Clinical Pediatrics

 

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0009922807308254v1
47/3/244    most recent
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First published on December 5, 2007, doi:10.1177/0009922807308254

Clinical Pediatrics 2008;47:244.

A more recent version of this article appeared on April 1, 2008

Article

Why Parents Seek Medical Evaluations for Their Children With Mild Acute Illnesses

Robert G. Voigt, MD*, Shirley K. Johnson, MS, RN, CPNP, Andrew H. Hashikawa, MD, Michael W. Mellon, PhD, Lynnelle J. Campeau, BSN, RN, Arthur R. Williams, PhD, Barbara P. Yawn, MD, MS, and Young J. Juhn, MD, MPH

Mayo Clinic

* To whom correspondence should be addressed. E-mail: voigt.robert{at}mayo.edu.


  Abstract
The reasons underlying parents’ decisions to seek medical evaluations for their mildly ill children are not well understood. This cross-sectional study tracked parents’ requests for on-site medical evaluations at a sick child care program. A logistic regression model identified factors associated with parents’ decisions to seek medical evaluations for their children based on the data from parent-completed questionnaires. A convenience sample of 196 parents completed all questionnaires; 62 (31.6%) parents sought medical evaluations. Parents were more likely to seek medical evaluations if they were concerned about missing work (odds ratio = 8.6; >95% confidence interval, 3.3-22.0; P = .0001), if they smoked (odds ratio = 3.7; 95% confidence interval, 1.1-12.4; P = .037), or if their spouse’s highest educational attainment was some high school (odds ratio = 0.4; 95% confidence interval, 0.1-1.0; P = .044). The data highlight the problems working parents have in accessing health care during usual working hours and the potential value of convenient health care programs.


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