Maternal and Child Health Journal

, Volume 17, Issue 1, pp 95–109 | Cite as

The Voices of Limited English Proficiency Latina Mothers on Pediatric Primary Care: Lessons for the Medical Home

  • Lisa Ross DeCamp
  • Edith Kieffer
  • Joseph S. Zickafoose
  • Sonya DeMonner
  • Felix Valbuena
  • Matthew M. Davis
  • Michele Heisler
Article

Abstract

The objective of this study is to inform medical home implementation in practices serving limited English proficiency Latino families by exploring limited English proficiency Latina mothers’ experiences with, and expectations for, pediatric primary care. In partnership with a federally-qualified community health center in an urban Latino neighborhood, we conducted semi-structured interviews with 38 low-income Latina mothers. Eligible participants identified a pediatric primary care provider for their child and had at least one child 3 years old or younger, to increase the probability of frequent recent interactions with health care providers. Interview transcripts were coded and analyzed through an iterative and collaborative process to identify participants’ satisfaction with and expectations for pediatric primary care. About half of the mothers interviewed were satisfied with their primary care experiences. Mothers suggested many ways to improve the quality of pediatric primary care for their children to better meet the needs of their families. These included: encouraging providers to invest more in their relationship with families, providing reliable same-day sick care, expanding hours, improving access to language services, and improving care coordination services. Limited English proficiency Latina mothers expect high-quality pediatric primary care consistent with the medical home model. Current efforts to improve primary care quality through application of the medical home model are thus relevant to this population, but should focus on the parent-provider relationship and timely access to care. Promoting this model among practices that serve limited English proficiency Latino families could improve engagement and satisfaction with primary care.

Keywords

Disparities Primary care Latino Qualitative research Medical home 

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Lisa Ross DeCamp
    • 1
  • Edith Kieffer
    • 2
  • Joseph S. Zickafoose
    • 3
  • Sonya DeMonner
    • 4
    • 5
  • Felix Valbuena
    • 6
  • Matthew M. Davis
    • 3
    • 4
  • Michele Heisler
    • 4
    • 5
  1. 1.Department of PediatricsJohns Hopkins University, Center for Child and Community Health ResearchBaltimoreUSA
  2. 2.School of Social WorkUniversity of MichiganAnn ArborUSA
  3. 3.Child Health Evaluation and Research Unit, Department of PediatricsUniversity of MichiganAnn ArborUSA
  4. 4.RWJF Clinical Scholars ProgramUniversity of MichiganAnn ArborUSA
  5. 5.Veterans’ Affairs Center for Clinical Management ResearchAnn ArborUSA
  6. 6.Community Health and Social Services CenterDetroitUSA

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