Evidence map›Paper›PMID 31937530›Full record

ArticleAnnals of family medicine2020

Caregiver and Clinician Perspectives on Missed Well-Child Visits.

Elizabeth R Wolf, Jennifer O'Neil, James Pecsok, Rebecca S Etz, Douglas J Opel, Richard Wasserman, Alex H Krist

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Prenatal Care Coordination and Well-Child Visit Receipt in Early Childhood.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  8. Adverse childhood experiences and preventive health care among rural US children: A cross-sectional examination of 2022 National Health Interview Survey data.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Identifying Risk Factors for Appointment No-Shows in a Pediatric Orthopaedic Surgery Clinic.Journal of the Pediatric Orthopaedic Society of North America · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. 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

7 authors at 4 institutions in 1 country.

Elizabeth R WolfDepartment of Pediatrics, Virginia Commonwealth University, Richmond, Virginia elizabeth.wolf@vcuhealth.org.
Jennifer O'NeilDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia.
James PecsokDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia.
Rebecca S EtzDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia.
Douglas J OpelDepartment of Pediatrics, University of Washington, Seattle, Washington.
Richard WassermanDepartment of Pediatrics, Larner College of Medicine, University of Vermont, Burlington, Vermont.
Alex H KristDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia.
Virginia Commonwealth University · USChildren's Hospital of Richmond at VCU · USUniversity of Vermont · USUniversity of Washington · US

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
NCATS NIH HHS UL1 TR002649
6 · The paper itself

Abstract

purposeDespite the benefits of well-child care visits, up to one-half of these visits are missed. Little is known about why children miss them, so we undertook a qualitative study to elucidate these factors.

methodsWe interviewed 17 caregivers whose children had missed well-child visits and 6 clinicians, focusing on 3 areas: the value of well-child visits, barriers to attendance, and facilitators of attendance. Transcripts were analyzed with a grounded theory approach and thematic analysis.

resultsCaregivers and clinicians identified similar important aspects of well-child visits: immunizations, detection of disease, and monitoring of growth and development. Both groups identified similar barriers to attendance: transportation, difficulty taking time off from work, child care, and other social stressors.

conclusionsFurther work to explore how addressing social determinants of health might improve attendance of well-child visits is needed.

Indexed as

Attitude of Health PersonnelChild HealthOffice VisitsCaregiversChildFemaleHumansMalePhysical ExaminationPreventive Health ServicesProfessional-Family RelationsQualitative ResearchSocial Determinants of Healthattendancebarrierschildrenpediatricspractice-based researchprimary caresocial determinants of healthvulnerable populationswell-child visits

Identifiers

PMID31937530
PMCPMC7227475
OpenAlexW2999291048

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.