Factors that affect GP referral of a child with intellectual disability for a mild illness: A discrete choice experiment

被引:1
作者
Nicholson, Emma [1 ,2 ,7 ]
McDonnell, Therese [2 ]
Conlon, Ciara [2 ,6 ]
De Brun, Aoife [2 ]
Doherty, Edel [3 ]
Collins, Claire [4 ]
Bury, Gerard [5 ]
McAuliffe, Eilish [2 ]
机构
[1] Dublin City Univ, Sch Psychol, Dublin, Ireland
[2] Univ Coll Dublin, UCD Coll Hlth & Agr Sci, UCD Ctr Interdisciplinary Res, UCD Sch Nursing Midwifery & Hlth Syst,Educ & Innov, Dublin, Ireland
[3] Natl Univ Ireland Galway, JE Cairnes Sch Business & Econ, Galway, Ireland
[4] Irish Coll Gen Practitioners, Dublin, Ireland
[5] Univ Coll Dublin, UCD Coll Hlth & Agr Sci, UCD Sch Med, Dublin, Ireland
[6] Univ Dublin, Trinity Coll Dublin, Acad Affairs Off, Dublin, Ireland
[7] Dublin City Univ, Sch Psychol, Glasnevin Campus, Dublin, Ireland
关键词
children; emergency department; intellectual disabilities; primary care; HEALTH-CARE; PEOPLE; INDIVIDUALS; DISPARITIES; ADMISSIONS; EMERGENCY; IRELAND; RATES;
D O I
10.1111/jar.13143
中图分类号
G44 [教育心理学];
学科分类号
0402 ; 040202 ;
摘要
BackgroundGeneral practitioners (GP) report multiple challenges when treating individuals with intellectual disabilities which may influence referral rates. The study aimed to establish factors that influence GP's decision-making when referring a child with intellectual disabilities to the emergency department. MethodDiscrete choice experiments (DCEs) are increasingly used in health research to further understand complex decision making. A DCE was designed to assess the relative importance of factors that may influence a GP's (N = 157) decision to refer. ResultsA random parameters model indicated that perceived limited parental capacity to manage an illness was the most important factor in the decision to refer a child to the ED, followed by a repeat visit, a referral request from the parent, and a Friday afternoon appointment. ConclusionUnderstanding the factors that influence referral is important for service improvement and to strengthen primary care provision for this population and their families.
引用
收藏
页码:1241 / 1250
页数:10
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