Format

Send to

Choose Destination
J Am Board Fam Pract. 2004 Sep-Oct;17(5):324-31.

Parents' health and demographic characteristics predict noncompliance with well-child visits.

Author information

1
Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis, USA.

Abstract

BACKGROUND:

The purpose of this study was to investigate factors related to well-child visit noncompliance in an ethnically diverse family practice clinic population.

METHODS:

Participants included 146 parents (131 mothers and 15 fathers) of children aged 0 to 24 months who received care at a St. Paul residency clinic. Participants completed telephone surveys that asked about their demographic characteristics, attitudes toward well-child visits, whether the most recent planned well-child visit had been kept, and their own and their child's health characteristics.

RESULTS:

All participants thought that well-child visits were important, with immunizations being the highest rated reason for importance. Fourteen percent of parents said they had missed a recent well-child visit, mostly because they forgot. More than three fourths of parents believed visit reminders were helpful, and the preferred type of reminder was a telephone call. Noncompliance with well-child visits was associated with the parent's depressive symptoms, transportation difficulties, working at a job, having private (vs public) health insurance, and being older (vs younger).

CONCLUSIONS:

These results suggest that well-child visit compliance might be enhanced by visit reminders and improved access to transportation. The relationship of well-child visit noncompliance to parental depressive symptoms, if verified in other populations, points to a need for greater surveillance of children/families who do not schedule or keep well-child visits.

PMID:
15355945
DOI:
10.3122/jabfm.17.5.324
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for HighWire
Loading ...
Support Center