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Journal of Racial and Ethnic Health Disparities

, Volume 4, Issue 6, pp 1051–1060 | Cite as

Factors That Matter to Low-Income and Racial/Ethnic Minority Mothers When Choosing a Pediatric Practice: a Mixed Methods Analysis

  • Sarah L. Goff
  • Kathleen M. Mazor
  • Haley Guhn-Knight
  • Yara Youssef Budway
  • Lorna Murphy
  • Katharine O. White
  • Tara Lagu
  • Penelope S. Pekow
  • Aruna Priya
  • Peter K. Lindenauer
Article
  • 92 Downloads

Abstract

Background

Pediatric practices’ scores on healthcare quality measures are increasingly available to the public. However, patients from low-income and racial/ethnic minority populations rarely use these data. We sought to understand potential barriers to using quality data by assessing what factors mattered to women when choosing a pediatric practice.

Methods

As part of a randomized trial to overcome barriers to using quality data, we recruited women from a prenatal clinic serving an underserved population. Women reported how much 12 factors mattered when they chose a pediatric practice (5-point Likert scale), what other factors mattered to them, and which factors mattered the most. We assessed whether factor importance varied with selected participant characteristics and qualitatively analyzed the “other” factors named.

Results

Participants’ (n = 367) median age was 23 years, and they were largely Hispanic (60.4%), white (21.2%), or black (16.9%). Insurance acceptance “mattered a lot” to the highest percentage of women (93.2%), while online information about what other parents think of a practice “mattered a lot” to the fewest (7.4%). Major themes from our qualitative analysis of “other” factors that mattered included physicians’ interpersonal skills and pediatrician-specific traits. Factors related to access “mattered the most” to the majority of women.

Conclusions

Pediatrician characteristics and factors related to access to care may be more important to low-income and racial/ethnic minority women than more commonly reported quality metrics. Aligning both the content and delivery of publicly reported quality data with women’s interests may increase use of pediatric quality data.

Clinical Trial Registration

Clinicaltrials.gov NCT01784575

Keywords

Pediatric healthcare quality Choosing a pediatric practice Low income Minority Pregnant women 

Notes

Acknowledgements

We would like to thank the staff at the Wesson Women’s Clinic for their gracious welcoming of our presence in their clinic during the course of this study and Massachusetts Health Quality Partners for their assistance with technical aspects of the data.

Compliance with Ethical Standards

Funding Sources

This study was funded by the Agency for Healthcare Research and Quality (AHRQ) R21HS021864. AHRQ did not have any involvement in the study design, data collection, analysis, manuscript, or submission decisions. Dr. Goff is currently supported by the National Institute of Child Health and Human Development Award Number K23HD080870. Dr. Lagu is supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health Award Number K01HL114745.

Conflicts of Interest

Dr. White is a consultant for Actavis.

Supplementary material

40615_2016_309_MOESM1_ESM.docx (635 kb)
ESM 1 (DOCX 635 kb)

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Copyright information

© W. Montague Cobb-NMA Health Institute 2017

Authors and Affiliations

  • Sarah L. Goff
    • 1
    • 2
    • 3
    • 4
  • Kathleen M. Mazor
    • 5
    • 6
  • Haley Guhn-Knight
    • 1
    • 2
  • Yara Youssef Budway
    • 7
  • Lorna Murphy
    • 8
  • Katharine O. White
    • 9
    • 10
  • Tara Lagu
    • 1
    • 2
    • 3
  • Penelope S. Pekow
    • 1
    • 10
  • Aruna Priya
    • 1
  • Peter K. Lindenauer
    • 1
    • 2
    • 3
  1. 1.Center for Quality of Care ResearchBaystate Medical CenterSpringfieldUSA
  2. 2.Department of MedicineBaystate Medical CenterSpringfieldUSA
  3. 3.Department of MedicineTufts University School of MedicineBostonUSA
  4. 4.SpringfieldUSA
  5. 5.University of Massachusetts Medical SchoolWorcesterUSA
  6. 6.Meyers Primary Care InstituteUniversity of Massachusetts Medical SchoolWorcesterUSA
  7. 7.Massachusetts General HospitalBostonUSA
  8. 8.Renal and Transplant Associates of New EnglandSpringfieldUSA
  9. 9.Department of Obstetrics and GynecologyBoston Medical CenterBostonUSA
  10. 10.University of Massachusetts School of Public Health and Health SciencesAmherstUSA

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