title: Use of colocated multidisciplinary services to address family psychosocial needs at an urban pediatric primary care clinic.
abstract: 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.
  
  
  METHODS
  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.
authors.affiliation: Johns Hopkins University School of Medicine, Baltimore, MD, USA avasan1@jhmi.edu.
authors.forename: Aditi
authors.initials: A
authors.lastname: Vasan
authors.affiliation: Johns Hopkins University School of Medicine, Baltimore, MD, USA Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Barry S
authors.initials: BS
authors.lastname: Solomon
mesh_terms: D000328:Adult; D015142:Baltimore; D017028:Caregivers / Q000523:psychology / Q000706:statistics & numerical data; D002648:Child; D002662:Child Health Services / Q000379:methods / Q000706:statistics & numerical data*; D005190:Family / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014505:Urban Population / Q000706:statistics & numerical data*
keywords: colocated services; patient-centered care; psychosocial needs; urban populations