Urban, Low-Income, African American Well-Child Care: Parent and Provider Experiences and Expectations
2020-05
Loading...
View/Download File
Persistent link to this item
Statistics
View StatisticsJournal Title
Journal ISSN
Volume Title
Title
Urban, Low-Income, African American Well-Child Care: Parent and Provider Experiences and Expectations
Authors
Published Date
2020-05
Publisher
Type
Thesis or Dissertation
Abstract
Background Well-child care (WCC) is the foundation of pediatric health promotion. High-quality WCC in the context of a strong parent-provider relationship can improve child health. However, urban, low-income, African American parents report lower overall primary care quality. A critical review of the literature identified multiple factors impacting the parent-provider relationship for African Americans. Aims For urban, low-income, African American parents and children: (1) Describe parent’s expectations and experiences of WCC, (2) Describe pediatric providers’ perceptions of parenting needs and experiences of providing WCC to the population, and (3) Compare parents’ and providers’ expectations and experiences of WCC. Methods A naturalistic qualitative method was used. The first aim was achieved through focus groups with parents in Milwaukee, Wisconsin, and St. Louis, Missouri. The second aim was achieved through unstructured, narrative, key-informant interviews with pediatric primary care providers. Analysis Conventional content analysis was used to code data. Codes were collapsed into categories. Aim three was achieved by drawing parent and provider data together using qualitative data triangulation and convergence coding. Results Four focus groups were held with 35 parents, and nine individual provider interviews. Parents and providers had similar expectations, but greater dissonance in the perceptions and experiences of WCC. Parent expectations for WCC are not that different between races and income levels, but the experiences of study parents reveal ongoing care disparities. Conclusion Improving care quality for this population requires changes in healthcare practice, research, and policy. Results serve as a foundation for these changes and inform the next action steps.
Description
University of Minnesota Ph.D. dissertation. May 2020. Major: Nursing. Advisor: Mary Hooke. 1 computer file (PDF); xv, 131 pages.
Related to
Replaces
License
Collections
Series/Report Number
Funding information
Isbn identifier
Doi identifier
Previously Published Citation
Suggested citation
Koschmann, Kara. (2020). Urban, Low-Income, African American Well-Child Care: Parent and Provider Experiences and Expectations. Retrieved from the University Digital Conservancy, https://hdl.handle.net/11299/241412.
Content distributed via the University Digital Conservancy may be subject to additional license and use restrictions applied by the depositor. By using these files, users agree to the Terms of Use. Materials in the UDC may contain content that is disturbing and/or harmful. For more information, please see our statement on harmful content in digital repositories.