ArticleJournal of general internal medicine2025
Provider Perspectives on the Need for Child Care Assistance During Veteran Health Care Appointments.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundLack of child care is a primary cause of delayed care in the United States for individuals caring for children, including Veterans. Given the substantial barriers to child care, children frequently accompany their guardians to health care appointments. Data from patients suggests that the presence of children can be distracting for the patient, but literature exploring the perspectives of providers is scant.
objectiveTo examine provider perspectives on how the presence of children during health care visits impacts the care experience for both providers and Veterans, with the goal of informing future child care assistance programs.
designQualitative study design.
participantsThe study participants included a national convenience sample of 10 cross-specialty clinicians who provide care for Veterans within the Veteran Health Administration (VHA) health care system. APPROACH: We conducted semi-structured interviews delivered over the telephone. Interview topics explored clinician experiences with children during Veteran health care visits on quality of care, access to care, ability to discuss sensitive topics or perform sensitive exams, and patient-provider communication. KEY
resultsProviders describe how inadequate child care impedes Veteran's access to health care. Furthermore, providers reported that the presence of children during Veteran health care visits decreases the quality of care, negatively impacts patient-provider communication, and increases the burden on other patients and medical staff. For example, providers reported that the presence of children in the exam may reduce the Veteran's and provider's willingness to discuss sensitive topics and perform sensitive procedures, which can lead to delayed care and impede patient-provider relationship building.
conclusionsGiven the negative consequences of inadequate child care during medical appointments, health care systems can and should explore programs, such as providing child care assistance to patients. While this practice is not widespread, several health systems, including the VHA, are implementing such programs.
Indexed as
Identifiers
What OpenQuestion holds
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.