Decision-making in complex health care situations: Shared understanding, experimenting, reflecting and learning

Reerink, Antoinette T; Bussemaker, Jet; Leerink, C Bastiaan; Kremer, J.A.M.

doi:10.1177/20534345211008741

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…The key informants further found the tool useful as an aid in both practical and medical decision making (to send the child to school or not, to test or not, to seek emergency care or not). Further analysis revealed how complex this decision-making process is as it is influenced by a myriad of non-medicalfactors ( 19 – 21 ). The importance of socio-economic status and support networks, including the role of grandparents in child care, type of profession, living space, job, and income security emerged as influencing the decision-making process and consequently the decision to follow or disregard the tool recommendations.…”

Section: Discussionmentioning

confidence: 99%

The Utility of a Pediatric COVID-19 Online Forward Triage Tool in Switzerland

Michel

Mettler²,

Starvaggi³

et al. 2022

Front. Public Health

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BackgroundTo offset the burden on the health system, hospitals set up telehealth interventions, such as online forward triage tools (OFTT). The website www.coronabambini.ch was developed to specifically address the needs of children and their families in Switzerland and to facilitate the decision to test, isolate, attend school, or access the health care system.MethodsVideo interviews were held with key informants (n = 20) from a population of parents, teachers, guardians, as well as doctors who had used the child-specific COVID-19 OFTT and had consented to a further study. Convenience and quota sampling were done to include a variety of key informants. Interviews were recorded, transcribed verbatim, and analyzed for themes.ResultsThree main themes emerged: i) the usefulness of the OFTT to the users, ii) expectation management and importance of stakeholder involvement in OFTT development, and iii) OFTT limitations.ConclusionOur study highlights opportunities, limitations, and lessons to consider when developing a pediatric COVID-19 OFTT. The involvement of stakeholders, parents, teachers, and health care providers in the design, set up, implementation, and evaluation of telehealth interventions is critical as this can help with expectation management and enhance OFTT utility.

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Section: Discussionmentioning

confidence: 99%