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

INTRODUCTION: The 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 pract...

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Autores principales: McAuliffe, Eilish, Hamza, Moayed, McDonnell, Thérèse, Nicholson, Emma, De Brún, Aoife, Barrett, Michael, Brunsdon, Christopher, Bury, Gerard, Collins, Claire, Deasy, Conor, Fitzsimons, John, Galligan, Marie, Hensey, Conor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7430468/
https://www.ncbi.nlm.nih.gov/pubmed/32792440
http://dx.doi.org/10.1136/bmjopen-2019-036729
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author McAuliffe, Eilish
Hamza, Moayed
McDonnell, Thérèse
Nicholson, Emma
De Brún, Aoife
Barrett, Michael
Brunsdon, Christopher
Bury, Gerard
Collins, Claire
Deasy, Conor
Fitzsimons, John
Galligan, Marie
Hensey, Conor
author_facet McAuliffe, Eilish
Hamza, Moayed
McDonnell, Thérèse
Nicholson, Emma
De Brún, Aoife
Barrett, Michael
Brunsdon, Christopher
Bury, Gerard
Collins, Claire
Deasy, Conor
Fitzsimons, John
Galligan, Marie
Hensey, Conor
author_sort McAuliffe, Eilish
collection PubMed
description INTRODUCTION: The 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.
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spelling pubmed-74304682020-08-24 Children’s unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol McAuliffe, Eilish Hamza, Moayed McDonnell, Thérèse Nicholson, Emma De Brún, Aoife Barrett, Michael Brunsdon, Christopher Bury, Gerard Collins, Claire Deasy, Conor Fitzsimons, John Galligan, Marie Hensey, Conor BMJ Open Paediatrics INTRODUCTION: The 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. BMJ Publishing Group 2020-08-13 /pmc/articles/PMC7430468/ /pubmed/32792440 http://dx.doi.org/10.1136/bmjopen-2019-036729 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Paediatrics
McAuliffe, Eilish
Hamza, Moayed
McDonnell, Thérèse
Nicholson, Emma
De Brún, Aoife
Barrett, Michael
Brunsdon, Christopher
Bury, Gerard
Collins, Claire
Deasy, Conor
Fitzsimons, John
Galligan, Marie
Hensey, Conor
Children’s unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol
title Children’s unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol
title_full Children’s unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol
title_fullStr Children’s unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol
title_full_unstemmed Children’s unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol
title_short Children’s unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol
title_sort children’s unscheduled primary and emergency care in ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (cupid): project protocol
topic Paediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7430468/
https://www.ncbi.nlm.nih.gov/pubmed/32792440
http://dx.doi.org/10.1136/bmjopen-2019-036729
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