Cited by 60Child and Adolescent HealthPatient-Provider Communication in HealthcareAdolescent and Pediatric Healthcare

Routine assessment of family and community health risks: parent views and what they receive.

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Kogan, Michael D., Schuster, Mark A., Yu, Stella M., Park, Christina H., Olson, Lynn M., Inkelas, Moira, Bethell, Christina, Chung, Paul J. +1 more·2004·Pediatrics

Abstract

Objective. To examine the prevalence of parent–provider discussions of family and community health risks during well-child visits and the gaps between which issues are discussed and which issues parents would like to discuss. Methods. Data came from the National Survey of Early Childhood Health, a nationally representative sample of parents of 2068 children aged 4 to 35 months. The outcome measures were 1) the reported discussions with pediatric clinicians about 7 family and community health risks and 2) whether the parent believes that pediatric clinicians should ask parents about each risk. Results. Most parents believe that pediatric providers should discuss topics such as smoking in the household, financial difficulties, and emotional support available to the parent. However, with the exception of “household smoking,” fewer than half of parents have been asked about these topics by their child’s clinician. Parents of black and Hispanic children were more likely than parents of white children to be asked about several of these issues, as were parents of the youngest children and those with publicly financed health insurance. The greatest gap between parents’ views and their reports of discussion with the clinician occur for parents of white children and older children. Among parents who hold the view that a topic should be discussed, parents of white and older children are less likely than others to report discussing some or all family and community health risks. Conclusion. The low frequency of discussions for many topics indicates potential unmet need. More universal surveillance of parents with young children might ensure that needs are not missed, particularly given that strong majorities of parents view family and community topics, with the exception of community violence, as appropriate for discussion in clinic visits.

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Crossref · 10.1542/peds.113.s5.1934

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Research works printed but not linked: 3

  1. [1]1. Shonkoff JP, Phillips DA, eds. From Neurons to Neighborhoods. Washing- ton, DC: National Academy Press; 2000
  2. [11]11. Hochstein M, Sareen H, Olson L, O'Connor K, Inkelas M, Halfon N. A comparison of barriers to the provision of developmental assessments and psychosocial screenings during pediatric health supervision. Pediatr Res. 2001;49:24a(abstr)
  3. [20]20. Halfon N, Inkelas M, Olson LM, Mistry R, Bethell CD, Schuster MA. Measuring satisfaction with well child care: technical and interpersonal quality. Pediatr Res. 2002;51:161a

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Authors
Kogan, M. D., Schuster, M. A., Yu, S. M., Park, C. H., Olson, L. M., Inkelas, M., Bethell, C., Chung, P. J., & Halfon, N.
Affiliations
  • Health Resources and Services Administration (US)
  • RAND Corporation (US)
  • Ansys (United States) (US)
  • American Academy of Pediatrics (US)
  • University of California, Los Angeles (US)
  • Kaiser Permanente Center for Health Research (US)
Venue
Pediatrics
Published
2004-06-01
Volume
113
Issue
Supplement_5
Pages
1934-1943
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
OpenAlex
W1914741716
Cited by
60
References
21
Citations by year
2025: 1 · 2024: 1 · 2023: 4 · 2022: 3 · 2021: 6 · 2020: 1 · 2019: 4 · 2017: 6 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 1 · 2012: 3
FWCI
9.24
Type
journal article
Language
en
Open access
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
U.S. Public Health Service (5-U05MC-00010200)
Topics
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
Keywords
parent-provider communication, well-child visits, pediatric primary care, household smoking, financial hardship, emotional support for parents, community violence, racial and ethnic disparities, child health monitoring
MeSH terms
Analysis of Variance, Attitude to Health, Child Guidance, Child Welfare, Child, Preschool, Ethnicity, Family Relations, Health Surveys, Humans, Infant, Parents, Pediatrics, Professional-Family Relations, Quality of Health Care, Risk-Taking, Socioeconomic Factors, United States, Health Behavior, Logistic Models, Risk Assessment, Health Care Surveys

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