Massou Efthalia, Basher Mike, Bennett Sophie D, Ford Tamsin, Gandhi Saheli, Heyman Isobel, Magnusson Josefine, Mehta Raj, Ng Pei Li, O'Curry Sara, Ramsay Angus I G, Fulop Naomi J, Morris Stephen
Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, CB1 8RN, UK.
Cambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn, Cambridge, CB21 5EF, UK.
BMC Health Serv Res. 2025 Jan 3;25(1):11. doi: 10.1186/s12913-024-12157-8.
Given the increasing recognition of the value of greater integration of physical and mental health services for children and young people, we aimed to evaluate preferences among parents for the characteristics associated with integrated health service provision for two conditions (eating disorders, functional symptom disorders).
Two discrete choice experiments (DCEs) were conducted, using electronic surveys. Participants were adult parents of children and young people. Choice scenarios were based on five attributes for the eating disorders study, and four attributes for the functional symptom disorders study.
Two hundred parents participated in each DCE. For eating disorders, days missed from school in the last year was the attribute valued most highly, followed by days in hospital in the last year, costs to the NHS, functioning, and interaction with peers with eating disorders. Respondents were willing to trade £531 of costs to the NHS for one less day missed from school. For functional symptom disorders, time to diagnosis was valued most highly, followed by days missed from school while obtaining a diagnosis, reservations about seeing a mental health practitioner, and costs of diagnosis to the NHS. Respondents were willing to trade £4237 of costs to the NHS to wait one month less for a diagnosis.
Respondents' preferences were largely consistent with the planned goals of integrating physical and mental health services. Our findings show the factors which ought to be considered when designing new integrated pathways and evaluating them.
鉴于越来越多的人认识到为儿童和青少年提供更综合的身心健康服务的价值，我们旨在评估家长对与两种疾病（饮食失调、功能性症状障碍）综合健康服务提供相关特征的偏好。
使用电子调查进行了两项离散选择实验（DCE）。参与者是儿童和青少年的成年家长。选择场景基于饮食失调研究的五个属性和功能性症状障碍研究的四个属性。
每项DCE有200名家长参与。对于饮食失调，去年缺课天数是最受重视的属性，其次是去年住院天数、英国国家医疗服务体系（NHS）的费用、功能以及与患有饮食失调症的同龄人互动。受访者愿意为少缺课一天而放弃NHS的531英镑费用。对于功能性症状障碍，诊断所需时间最受重视，其次是诊断期间缺课天数、对看心理健康从业者的顾虑以及NHS的诊断费用。受访者愿意为少等一个月诊断而放弃NHS的4237英镑费用。
受访者的偏好与整合身心健康服务的计划目标在很大程度上一致。我们的研究结果表明了在设计新的综合路径并对其进行评估时应考虑的因素。
