Evidence map›Paper›PMID 30852807›Full record

ArticleIrish journal of medical science2019

How does the introduction of free GP care for children impact on GP service provision? A qualitative study of GPs.

Geoff McCombe, Neasa Conneally, Aine Harrold, Ayesha Farooq Butt, William Behan, David Molony, Walter Cullen

Abstract read
PubMed Publisher
In one paragraph

Article in Irish journal of medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Geoff McCombeSchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
Neasa ConneallySchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
Aine HarroldSchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
Ayesha Farooq ButtSchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
William BehanSchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
David MolonySchool of Medicine, University College Dublin, Belfield, Dublin, Ireland.
Walter CullenSchool of Medicine, University College Dublin, Belfield, Dublin, Ireland. walter.cullen@ucd.ie.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimising child health in general practice is a key health service priority. In Ireland, where 23% of Ireland's population are aged under 16, GP consultations have historically involved a private fee or have been covered by Ireland's General Medical Services (GMS) scheme. In July 2015, this scheme was expanded so that free GP care was provided to all children aged under 6 years. Recent research suggests this change in policy has led to a substantial increase in the number of children under six attending both daytime and out-of-hour GP services and highlights a need to better understand the perspectives of GPs on this policy change.

aimTo address these knowledge gaps, this paper aims to examine GPs' views on the scheme and how it has impacted on their practice.

methodsSixteen GPs participated in semi-structured telephone interviews between June and August 2016, analysed using inductive thematic analysis.

resultsSix key themes were identified: (1) increased service utilisation, (2) changes in parental behaviour when accessing services, (3) increased 'out of hours' service utilisation, (4) dissatisfaction with the current resourcing of the scheme, (5) limited capacity to support expansion of free GP care, and (6) reduced antibiotic prescribing.

conclusionsThe study highlights how introducing free GP care to a mixed private/publicly funded health system may impact on GP workload, parents' interaction with services and physician practice.

Indexed as

Attitude of Health PersonnelChildChild, PreschoolFemaleGeneral PracticeGeneral PractitionersHumansIrelandMaleParentsQualitative ResearchWorkloadChild healthGP service utilisationHealthcare policyPaediatricsPrimary health care

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.