Children's primary health care services: Social-cognitive factors related to utilization

To test social-cognitive influences on parent decision-making processes related to children's health care use. Eighty-seven primary caretakers of children ages 4 to 9 years completed measures of child health and behavior, parent functioning, and social-cognitive factors related to parenting and...

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Bibliographic Details
Published in:Journal of pediatric psychology 2003-12, Vol.28 (8), p.547-558
Main Authors: JANICKE, David M, FINNEY, Jack W
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Biological and medical sciences
Child
Child Health Services - statistics & numerical data
Cognition
Decision Making
Health Status
Humans
Medical sciences
Mental health
Organization of mental health. Health systems
Parents - psychology
Patient Acceptance of Health Care - psychology
Primary Health Care - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Regression Analysis
Self Efficacy
Social psychiatry. Ethnopsychiatry
Stress, Psychological
Surveys and Questionnaires
United States
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Summary:To test social-cognitive influences on parent decision-making processes related to children's health care use. Eighty-seven primary caretakers of children ages 4 to 9 years completed measures of child health and behavior, parent functioning, and social-cognitive factors related to parenting and health care use. Primary care use was obtained from the children's primary care physician(s) for the 2 years prior to recruitment. Social-cognitive variables accounted for 13.2% of the variance in primary health care use, above and beyond the influence of child health status and psychosocial variables. The best predictive model, accounting for 29.8% of the variance in primary care use, included the interaction between parental stress and self-efficacy to cope with parenting demands, child behavior problems, self-efficacy for accessing physician assistance, medication use, and parent health care use. Results documented the relationship between self-efficacy and parent stress in decision making about pediatric primary care use. Social-cognitive theory provides a new perspective for evaluating factors that influence health care use.
ISSN:0146-8693
1465-735X
1465-735X
DOI:10.1093/jpepsy/jsg045