Pediatric Primary Care Relationships With African American Families: A Critical Review

Kara S. Koschmann, Mary C. Hooke

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Introduction: High-quality primary care is critical to help African American families mitigate the effects of social determinants of health that negatively affect child health and well-being. At the core of primary care is a healthy relationship between the parent and provider. This critical review of the literature evaluates what is known about the parent–provider relationship for African Americans. Methods: We identified 277 studies in Ovid MEDLINE and screened them for inclusion. Data extraction and qualitative synthesis were used to describe what is known and identify themes. Results: Twelve cross-sectional analyses and one mixed cross-sectional and longitudinal design research studies were identified. Studies identified parent factors, provider factors, parent–provider interaction factors, and health care system factors that affected the parent–provider relationship. Discussion: The results identify best practices and future research directions for providers, which would improve pediatric primary care quality for African American children.

Original languageEnglish (US)
Pages (from-to)639-652
Number of pages14
JournalJournal of Pediatric Health Care
Issue number6
StatePublished - Nov 1 2019

Bibliographical note

Publisher Copyright:
© 2019 National Association of Pediatric Nurse Practitioners


  • African American
  • patient-provider
  • pediatric
  • primary care


Dive into the research topics of 'Pediatric Primary Care Relationships With African American Families: A Critical Review'. Together they form a unique fingerprint.

Cite this