Use of Collocated Multidisciplinary Services to Address Family Psychosocial Needs at an Urban Pediat

Authors, Primary Vasan,Aditi;Solomon,Barry S.
Title Primary Use of Collocated Multidisciplinary Services to Address Family Psychosocial Needs at an Urban Pediatric Primary Care Clinic
Periodical Full Clinical pediatrics
Pub Year 2015
Volume 54
issue 1
Start Page 25-32
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.
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Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Patient-Centered Care
Special Population(s) Children with Special Needs;Children without Special Needs
Case Study No
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