title: Pediatric Residents' Perspective on Family-Clinician Discordance in Primary Care: A Qualitative Study.
abstract: The engagement of families in health maintenance is associated with better child health outcomes, but demographic discordance between families and clinicians may be a barrier to family engagement. Using a longitudinal qualitative study design, we conducted 15 semi-structured interviews with five pediatric residents who elected to facilitate group well child care (GWCC). Four themes describing residents' perceptions of the role of discordance in family-clinician engagement include: 1) discordance was not a barrier; 2) discordance leads to a lack of engagement and trust; 3) residents transcended discordance in GWCC because either GWCC led residents to change their communication techniques or because, with GWCC, parents have concordant adults in the room; and 4) the education residents obtained in GWCC allowed them to empathize with the families' health-related decisions. Finding ways in which pediatric providers can improve skills in family engagement may be an important step in decreasing health inequities.
authors.forename: Marjorie S
authors.initials: MS
authors.lastname: Rosenthal
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Connor
authors.forename: Ada M
authors.initials: AM
authors.lastname: Fenick
mesh_terms: D002648:Child; D005192:Family Health; D006801:Humans; D007396:Internship and Residency; D010290:Parents; D010370:Pediatric Assistants; D010820:Physicians; D011320:Primary Health Care; D036301:Qualitative Research