Use of colocated multidisciplinary services to address family psychosocial needs at an urban pediatric primary care clinic

Clin Pediatr (Phila). 2015 Jan;54(1):25-32. doi: 10.1177/0009922814541802. Epub 2014 Jul 8.


Objective: To examine associations between use of on-site multidisciplinary services at a pediatric primary care clinic, perceptions of the clinic, and health care utilization.

Study design: Eighty caregivers were interviewed during clinic visits assessing on-site service use, satisfaction, and perception of the clinic as a medical home. Acute care, emergency department, and well-child visit data were abstracted from children's medical records. Student's t test and multivariate regression were used to examine associations between service use, satisfaction, and health care utilization.

Results: Use of ≥3 clinic services was associated with improved satisfaction (Client Satisfaction Questionnaire-8 mean: 31.8 vs 31.0, P < .05), stronger perception of the clinic as a medical home (Parents' Perception of Primary Care mean: 97.6 vs 93.4, P < .01), and increased missed well-child care visits (mean: 0.49 vs 0.20, P < .05).

Conclusions: On-site service use was associated with improved caregiver satisfaction but decreased well-child visit adherence. Caregivers using support services may face barriers to accessing preventive care.

Keywords: colocated services; patient-centered care; psychosocial needs; urban populations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Baltimore
  • Caregivers / psychology
  • Caregivers / statistics & numerical data
  • Child
  • Child Health Services / methods
  • Child Health Services / statistics & numerical data*
  • Family / psychology*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Patient Compliance / psychology
  • Patient Compliance / statistics & numerical data
  • Patient Satisfaction / statistics & numerical data*
  • Surveys and Questionnaires
  • Urban Population / statistics & numerical data*