PRP060: Parents believe their healthcare and health impact their children’s healthcare and health
Laura Moreno, MPH; Shannon Williams, MSc; Tamar Wyte-Lake, DPT, MPH; Heather Angier, PhD, MPH; Deborah Cohen, PhD; Sara McCrimmon, MPH
Abstract
Context: Research shows parental health status and health insurance are associated with children’s receipt of healthcare. Less is known about parent’s beliefs with regard to how their health and healthcare impacts their child’s health, nor how primary care can influence the relationship. Objective: To understand parental beliefs about how their health and healthcare impacts their children’s health, and perceptions of primary care’s role in the relationship. Study Design: Qualitative study. Setting: Two family medicine clinics. Population studied: 12 parents with at least two visits to a family medicine clinic and a child with at least one visit at the same clinic in the last two years. Intervention/instrument: Each respondent (parent) participated in a one-hour one-on-one phone interview. Outcome Measures: Description of parental beliefs about the relationship among their health and healthcare and their child’s health including: clinic utilization, presence of chronic conditions, neighborhood conditions, and other social determinants of health. Results: The majority of respondents had either a mental health diagnosis and/or history of drug use and were single parents. Parents focused on the importance of keeping themselves healthy in order to keep their families healthy. Specifically, parents noted that if they were unable to take care of their own health, they would be unable to have a healthy family. One of the core pieces of keeping themselves healthy was a clinician with whom they built a trusting relationship. Trust was built in a number of ways including: feeling able to rely on the clinician during difficult times, noting the clinician has gone above and beyond for them in some way, or discussing that they know they can reach out to the clinician (and/or the rest of the clinical team) when they are having trouble with something. Parents reported having this trusted relationship with a clinician and a clinical team led them to bring their families to the same clinic for primary care. In some cases, respondents noted a variety of resources and assistance the clinic provided to them and their family, which helped them get and stay healthy. Conclusions: Parents believe there is a connection between their own health and their children’s health and see the benefits of having a family doctor to care for themselves and their children. Primary care clinicians, regardless of specialty, should consider parents health when caring for children.
Diane Harper
harperdi@med.umich.edu 11/21/2021Were all of the interviews done by dyads of parent/child already seen in a FM office - or did you include the adults seen by GIM and children seen by peds? Nice work, Nice funding! Thank you for sharing with us at NAPCRG.