Nicholson Emma, McDonnell Therese, Hamza Moayed, Barrett Michael, Brunsdon Christopher, Bury Gerard, Charlton Martin, Collins Claire, Deasy Conor, De Brun Aoife, Fitzsimons John, Galligan Marie, Hensey Conor, Kiernan Fiona, McAuliffe Eilish
UCD School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.
Chilren's Health Ireland at Crumlin, Dublin 12, Ireland.
HRB Open Res. 2019 Jun 14;2:11. doi: 10.12688/hrbopenres.12897.2. eCollection 2019.
There is a plethora of factors that dictate where parents and families choose to seek unscheduled healthcare for their child; and the complexity of these decisions can present a challenge for policy makers and healthcare planners as these behaviours can have a significant impact on resources in the health system. The systematic review will seek to identify the factors that influence parents' and families' preferences and decision making when seeking unscheduled paediatric healthcare. Five databases will be searched for published studies (CINAHL, PubMed, SCOPUS, PsycInfo, EconLit) and grey literature will also be searched. Inclusion and exclusion criteria will be applied and articles assessed for quality. A narrative approach will be used to synthesise the evidence that emerges from the review. By collating the factors that influence decision-making and attendance at these services, the review can inform future health policies and strategies seeking to expand primary care to support the provision of accessible and responsive care. The systematic review will also inform the design of a discrete choice experiment (DCE) which will seek to determine parental and family preferences for unscheduled paediatric healthcare. Policies such as Sláintecare that seek to expand primary care and reduce hospital admissions from emergency departments need to be cognisant of the nuanced and complex factors that govern patients' behaviour.
有过多因素决定了父母和家庭会选择在哪里为孩子寻求非预约医疗服务；这些决策的复杂性可能给政策制定者和医疗规划者带来挑战，因为这些行为会对卫生系统的资源产生重大影响。该系统评价将试图找出在寻求非预约儿科医疗服务时影响父母和家庭偏好及决策的因素。将检索五个数据库以查找已发表的研究（CINAHL、PubMed、SCOPUS、PsycInfo、EconLit），还将检索灰色文献。将应用纳入和排除标准，并对文章质量进行评估。将采用叙述性方法来综合评价中得出的证据。通过整理影响这些服务决策和就诊的因素，该评价可为未来旨在扩大初级保健以支持提供可及且响应性医疗服务的卫生政策和战略提供参考。该系统评价还将为一项离散选择实验（DCE）的设计提供参考，该实验将试图确定父母和家庭对非预约儿科医疗服务的偏好。像Sláintecare这样旨在扩大初级保健并减少急诊科住院人数的政策需要认识到影响患者行为的细微且复杂的因素。
