Pediatric residents’ perspective on family-clinician discordance in primary care: A qualitative study

Marjorie S. Rosenthal, Katherine A. Connor, Ada M. Fenick

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


The engagement of families in health maintenance is associated with better child health outcomes, but demographic discordance between families and clinicians may be a barrier to family engagement. Using a longitudinal qualitative study design, we conducted 15 semi-structured interviews with five pediatric residents who elected to facilitate group well child care (GWCC). Four themes describing residents’ perceptions of the role of discordance in family-clinician engagement include: 1) discordance was not a barrier; 2) discordance leads to a lack of engagement and trust; 3) residents transcended discordance in GWCC because either GWCC led residents to change their communication techniques or because, with GWCC, parents have concordant adults in the room; and 4) the education residents obtained in GWCC allowed them to empathize with the families’ health-related decisions. Finding ways in which pediatric providers can improve skills in family engagement may be an important step in decreasing health inequities.

Original languageEnglish (US)
Pages (from-to)1033-1045
Number of pages13
JournalJournal of health care for the poor and underserved
Issue number3
StatePublished - Aug 2016


  • Child health
  • Discordance
  • Engagement
  • Group health visits
  • Health maintenance

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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