Factors Determining in The Selection of Pediatrics Health Care Service in Chennai, India
DOI:
https://doi.org/10.55489/njcm.150220242056Keywords:
Decision-making, Pediatrics, Patient-centered care, socioeconomic factorAbstract
Background: Parents can choose their children's healthcare center; however, the healthcare business struggles to meet the growing health demands of vulnerable groups. Pediatricians now prioritize parental interests to improve their services and healthcare. This study also determined the association of sociodemographic variables with factors influencing the parent's decision.
Materials and Methods: A cross-sectional study was undertaken among 146 parents of children aged 0 to 13 years who sought-patient services at a paediatrics department of a tertiary care center in Chennai between July 2023 to October 2023. The Validated semi structured questionnaire was administered.
Results: In the present study, mean age group of the study population is 29±4, among them 69% were female and 31% were male. Sociodemographic variables, namely younger age, female gender, middle monthly income, and higher educational status, are influential in the parent's decision-making process for selecting a health care center.
Conclusion: Although parents may lack the ability to assess all facets of care and treatment, their perspectives contribute immensely to the interpersonal aspect of care, communication, information, and care organization. The present study has yielded significant results that enhance the knowledge base of practitioners, managers, and other professionals tasked with delivering pediatrics general practice services.
References
Segal LS, Plantikow C, Hall R, Wilson K, Shrader MW. Evalua-tion of Patient Satisfaction Surveys in Pediatric Orthopaedics. Journal of Pediatric Orthopaedics. 2015 Oct;35(7):774-8. Doi: https://doi.org/10.1097/BPO.0000000000000350 PMid:25393574
Anhang Price R, Elliott MN, Zaslavsky AM, Hays RD, Lehrman WG, Rybowski L, et al. Examining the role of patient experi-ence surveys in measuring health care quality. Med Care Res Rev. 2014 Oct;71(5):522-54. Doi: https://doi.org/10.1177/1077558714541480 PMid:25027409 PMCid:PMC4349195
Boland L, Kryworuchko J, Saarimaki A, Lawson ML. Parental decision making involvement and decisional conflict: a de-scriptive study. BMC Pediatrics. 2017 Jun 13;17(1):146. Doi: https://doi.org/10.1186/s12887-017-0899-4 PMid:28610580 PMCid:PMC5470309
Harrison C, Canadian Paediatric Society (CPS), Bioethics Committee. Treatment decisions regarding infants, children and adolescents. Paediatrics & child health. 2004;9(2):99-103. Doi: https://doi.org/10.1093/pch/9.2.99 PMid:19654990 PMCid:PMC2720471
Du Pré P, Brierley J. Challenges in managing parental expecta-tions in paediatric care. Br J Haematol. 2018 Oct;183(1):15-22. Doi: https://doi.org/10.1111/bjh.15554 PMid:30255555
Nicholson E, McDonnell T, De Brún A, Barrett M, Bury G, Col-lins C, et al. Factors that influence family and parental prefer-ences and decision making for unscheduled paediatric healthcare - systematic review. BMC Health Serv Res. 2020 Dec;20(1):663. Doi: https://doi.org/10.1186/s12913-020-05527-5 PMid:32680518 PMCid:PMC7366445
Levesque JF, Harris MF, Russell G. Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health. 2013 Mar 11;12:18. Doi: https://doi.org/10.1186/1475-9276-12-18 PMid:23496984 PMCid:PMC3610159
Aarthun A, Akerjordet K. Parent participation in decision-making in health-care services for children: an integrative re-view. J Nurs Manag. 2014 Mar;22(2):177-91. Doi: https://doi.org/10.1111/j.1365-2834.2012.01457.x PMid:23406447
Jackson C, Cheater FM, Reid I. A systematic review of decision support needs of parents making child health decisions. Health Expect. 2008 Sep;11(3):232-51. Doi: https://doi.org/10.1111/j.1369-7625.2008.00496.x PMid:18816320 PMCid:PMC5060453
Lipstein EA, Brinkman WB, Britto MT. What Is Known about Parents' Treatment Decisions? A Narrative Review of Pediat-ric Decision Making. Med Decis Making. 2012;32(2):246-58. Doi: https://doi.org/10.1177/0272989X11421528 PMid:21969136 PMCid:PMC3756486
