Children’s Perspectives on Outpatient Physician Visits: Capturing a Missing Voice in Patient-Centered Care
Actively involving children in their healthcare is a core value of patient-centered care. This is the first study to directly obtain children’s detailed perspectives on positive and negative aspects of outpatient physician visits in a primary care setting (e.g., checkups) and their preferred level o...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-01-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/8/1/34 |
| id |
doaj-f5579560a56947e8a59218d534530cb0 |
|---|---|
| record_format |
Article |
| spelling |
doaj-f5579560a56947e8a59218d534530cb02021-04-02T20:07:03ZengMDPI AGChildren2227-90672021-01-018343410.3390/children8010034Children’s Perspectives on Outpatient Physician Visits: Capturing a Missing Voice in Patient-Centered CareJessica S. Dalley0Barbara A. Morrongiello1C. Meghan McMurtry2Department of Psychology, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Psychology, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Psychology, University of Guelph, Guelph, ON N1G 2W1, CanadaActively involving children in their healthcare is a core value of patient-centered care. This is the first study to directly obtain children’s detailed perspectives on positive and negative aspects of outpatient physician visits in a primary care setting (e.g., checkups) and their preferred level of participation. Individual interviews were conducted with 167 children (female <i>n </i>= 82, male <i>n </i>= 85; ages 7–10, M<sub>age</sub> = 8.07 years, SD = 0.82). Open-ended questions were used so that children’s responses were not confined to researchers’ assumptions, followed by close-ended questions to meet specific objectives. Quantitative content analysis, correlations, logistic regression, and Cochran’s Q were used to explore the data. Children were highly fearful of needle procedures (61%), blood draws (73%), pain (45%), and the unknown (21%). Children indicated that they liked receiving rewards (32%) and improving their health (16%). Children who were more fearful during physician visits wanted more preparatory information (ExpB = 1.05, Waldx<sup>2</sup>(1) = 9.11, <i>p</i> = 0.003, McFadden’s R<sup>2</sup><sub>2</sub> = 0.07) and more participation during the visit (ExpB = 1.04, Waldx<sup>2</sup>(1) = 5.88, <i>p</i> = 0.015, McFadden’s R<sup>2</sup><sub>2</sub> = 0.03). Our results can inform efforts to promote positive physician visit experiences for children, reduce procedural distress, and foster children’s ability to take an active role in managing their health.https://www.mdpi.com/2227-9067/8/1/34physicianprimary carechildrenpatient participationpatient-centered care |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Jessica S. Dalley Barbara A. Morrongiello C. Meghan McMurtry |
| spellingShingle |
Jessica S. Dalley Barbara A. Morrongiello C. Meghan McMurtry Children’s Perspectives on Outpatient Physician Visits: Capturing a Missing Voice in Patient-Centered Care Children physician primary care children patient participation patient-centered care |
| author_facet |
Jessica S. Dalley Barbara A. Morrongiello C. Meghan McMurtry |
| author_sort |
Jessica S. Dalley |
| title |
Children’s Perspectives on Outpatient Physician Visits: Capturing a Missing Voice in Patient-Centered Care |
| title_short |
Children’s Perspectives on Outpatient Physician Visits: Capturing a Missing Voice in Patient-Centered Care |
| title_full |
Children’s Perspectives on Outpatient Physician Visits: Capturing a Missing Voice in Patient-Centered Care |
| title_fullStr |
Children’s Perspectives on Outpatient Physician Visits: Capturing a Missing Voice in Patient-Centered Care |
| title_full_unstemmed |
Children’s Perspectives on Outpatient Physician Visits: Capturing a Missing Voice in Patient-Centered Care |
| title_sort |
children’s perspectives on outpatient physician visits: capturing a missing voice in patient-centered care |
| publisher |
MDPI AG |
| series |
Children |
| issn |
2227-9067 |
| publishDate |
2021-01-01 |
| description |
Actively involving children in their healthcare is a core value of patient-centered care. This is the first study to directly obtain children’s detailed perspectives on positive and negative aspects of outpatient physician visits in a primary care setting (e.g., checkups) and their preferred level of participation. Individual interviews were conducted with 167 children (female <i>n </i>= 82, male <i>n </i>= 85; ages 7–10, M<sub>age</sub> = 8.07 years, SD = 0.82). Open-ended questions were used so that children’s responses were not confined to researchers’ assumptions, followed by close-ended questions to meet specific objectives. Quantitative content analysis, correlations, logistic regression, and Cochran’s Q were used to explore the data. Children were highly fearful of needle procedures (61%), blood draws (73%), pain (45%), and the unknown (21%). Children indicated that they liked receiving rewards (32%) and improving their health (16%). Children who were more fearful during physician visits wanted more preparatory information (ExpB = 1.05, Waldx<sup>2</sup>(1) = 9.11, <i>p</i> = 0.003, McFadden’s R<sup>2</sup><sub>2</sub> = 0.07) and more participation during the visit (ExpB = 1.04, Waldx<sup>2</sup>(1) = 5.88, <i>p</i> = 0.015, McFadden’s R<sup>2</sup><sub>2</sub> = 0.03). Our results can inform efforts to promote positive physician visit experiences for children, reduce procedural distress, and foster children’s ability to take an active role in managing their health. |
| topic |
physician primary care children patient participation patient-centered care |
| url |
https://www.mdpi.com/2227-9067/8/1/34 |
| work_keys_str_mv |
AT jessicasdalley childrensperspectivesonoutpatientphysicianvisitscapturingamissingvoiceinpatientcenteredcare AT barbaraamorrongiello childrensperspectivesonoutpatientphysicianvisitscapturingamissingvoiceinpatientcenteredcare AT cmeghanmcmurtry childrensperspectivesonoutpatientphysicianvisitscapturingamissingvoiceinpatientcenteredcare |
| _version_ |
1721547979139055616 |