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Why parents bring their children with minor health problems to their family practitioners: An unmatched case-control

Maleka Serour1, Adnan Al-Weqayyan2, Hind Almazeedi3

  • 1Research Committee, Kuwait Institute for Medical Specialization, Kuwait.

Journal of Family Medicine and Primary Care
|December 22, 2021
PubMed

Insights

Frequent attenders (FAs) in primary health care (PHC) are often first-born children with chronic conditions or those living with extended families. Previous serious health events in the family also predict frequent visits for mild health problems (MHPs).

Area of Science:

  • Pediatrics
  • Family Medicine
  • Public Health

Background:

  • Frequent attendance at primary health care (PHC) for mild health problems (MHPs) by young children poses challenges.
  • This can lead to overprescribing, unnecessary interventions, and reduced quality of life for families.

Purpose of the Study:

  • To identify the key factors driving frequent attendance (FAs) of preschool children in PHC services in Kuwait.
  • Understanding these factors is crucial for developing targeted management strategies.

Main Methods:

  • An unmatched case-control study was conducted in Kuwait's PHC setting.
  • 300 parents of preschool children were recruited from 10 PHC centers.
  • Frequent attenders (FAs) were compared with non-frequent attenders (NFAs) using sociodemographic data, family history, and the Brief Illness Perception Questionnaire (Brief IPQ).

Main Results:

  • No significant differences were found in parents' illness perception between FAs and NFAs.
  • FAs were more likely to be the first-born child (OR 2.4), have a chronic disease (OR 4.7), and live with extended family (OR 1.8).
  • A history of acute, potentially life-threatening episodes in the child, sibling, or parent was also associated with frequent attendance.

Conclusions:

  • Identifying underlying reasons for frequent consultations is key to defining preschool FAs.
  • This knowledge aids PHC staff in developing effective management plans for these children and families.
  • Addressing parental concerns and specific family circumstances can optimize PHC resource utilization.
Abstract

Keywords:
Childrenparentsprimary health care

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