Evidence map›Paper›PMID 37338038›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2023

Parent's preferences for unscheduled paediatric healthcare: A discrete choice experiment.

Emma Nicholson, Thérèse McDonnell, Ciara Conlon, Aoife De Brún, Edel Doherty, Eilish McAuliffe

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Parent's preferences for unscheduled paediatric healthcare: A discrete choice experiment.Health expectations : an international journal of public participation in health care and health policy · 2023
    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

6 authors.

Emma NicholsonSchool of Psychology, Dublin City University, Dublin 9, Ireland.ORCID 0000-0002-6652-2552
Thérèse McDonnellUCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), UCD School of Nursing, Midwifery and Health Systems, UCD College of Health and Agricultural Sciences, Dublin, Ireland.ORCID 0000-0002-5890-3689
Ciara ConlonUCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), UCD School of Nursing, Midwifery and Health Systems, UCD College of Health and Agricultural Sciences, Dublin, Ireland.
Aoife De BrúnUCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), UCD School of Nursing, Midwifery and Health Systems, UCD College of Health and Agricultural Sciences, Dublin, Ireland.ORCID 0000-0003-0124-0893
Edel DohertyJ.E. Cairnes School of Business & Economics, National University of Ireland Galway, Galway, Ireland.
Eilish McAuliffeUCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), UCD School of Nursing, Midwifery and Health Systems, UCD College of Health and Agricultural Sciences, Dublin, Ireland.ORCID 0000-0002-9714-5040

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnscheduled healthcare is a key component of healthcare delivery and makes up a significant proportion of healthcare access, with children being particularly high users of unscheduled healthcare. Understanding the relative importance of factors that influence this behaviour and decision-making is fundamental to ensuring the system is best designed to meet the needs of users and foster appropriate cost-effective usage of health system resources.

objectiveThe aim of the study was to identify the parent's preferences for unscheduled healthcare for a common mild childhood illness.

designA discrete choice experiment (DCE) was developed to identify the preferences of parents accessing unscheduled healthcare for their children. SETTING AND

participantsData were collected from parents in Ireland (N = 458) to elicit preferences across five attributes: timeliness, appointment type, healthcare professional attended, telephone guidance before attending and cost.

resultsUsing a random parameters logit model, all attributes were statistically significant, cost (β = -5.064, 95% confidence interval, CI [-5.60, -4.53]), same-day (β = 1.386, 95% CI [1.19, 1.58]) or next-day access (β = 0.857, 95% CI [0.73, 0.98]), coupled with care by their own general practitioner (β = 0.748, 95% CI [0.61, 0.89]), identified as the strongest preferences of parents accessing unscheduled healthcare for their children. DISCUSSION: The results have implications for policy development and implementation initiatives that seek to improve unscheduled health services as understanding how parents use these services can maximise their effectiveness. PATIENT OR PUBLIC CONTRIBUTION: The development of the DCE included a qualitative research component to ensure that the content accurately reflected parents experiences when seeking healthcare. Before data collection, a pilot test was carried out with the target population to gather their views on the survey.

Indexed as

Choice BehaviorHealth FacilitiesChildHealth Services AccessibilityHumansParentsPatient PreferenceSurveys and Questionnaireschildrendiscrete choice experimentunscheduled healthcare

Identifiers

PMID37338038
PMCPMC10485340

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.