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Absenteeism in child health services: a systematic review
Bianca Machado Cruz Shibukawa1, Gabrieli Patrício Rissi1, Roberta Tognollo Borotta Uema1
1Universidade Estadual de Maringá. Maringá, Paraná, Brazil.
Revista Brasileira De Enfermagem
|May 31, 2023
Summary
Understanding why children under five miss health appointments is crucial. Key factors include family routines, personal beliefs, and service accessibility, impacting pediatric healthcare follow-up.
Area of Science:
- Pediatric Health Services Research
- Qualitative Health Research
- Child Development and Healthcare
Background:
- Consistent health follow-up for newborns, infants, and preschoolers is vital for monitoring growth and development.
- Dropout from scheduled child health services can lead to missed diagnoses and suboptimal health outcomes.
- Understanding the multifaceted reasons behind non-adherence to pediatric healthcare is essential for improving service delivery.
Purpose of the Study:
- To systematically analyze qualitative evidence on the phenomenon of health follow-up dropout in children up to five years old.
- To identify and synthesize the primary reasons contributing to missed pediatric health appointments.
- To inform strategies aimed at reducing dropout rates in child health services.
Main Methods:
- A systematic review of qualitative studies was conducted.
- Searches were performed across 19 information databases.
- The Joanna Briggs Institute (JBI) methodology for qualitative evidence synthesis was employed.
Main Results:
- An initial search yielded 20,199 studies; rigorous screening reduced this to a final sample of four articles for critical analysis.
- The selected studies explored the experiences and reasons for children's health follow-up dropout.
- Key themes emerged regarding factors influencing adherence to child healthcare schedules.
Conclusions:
- Health follow-up dropout in young children is influenced by a complex interplay of factors.
- Personal knowledge and beliefs held by caregivers significantly impact appointment adherence.
- Family routine dynamics and practical challenges in accessing healthcare services are critical determinants of dropout.
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