Abstract
Objective
Individual well care (IWC) is the standard delivery model for well-child care in the
United States. Alternative models, such as group well care (GWC), may create opportunities
to enhance care for babies. The purpose of this study was to evaluate parents' perceptions
of social/wellness benefits and system challenges of IWC and GWC.
Methods
Since 2014, we have provided both IWC and GWC at an urban academic practice serving
a low-income minority community. We conducted a mixed method study involving surveys
and 18 focus groups (11 IWC groups, n = 32 parents; 7 GWC groups, n = 33 parents).
Parents completed surveys before convening focus group discussions. Survey results
were analyzed using independent t tests; focus groups were digitally recorded, transcribed, and analyzed to identify
themes.
Results
Both groups had similar demographics: parents were mostly female (91%) and black (>80%);
about half had incomes < $20,000. Parents' mean age was 27 years; children's mean
age was 11 months. There were no significant differences in overall scores measuring
trust in physicians, parent empowerment, or stress. IWC parents' themes highlighted
ways to improve care delivery, while GWC parents highlighted both satisfaction with
care delivery and social/wellness benefits. GWC parents strongly endorsed this model
and reported unique benefits, such as garnering social support and learning from other
parents.
Conclusions
Parents receiving both models of care identified ways to improve primary care delivery.
Given some of the benefits reported by GWC parents, this model may provide the means
to enhance resilience in parents and children in low-income communities.
Keywords
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Article info
Publication history
Published online: January 19, 2018
Accepted:
January 6,
2018
Received:
August 28,
2017
Footnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2018 by Academic Pediatric Association
