential for improving well-child visit attendance.
  • Further research is needed to develop interventions targeting identified barriers.
Abstract

Keywords:
attendancebarrierschildrenpediatricspractice-based researchprimary caresocial determinants of healthvulnerable populationswell-child visits

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