Ofstad EH, Frich JC, Schei E, Frankel RM, Gulbrandsen P. Tem-poral characteristics of decisions in hospital encounters: a threshold for shared decision making? A qualitative study. Patient Educ Couns. 2014 Nov;97(2):216-22. Doi: https://doi.org/10.1016/j.pec.2014.08.005 PMid:25176608
Khoo EJ, Miin LY, Yin NX, Man MK, Hui LLS, May LP, et al. Fami-ly and Parental Decision Making When Choosing a Paediatric General Practice Service: What Factors Mattered Most? Child Care in Practice. 2021 May 24;1-18. Doi: https://doi.org/10.1080/13575279.2021.1920368
Davis K, Schoenbaum SC, Audet AM. A 2020 Vision of Patient-Centered Primary Care. J Gen Intern Med. 2005 Oct; 20(10): 953-7. Doi: https://doi.org/10.1111/j.1525-1497.2005.0178.x PMid:16191145 PMCid:PMC1490238
Boutopoulou B, Petsios K, Chrysostomou A, Vlachioti E, Man-tziou T, Matziou V. 72 Parental Satisfaction Concerning Their Child's Hospital Care: A Questionnaire Survey. Pediatr Res. 2010 Nov;68(1):39-40. Doi: https://doi.org/10.1203/00006450-201011001-00072
Wun YT, Lam TP, Lam KF, Goldberg D, Li DKT, Yip KC. How do patients choose their doctors for primary care in a free mar-ket? J Eval Clin Pract. 2010 Dec;16(6):1215-20. Doi: https://doi.org/10.1111/j.1365-2753.2009.01297.x PMid:20695952
Coulter A. Measuring what matters to patients. BMJ. 2017 Feb 20;j816. Doi: https://doi.org/10.1136/bmj.j816 PMid:28219884
Goff SL, Mazor KM, Guhn-Knight H, Budway YY, Murphy L, White KO, et al. Factors That Matter to Low-Income and Ra-cial/Ethnic Minority Mothers When Choosing a Pediatric Practice: a Mixed Methods Analysis. J Racial Ethn Health Dis-parities. 2017 Dec;4(6):1051-60. Doi: https://doi.org/10.1007/s40615-016-0309-x PMid:28275998 PMCid:PMC5875937
Rosati P, Di Salvo V, D'Amico R, Balduzzi S, Giampaolo R, Rita Marina Mazziotta M, et al. Outpatient parents' views on shared-decision-making at an Italian children's hospital. Health Promot Int. 2018 Aug 1;33(4):572-9.
Franck LS, Callery P. Re-thinking family-centred care across the continuum of children's healthcare. Child Care Health Dev. 2004 May;30(3):265-77. Doi: https://doi.org/10.1111/j.1365-2214.2004.00412.x PMid:15104587
Jolley J, Shields L. The evolution of family-centered care. J Pe-diatr Nurs. 2009 Apr;24(2):164-70. Doi: https://doi.org/10.1016/j.pedn.2008.03.010 PMid:19268238
Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within Organization for Econom-ic Cooperation and Development (OECD) countries, 1970-1998. Health Serv Res. 2003 Jun;38(3):831-65. Doi: https://doi.org/10.1111/1475-6773.00149 PMid:12822915 PMCid:PMC1360919
Samman K, Le CK, Burstein B, Rehimini S, Grenier A, Bertrand-Bureau C, Mallet M, Simonyan D, Berthelot S. Parents' per-spective on pediatric emergency department visits for low-acuity conditions before and during the COVID-19 pandemic: a cross-sectional bicentric study. CJEM. 2023 Nov 30. Doi: https://doi.org/10.1007/s43678-023-00609-9 PMid:38032525
Kumar G, Dash P, Patnaik J, Pany G. Socioeconomic status scale-Modified Kuppuswamy Scale for the year 2022. Interna-tional Journal of Community Dentistry. 2022 Jun 10;10(1):1-6. Doi: https://doi.org/10.56501/intjcommunitydent.v10i1.26
Parish O, Williams D, Odd D, Joseph-Williams N. Barriers and facilitators to shared decision-making in neonatal medicine: a systematic review and thematic synthesis of parental percep-tions. Patient Education and Counseling. 2022;105(5):1101-14. Doi: https://doi.org/10.1016/j.pec.2021.08.033 PMid:34503868
Polakova K, Ahmed F, Vlckova K, Brearley SG. Parents' experi-ences of being involved in medical decision-making for their child with a life-limiting condition: A systematic review with narrative synthesis. Palliative Medicine. 2023 Dec 6:02692163231214414. Doi: https://doi.org/10.1177/02692163231214414 PMid:38053373 PMCid:PMC10798032
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Yuvasri p, Bharathwaj P, Bincy K, Kaveri Palanisamy, Anantharaman VV
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.