The Voices of Limited English Proficiency Latina Mothers on Pediatric Primary Care: Lessons for the

Authors, Primary Decamp,L. R.;Kieffer,E.;Zickafoose,J. S.;Demonner,S.;Valbuena,F.;Davis,M. M.;Heisler,M.
Title Primary The Voices of Limited English Proficiency Latina Mothers on Pediatric Primary Care: Lessons for the Medical Home
Periodical Full Maternal and Child Health Journal
Pub Year 2013
Volume 17
issue 1
Start Page 95-109
Abstract The objective of this study is to inform medical home implementation in practices serving limited English proficiency Latino families by exploring limited English proficiency Latina mothers' experiences with, and expectations for, pediatric primary care. In partnership with a federally-qualified community health center in an urban Latino neighborhood, we conducted semi-structured interviews with 38 low-income Latina mothers. Eligible participants identified a pediatric primary care provider for their child and had at least one child 3 years old or younger, to increase the probability of frequent recent interactions with health care providers. Interview transcripts were coded and analyzed through an iterative and collaborative process to identify participants' satisfaction with and expectations for pediatric primary care. About half of the mothers interviewed were satisfied with their primary care experiences. Mothers suggested many ways to improve the quality of pediatric primary care for their children to better meet the needs of their families. These included: encouraging providers to invest more in their relationship with families, providing reliable same-day sick care, expanding hours, improving access to language services, and improving care coordination services. Limited English proficiency Latina mothers expect high-quality pediatric primary care consistent with the medical home model. Current efforts to improve primary care quality through application of the medical home model are thus relevant to this population, but should focus on the parent-provider relationship and timely access to care. Promoting this model among practices that serve limited English proficiency Latino families could improve engagement and satisfaction with primary care.
Publisher Department of Pediatrics, Johns Hopkins University, Center for Child and Community Health Research
Place of Publication Baltimore, MD
Author/Address Not Available
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Patient-Centered Care;Access to Care;Care Coordination;Disparities
Special Population(s) Children with Special Needs;Children without Special Needs
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No