Ratings of Patient and Family-Centered Care Among Children Across the United States: A Cross-Sectional Analysis of the National Survey of Children’s Health

Authors

  • Molly Bloom
  • shannon Headley
  • Blakelee Eggleston
  • Micah Hartwell

Abstract

Background: Patient-and family-centered care (PFCC) requires partnerships among healthcare professionals, patients, and families. Research shows that PFCC improves health outcomes, enhances patient and family satisfaction, and reduces healthcare costs.

Methods: We conducted a cross-sectional analysis of the National Survey of Children’s Health (NSCH) 2020-2021 to determine rates of parent-reported PFCC among US children. We used NSCH-defined family-centered care and shared decision-making variables, scored from 1 (never) to 4 (always). We calculated state and national averages, combined them to create a PFCC index, and visualized the data into heat maps. 

Results: Our PFCC index ranged from 3.45-3.74 with a national average of 3.59 (SD=0.58). 

Conclusion: The number of board-certified pediatricians per 100,000 children follows the trend of PFCC rankings, suggesting the need for advocacy for federal funding for medical education. Further, limited English proficiency may hinder PFCC, highlighting the need for guidelines regarding medical interpreters.

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Published

2024-12-12

Issue

Vol. 8 No. 3 (2024): Article

Section

Public Health

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