The impact of demand management strategies on parents’ decision-making for out-of-hours primary care: findings from a survey in The Netherlands

Giesen, Marie-Jeanne; Keizer, Ellen; Pol, Julia van de; Knoben, Joris; Wensing, Michel; Giesen, Paul

doi:10.1136/bmjopen-2016-014605

Cited by 7 publications

(10 citation statements)

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“…Yet, the effectiveness of patient education is debatable [37]. Furthermore, parents with one child were found to have higher use, and other information sources targeting this group (such as apps or help lines) could be investigated [3, 38].…”

Section: Discussionmentioning

confidence: 99%

Factors related to out-of-hours help-seeking for acute health problems: a survey study using case scenarios

Keizer

Christensen²,

Carlsen³

et al. 2019

BMC Public Health

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BackgroundThe acute out-of-hours healthcare services are challenged by increasing demand in many countries. We aimed to examine factors influencing the intended help-seeking in out-of-hours care for acute health problems during evenings, nights, and weekends.MethodsWe conducted a survey study based on data from parents of children (aged 0–4 years) and adults (aged 30–39 and 50–59 years) in Denmark, the Netherlands and Switzerland. Intended help-seeking behaviour was measured by six hypothetical case scenarios. We used Andersen’s Behavioural Model to categorise potentially influential factors and applied multiple binomial regression to assess the influence of selected factors.ResultsA total of 1015 parents and 2942 adults participated. We identified several significant influential factors. Parents holding a low education (OR 1.56), having migrant background (western: OR 1.23; non-western: OR 1.93), having one child (OR 1.24), perceiving few barriers to using out-of-hours primary care (OR 1.59), perceiving difficulties with organising childcare (OR 1.13), and having a history of frequent contacts with out-of-hours care (OR 1.55) were more inclined to contact out-of-hours care, whereas female (OR 0.85) and non-anxious parents (OR 0.77) were less inclined. Adults who were older (OR 1.01), holding a medical education (OR 1.13), having non-western background (OR 1.28), being unemployed (OR 1.17), perceiving few barriers to using out-of-hours primary care (OR 1.37), and having a history of frequent contacts with a GP (few: OR 1.15; more: OR 1.22) and/or with out-of-hours care (one: OR 1.20; more: OR 1.49) were more inclined to contact out-of-hours care, whereas adults with no or little social support (OR 0.84) and adults with high health literacy level on health information (OR 0.91) were less inclined. Dutch parents were less inclined than Danish parents to contact out-of-hours care (OR 0.62), whereas Swiss adults were more inclined than Danish adults to contact out-of-hours care (OR 1.16).ConclusionWe identified several factors related to intended help-seeking in out-of-hours care. These results could be used to develop targeted interventions, but more research is needed to examine the underlying explanations for the identified differences.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6332-6) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Factors related to out-of-hours help-seeking for acute health problems: a survey study using case scenarios

Keizer

Christensen²,

Carlsen³

et al. 2019

BMC Public Health

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“…Психологическое принятие заболевания ребенка может также привести к изменению интерпретации жалоб. Потребность родителя в поиске интернетресурсов пропорциональна тяжести заболевания ребенка, что было показано в работах M. Giesen et al и C. Sebelefsky et al [11,15]. В связи с этим возможно, что детей с медиаторными реакциями, а также с тяжелым течением мастоцитоза в описанной группе было больше, чем в популяции.…”

Section: Discussionunclassified

“…Одно из самых опасных проявлений мастоцитоза -массивная дегрануляция ТК с анафилактическим шоком [8,9]. В связи с многолетним, склонным к спонтанному регрессу доброкачественным течением, в задачи наблюдающего врача входит подбор симптоматического лечения, а также консультации родственников по поводу организации семейного быта, питания, вакцинации, медицинской помощи, летнего отдыха и другим вопросам [7,[11][12][13].…”

Section: Introductionunclassified

The clinical course of cutaneous mastocytosis in a prospective group of 163 children according to electronic parent survey

Потапенко

Бойченко

Заславский

et al. 2021

Ross. ž. det. gematol. onkol.

