Traseira, R;
Singh, S;
(2020)
Exploring parents' perceptions on the importance and feasibility of child-centred consultations of 5-11 year olds in general practice.
Education for Primary Care
, 31
(6)
pp. 349-357.
10.1080/14739879.2020.1809529.
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Abstract
BACKGROUND: The active involvement of children in their health care has been shown to increase compliance and improve outcomes. Despite this, children in the 6-12 year group have little meaningful involvement in General Practitioner (GP) consultations, contributing to less than 20% of interactions. AIM: To explore parents' perceptions on the importance and feasibility of child-centred consultations. METHODS: Purposive sampling was used to recruit parents from a primary school in London. Three audio recorded focus groups were conducted, transcribed verbatim, and subsequently thematically analysed. RESULTS: While most parents acknowledged the importance of child-centred consultations, they legitimately questioned their child's ability to make decisions. Parents attributed low child participation to several factors including the perceived approachability of the GP, whether their child had met the doctor before, their child's personality and the general lack of time during consultations. Parents described their own anxiety and worries surrounding their child's health care which lead to their role as their child's advocate, decision maker and protector during GP consultations. CONCLUSION: This study confirms the importance of child-centred consultations and highlights numerous barriers which need to be overcome to achieve greater child involvement in consultations. If the findings were to be replicated in future larger studies, then it could lead to changes in both training and, crucially, how child-parent-doctor consultations should be carried out in general practice.
| Type: | Article |
|---|---|
| Title: | Exploring parents' perceptions on the importance and feasibility of child-centred consultations of 5-11 year olds in general practice |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/14739879.2020.1809529 |
| Publisher version: | https://doi.org/10.1080/14739879.2020.1809529 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions. |
| Keywords: | Paediatric primary care, child-centred consultations, doctor/parent/child consultations, general practice, triadic communication |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10111280 |
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