Evidence map›Paper›PMID 40770307›Full record

ArticleBMC geriatrics2025

Investigating older people's preferences for an urgent care service: a discrete choice experiment.

Julie Ratcliffe, Miia Rahja, Kate Laver, Leanne Greene, Craig Whitehead, Maria Crotty, Christine Mpundu-Kaambwa

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. 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.

Julie RatcliffeCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia. julie.ratcliffe@flinders.edu.au.
Miia RahjaFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Australia.
Kate LaverCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia.
Leanne GreeneFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Australia.
Craig WhiteheadFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Australia.
Maria CrottyFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Australia.
Christine Mpundu-KaambwaMelbourne Health Economics, School of Population and Global Health, The University of Melbourne, Carlton, VIC, Australia.

Funding

Medical Research Future Fund MRF2018573
6 · The paper itself

Abstract

backgroundEmergency and urgent care, where patients perceive the need for immediate access to medical advice or treatment, comprises a large and significant component of health care delivery. Older people are over-represented in Emergency Departments (ED) and over 55% are likely to be hospitalised with extended lengths of stay. To date, little research has been conducted to assess the needs and preferences of older people concerning alternative models of urgent care. The purpose of this study was to identify older people’s preferences for key characteristics of an urgent care service as an alternative to ED presentation using discrete choice experiment methods.

methodsAttributes and levels for the Discrete Choice Experiment (DCE) were informed by older people and health care professionals with recent ED experience. Attributes included waiting time for ED admission, knowledge and training of medical professionals, the extent to which the older person is treated holistically, how the physical environment is designed to best support older people, and the level of follow-up care received. The DCE was embedded within a larger survey to assess older people’s (aged >65 years) views and preferences for alternative models of emergency and urgent care. Data were analysed using conditional and mixed logit regressions.

resultsOverall, 995 older people consented to participate and fully completed the DCE. Respondents attached the strongest relative importance to an urgent care service with reduced waiting times (within 2 hours of making the triple zero call), followed by medical professionals with specialist training in the care of older people, holistic support and regular communication updates, physical environment to support older people, and a comprehensive discharge summary and follow up. All of these attribute levels were highly statistically significant (p<0.001) in influencing preferences for the total sample and by subgroups reflecting key socio-demographic characteristics and emergency care experience.

conclusionsThis study has identified older people’s preferences for key characteristics of an urgent care service as an alternative to ED presentation. The findings will inform policymakers and practitioners in the design and configuratiCon of an optimal urgent care service model from the perspective of older people.

Indexed as

Ambulatory CareChoice BehaviorEmergency Service, HospitalPatient PreferenceAgedAged, 80 and overEmergency Room VisitsFemaleHumansMaleDiscrete choice experimentOlder people’s preferencesUrgent care service

Identifiers

PMID40770307
PMCPMC12326793

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.