Evidence map›Paper›PMID 32792440›Full record

ArticleBMJ open2020

Children's unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol.

Eilish McAuliffe, Moayed Hamza, Thérèse McDonnell, Emma Nicholson, Aoife De Brún, Michael Barrett, Christopher Brunsdon, Gerard Bury, Claire Collins, Conor Deasy and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 13% of its field
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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Assessing the Impact of COVID-19 Public Health Stages on Paediatric Emergency Attendance.International journal of environmental research and public health · 2020
    Article
  3. Article
  4. 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

13 authors at 4 institutions in 1 country.

Eilish McAuliffeCentre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID 0000-0002-9714-5040
Moayed HamzaSchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Thérèse McDonnellCentre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland therese.mcdonnell@ucd.ie.ORCID 0000-0002-5890-3689
Emma NicholsonCentre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID 0000-0002-6652-2552
Aoife De BrúnCentre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID 0000-0003-0124-0893
Michael BarrettPaediatric Emergency Medicine, Children's Health Ireland at Crumlin, Dublin, Co. Dublin, Ireland.ORCID 0000-0003-1775-8347
Christopher BrunsdonNational Centre for Geocomputation, National University of Ireland Maynooth, Maynooth, Ireland.ORCID 0000-0003-4254-1780
Gerard BuryUCD Centre for Emergency Medical Science, School of Medicine, University College Dublin, Dublin, Ireland.ORCID 0000-0002-4441-6724
Claire CollinsResearch Department, Irish College of General Practitioners, Dublin, Ireland.
Conor DeasyDepartment of Emergency Medicine, Cork University Hospital Group, Cork, Ireland.
John FitzsimonsEmergency Department, Children's Health Ireland at Temple St, Dublin, Ireland.
Marie GalliganUCD Centre for Clinical Research, University College Dublin, Dublin, Ireland.
Conor HenseyPaediatrics, Children's Health Ireland at Temple St, Dublin, Ireland.
University College Dublin · IEChildren's Health Ireland at Crumlin · IECork University Hospital · IENational University of Ireland, Maynooth · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this project is to determine the patterns, decision-making processes and parental preferences associated with unscheduled paediatric healthcare utilisation in Ireland. Unscheduled paediatric healthcare is outpatient care provided within primary care settings by general practitioners (GPs), emergency departments (EDs) located in paediatric and general hospitals, and out-of-hours services provided by cooperatives of GPs operating on a regional basis. This project will take a multimethod approach to analysing the utilisation of unscheduled paediatric healthcare nationally within the context of a significant change to the provision of healthcare for young children in Ireland-the introduction of free at the point of delivery GP care for all children aged under 6. METHODS AND ANALYSIS: A multimethod approach consisting of three work packages will be employed. Using patient-level data, work package 1 will describe patterns of attendance at primary care, out-of-hours medical services and at EDs. Applying a difference-in-difference methodology, the impact of the introduction of free GP care for children under 6 on attendance will be assessed. Work package 2 will explore geospatial trends of attendance at EDs, identifying disparities in ED attendance by local area and demographic characteristics. Work package 3 will employ two discrete choice experiments to examine parental preferences for unscheduled paediatric healthcare and GP decision making when referring a child to the ED. The insights gained by each of the work packages individually and collectively will inform evidence-based health policy for the organisation of paediatric care and resource allocation. ETHICS AND DISSEMINATION: Ethical approval for this research has been granted by University College Dublin, The Irish College of General Practitioners and the five participating hospitals. Results will be disseminated via publication in peer-reviewed journals, national and international conferences, and to relevant stakeholders and interest groups.

Indexed as

Emergency Medical ServicesAgedChildChild, PreschoolDecision MakingEmergency Service, HospitalHumansIrelandParentsaccident & emergency medicinehealth policyprimary care

Identifiers

PMID32792440
PMCPMC7430468
OpenAlexW3048641165

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.