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Introduction. Mastocytosis occurs due to clonal mast cells proliferation and may have different clinical course. As the disease only rarely occurs in pediatric population there are very few clinical observations describing its symptoms, prognosis and therapy response in pediatric cohorts.Aim of the study — characterization of gender, sympthoms, prognosis and therapy in children with mastocytosis using data obtained by electronic parent survey.Methods. The study data was collected from November 2014 till August 2020 from parents referring for consultation of hematologist via “Vkontakte” social network. All parents completed two surveys. The first one was performed right after the referral, the second one was performed from May 2020 to August 2020. The data on age at symptoms onset, family history, symptoms, rash distribution, serum tryptase concentrations, sunlight sensitivity and clinical course was obtained and analyzed.Results. The data on 163 children was obtained, 86 (52.7 %) of them were boys and 77(47.3 %) were girls. The median age was 6 (0.5—22) years. At the end of survey the median observation time was 61.5 (2—276) months. The most common mastocytosis clinical variant was urticaria pigmentosa (n = 129; 79.1 %), mastocytoma in 18 (11 %) and in 15 (9.9 %) an unknown variant was observed. The diagnosis was based on skin biopsy in 19 patients (11.6 %). Characteristic symptoms were seen in 123 (75.4 %) children. The main complaints were skin reaction triggered by various factors (n = 89; 72.3 %) and itching (n = 78; 63.4 %). Most patients took antihistamines (n = 64; 61 %) and ketotifen (n = 22; 21 %). The second survey was conducted in 139 (85.2 %) pts. At the time of survey symptoms progression was seen in 4 (2.9 %) patients, while in 42 (30.2 %) cases stabilization, and in 93 (66.9 %) cases improvement were observed.Conclusion. The symptoms onset mostly occurs in the first year of life. Most frequents symptoms are itching and rash in response to various triggers. Antihistamine drugs led to symptoms mitigation. The clinical course is benign in most children.

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“…Demand management strategies are aimed at one or several of the following goals: (1) increase or decrease demand, (2) change the timing of the demand, and (3) rechannel demand to other resources [ 41 , 44 – 46 ]. Focusing on different client segments for different demand periods is a demand strategy [ 47 , 48 ], for example, dividing patients for walk-in visits and scheduled appointments [ 46 ] or into online and in-person visits [ 49 ]. Informing and educating customers constitute another demand management strategy that focuses on informing customers about peak and slack demand periods so they can make informed decisions about when to seek service [ 50 , 51 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of distance monitoring service in managing healthcare demand: a case study through the lens of cocreation

Enam

Dreyer

Boer

2022

BMC Health Serv Res

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Background There is a consensus among healthcare providers, academics, and policy-makers that spiraling demand and diminishing resources are threatening the sustainability of the current healthcare system. Different telemedicine services are seen as potential solutions to the current challenges in healthcare. This paper aims to identify how distance monitoring services rendered for patients with chronic conditions can affect the escalating demand for healthcare. First, we identify how distance monitoring service changes the care delivery process using the lens of service cocreation. Next, we analyze how these changes can impact healthcare demand using the literature on demand and capacity management. Method In this qualitative study, we explore a distance monitoring service in a primary healthcare setting in Norway. We collected primary data from nurses and general physicians using the semi-structured interview technique. We used secondary patient data collected from a study conducted to evaluate the distance monitoring project. The deductive content analysis method was used to analyze the data. Result This study shows that the application of distance monitoring services changes the care delivery process by creating new activities, new channels for interaction, and new roles for patients, general physicians, and nurses. We define patients’ roles as proactive providers of health information, general physicians’ roles as patient selectors, and nurses’ roles as technical coordinators, data workers, and empathetic listeners. Thus, the co-creation aspect of the service becomes more prominent demonstrating potential for better management of healthcare demand. However, these changes also render the management of demand and resources more complex. To reduce the complexities, we propose three mechanisms: foreseeing and managing new roles, developing capabilities, and adopting a system-wide perspective. Conclusion The main contribution of the paper is that it demonstrates that, although distance monitoring services have the potential to have a positive impact on healthcare demand management, in the absence of adequate managerial mechanisms, they can also adversely affect healthcare demand management. This study provides a means for practitioners to reflect upon and refine the decisions that they make regarding telemedicine deployment and resource planning for delivering care.

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The impact of demand management strategies on parents’ decision-making for out-of-hours primary care: findings from a survey in The Netherlands

Cited by 7 publications

References 18 publications

Factors related to out-of-hours help-seeking for acute health problems: a survey study using case scenarios

Factors related to out-of-hours help-seeking for acute health problems: a survey study using case scenarios

The clinical course of cutaneous mastocytosis in a prospective group of 163 children according to electronic parent survey

Impact of distance monitoring service in managing healthcare demand: a case study through the lens of cocreation

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