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Pediatric Residents’ Perspective on Family-Clinician Discordance in Primary Care: A Qualitative Study
- Journal of Health Care for the Poor and Underserved
- Johns Hopkins University Press
- Volume 27, Number 3, August 2016
- pp. 1033-1045
- 10.1353/hpu.2016.0114
- Article
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Abstract:
The engagement of families in health maintenance is associated with better child health outcomes, but demographic discordance between families and clinicians may be a barrier to family engagement. Using a longitudinal qualitative study design, we conducted 15 semi-structured interviews with five pediatric residents who elected to facilitate group well child care (GWCC). Four themes describing residents’ perceptions of the role of discordance in family-clinician engagement include: 1) discordance was not a barrier; 2) discordance leads to a lack of engagement and trust; 3) residents transcended discordance in GWCC because either GWCC led residents to change their communication techniques or because, with GWCC, parents have concordant adults in the room; and 4) the education residents obtained in GWCC allowed them to empathize with the families’ health-related decisions. Finding ways in which pediatric providers can improve skills in family engagement may be an important step in decreasing health inequities.