PEDIATRICS Vol. 60 No. 2 August 1977, pp. 186-192
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Effectiveness of Physician-Mother Interactions During Infancy

Gregory S. Liptak M.D.1, Barbara S. Hulka M.D.1, and John C. Cassel M.D.1

1 Community Medical Center, Aurora, New York, and the Department of Epidemiology, University of North Carolina, Chapel Hill

For the purpose of correlating elements of process in well-child care with outcomes, 479 normal infants from the practices of 42 physicians in a single community were evaluated. Data on maternal characteristics, physician awareness of maternal concerns, physician communication to the mother, and physician management were obtained from interview of mothers, questionnaires completed by physicians, and abstracting of medical records. Outcomes were evaluated prior to the child's 11th-month birthday by interviewing the mother. The outcomes selected were mother-child adaptation, bother experienced by the mother over common symptoms of infancy, and the mother's satisfaction with medical care.

All three outcomes were found to be associated with the mother's attitudes and concerns about her infant. Physician awareness of maternal concerns correlated positively with mother-child adaptation; both physician communication to mother and physician management were associated with maternal satisfaction with medical care. When controlling for maternal attitudes, the process measures of physician awareness of maternal concerns and physician communication to the mother was still found to be associated with mother-child adaptation and maternal satisfaction with medical care, respectively.

Submitted on September 21, 1976
Accepted on January 18, 1977




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