The role of contextual factors in decision-making by General Practitioners on paediatric referral to the Emergency Department in Ireland: A Discrete Choice Experiment

McDonnell, Thérèse; Nicholson, Emma; Bury, Gerard; Collins, Claire; Conlon, Catherine; Brún, Aoife De; Doherty, Edel; McAuliffe, Éilish

doi:10.1016/j.healthpol.2023.104813

Cited by 1 publication

(1 citation statement)

References 26 publications

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“…Participants were invited to take part in the study through an email to 3050 members. Data collection for the present study was combined with an aligned DCE study (McDonnell et al, 2023) and participants who agreed to take part were randomly assigned to one of the two studies. Overall, 299 GPs agreed to take part in the studies and of this sample, 157 were presented with the DCE for the current study, while the remainder took part in the other study.…”

Section: Participant Recruitment and Data Collectionmentioning

confidence: 99%

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

Nicholson,

McDonnell,

Conlon

et al. 2023

Research Intellect Disabil

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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.

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Section: Participant Recruitment and Data Collectionmentioning

confidence: 99%