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Clin Pediatr (Phila). 2015 Jan;54(1):25-32. doi: 10.1177/0009922814541802. Epub 2014 Jul 8.

Use of colocated multidisciplinary services to address family psychosocial needs at an urban pediatric primary care clinic.

Author information

1
Johns Hopkins University School of Medicine, Baltimore, MD, USA avasan1@jhmi.edu.
2
Johns Hopkins University School of Medicine, Baltimore, MD, USA Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Abstract

OBJECTIVE:

To examine associations between use of on-site multidisciplinary services at a pediatric primary care clinic, perceptions of the clinic, and health care utilization.

STUDY DESIGN:

Eighty caregivers were interviewed during clinic visits assessing on-site service use, satisfaction, and perception of the clinic as a medical home. Acute care, emergency department, and well-child visit data were abstracted from children's medical records. Student's t test and multivariate regression were used to examine associations between service use, satisfaction, and health care utilization.

RESULTS:

Use of ≥3 clinic services was associated with improved satisfaction (Client Satisfaction Questionnaire-8 mean: 31.8 vs 31.0, P < .05), stronger perception of the clinic as a medical home (Parents' Perception of Primary Care mean: 97.6 vs 93.4, P < .01), and increased missed well-child care visits (mean: 0.49 vs 0.20, P < .05).

CONCLUSIONS:

On-site service use was associated with improved caregiver satisfaction but decreased well-child visit adherence. Caregivers using support services may face barriers to accessing preventive care.

KEYWORDS:

colocated services; patient-centered care; psychosocial needs; urban populations

PMID:
25009114
DOI:
10.1177/0009922814541802
[Indexed for MEDLINE]

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