title: Parents' preferences for enhanced access to the pediatric medical home: a qualitative study.
abstract: Enhanced access services are key components of the patient-centered medical home, but they are resource-intensive and may require significant trade-offs by practices and patients. Using qualitative research methods, we interviewed 20 parents about experiences accessing primary care for their children, priorities for enhanced access, and willingness to make trade-offs. Parents had strong preferences for certain services, such as same-day sick care appointments, and were willing to make trade-offs for high-priority services. Primary care practices and medical home programs should educate families about trade-offs needed to implement new services and engage families in setting priorities for medical home implementation.
authors.affiliation: Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan, Ann Arbor, USA. jzickafoose@mathematicampr.com
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Zickafoose
authors.forename: Lisa R
authors.initials: LR
authors.lastname: DeCamp
authors.forename: Dana J
authors.initials: DJ
authors.lastname: Sambuco
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Prosser
mesh_terms: D002675:Child, Preschool; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D008297:Male; D008824:Michigan; D010290:Parents / Q000523:psychology*; D018802:Patient-Centered Care; D036301:Qualitative Research