30 Parent Satisfaction and Pediatric Primary care Quality in a Public Health System
Bibliographic record
Abstract
The objective of the study is to assess parent satisfaction, pediatric primary care quality and accessibility. We did a cross-sectionnal study with survey. Two hundred of the 1000 families who had a newborn at the CHUS between January 1st and June 30th, 2002 were enrolled. We used the Rourke Baby Record, a follow-up guide recommended by the Canadian Pediatric Society and by the College of Family Physicians of Canada as a quality-of-care criteria, and a translation of the Parent's Perception of Pediatric Care (P3C) which measure the parents' degree of satisfaction about quality of primary care (longitudinal continuity, access, contextual knowledge, communication, comprehensiveness, and coordination). Of the 200 families, 130 accepted to participate (62%). The mean number of children per family was 1.7±0.8. Families were single-parent in 8% of cases and 10% were living under poverty level. Sixty-six percent of children received their primary care from general practitioners, 19% by pediatricians, and 15% by someone else. Parents were inquired about their child hearing in 66% of cases. Only 41% were guided about breastfeeding, 37% about back sleeping, 17% about dangers of second-hand smoking, and 16% about car seats. Families followed by doctors had less guidance about dangers of second-hand smoking (p=0.002, Chi-squared). Parents of children vaccinated had a higher degree of satisfaction about primary care compared to parents of non vaccinated children (P3C 69±21 vs 45±19, p=0.0001, Chi-squared). Parents felt that general practitioners and pediatricians had better communication skills, had a good contextual knowledge and comprehensiveness of their patients compared to others, and they were able to coordinate care when necessary. Finally, according to P3C scores, overall satisfaction about primary care given by doctors (general practitioners (P3C 70±21) and pediatricians (P3C 69±17) was statistically higher than that given by midwives (P3C 8±0) or by chiropractitioners (P3C 26±0). Satisfaction about primary care given by nurses was intermediate (P3C 58±24). In conclusion, parents are more satisfied of the primary care given by general practitioners or by pediatricians than by others. All care givers are equally accessible. In our health system, recommendations about pediatric primary care and guidance are rarely followed.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.012 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".