Evidence map›Paper›PMID 28275998›Full record

Trial reportJournal of racial and ethnic health disparities2017

Factors That Matter to Low-Income and Racial/Ethnic Minority Mothers When Choosing a Pediatric Practice: a Mixed Methods Analysis.

Sarah L Goff, Kathleen M Mazor, Haley Guhn-Knight, Yara Youssef Budway, Lorna Murphy, Katharine O White, Tara Lagu, Penelope S Pekow, Aruna Priya, Peter K Lindenauer

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of racial and ethnic health disparities, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01784575 (IDEAS for a Healthy Baby), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01784575 nacompletednot on this map

IDEAS for a Healthy Baby: Reducing Disparities in Consumer Use of Publicly Reported Quality Data

TypeinterventionalSponsorBaystate Medical CenterRan2013 to 2015Enrolled746ConditionsPregnancyArmsPatient Navigator Intervention
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sarah L GoffCenter for Quality of Care Research, Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199,, USA. sarah.goffmd@baystatehealth.org.
Kathleen M MazorUniversity of Massachusetts Medical School, 55 N Lake Ave, Worcester, MA, 01655,, USA.
Haley Guhn-KnightCenter for Quality of Care Research, Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199,, USA.
Yara Youssef BudwayMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114,, USA.
Lorna MurphyRenal and Transplant Associates of New England, 100 Wason Ave # 200, Springfield, MA, 01107,, USA.
Katharine O WhiteDepartment of Obstetrics and Gynecology, Boston Medical Center, 720 Harrison Ave, Boston, MA, 02118,, USA.
Tara LaguCenter for Quality of Care Research, Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199,, USA.
Penelope S PekowCenter for Quality of Care Research, Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199,, USA.
Aruna PriyaCenter for Quality of Care Research, Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199,, USA.
Peter K LindenauerCenter for Quality of Care Research, Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199,, USA.

Funding

IDEAS for a Healthy Baby: Reducing Disparities in Consumer Use of Quality DataR21HS021864 · AHRQ · BAYSTATE MEDICAL CENTER, INC. · PI GOFF, SARAH L · 2012 to 2014
$922k
Defining Optimal Clinical Strategies for Critically Ill Heart Failure PatientsK01HL114745 · NHLBI · BAYSTATE MEDICAL CENTER, INC. · PI LAGU, TARA C · 2013 to 2017
$721k
Research and Mentoring in Comparative Effectiveness and Implementation ScienceK24HL132008 · NHLBI · BAYSTATE MEDICAL CENTER, INC. · PI LINDENAUER, PETER KYLE · 2016 to 2020
$574k
Identifying Factors Associated With High Quality Pediatric Primary CareK23HD080870 · NICHD · BAYSTATE MEDICAL CENTER, INC. · PI GOFF, SARAH L · 2015 to 2018
$534k
Agency for Healthcare Research and Quality R21HS021864AHRQ HHS R21 HS021864NHLBI NIH HHS K01 HL114745NHLBI NIH HHS K24 HL132008NICHD NIH HHS K23 HD080870
6 · The paper itself

Abstract

backgroundPediatric practices' scores on healthcare quality measures are increasingly available to the public. However, patients from low-income and racial/ethnic minority populations rarely use these data. We sought to understand potential barriers to using quality data by assessing what factors mattered to women when choosing a pediatric practice.

methodsAs part of a randomized trial to overcome barriers to using quality data, we recruited women from a prenatal clinic serving an underserved population. Women reported how much 12 factors mattered when they chose a pediatric practice (5-point Likert scale), what other factors mattered to them, and which factors mattered the most. We assessed whether factor importance varied with selected participant characteristics and qualitatively analyzed the "other" factors named.

resultsParticipants' (n = 367) median age was 23 years, and they were largely Hispanic (60.4%), white (21.2%), or black (16.9%). Insurance acceptance "mattered a lot" to the highest percentage of women (93.2%), while online information about what other parents think of a practice "mattered a lot" to the fewest (7.4%). Major themes from our qualitative analysis of "other" factors that mattered included physicians' interpersonal skills and pediatrician-specific traits. Factors related to access "mattered the most" to the majority of women.

conclusionsPediatrician characteristics and factors related to access to care may be more important to low-income and racial/ethnic minority women than more commonly reported quality metrics. Aligning both the content and delivery of publicly reported quality data with women's interests may increase use of pediatric quality data. CLINICAL

trial registrationClinicaltrials.gov NCT01784575.

Indexed as

Choice BehaviorPediatricsPovertyAdultBlack or African AmericanEthnicityFemaleHealth Services AccessibilityHispanic or LatinoHumansInsuranceMinority GroupsMothersPregnancyQuality of Health CareRacial GroupsChoosing a pediatric practiceLow incomeMinorityPediatric healthcare qualityPregnant women

Identifiers

PMID28275998
PMCPMC5875937

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.