IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v132y2023ics0168851023000982.html
   My bibliography  Save this article

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

Author

Listed:
  • McDonnell, Thérèse
  • Nicholson, Emma
  • Bury, Gerard
  • Collins, Claire
  • Conlon, Ciara
  • De Brún, Aoife
  • Doherty, Edel
  • McAuliffe, Eilish

Abstract

A General Practitioner's (GP) decision to refer a patient to the emergency department (ED) requires consideration of a multitude of factors, and significant variation in GP referral patterns to secondary care has been recorded. This study examines the contextual factors that influence GPs when referring a paediatric patient with potentially self-limiting clinical symptoms to the ED.

Suggested Citation

  • McDonnell, Thérèse & Nicholson, Emma & Bury, Gerard & Collins, Claire & Conlon, Ciara & De Brún, Aoife & Doherty, Edel & McAuliffe, Eilish, 2023. "The role of contextual factors in decision-making by General Practitioners on paediatric referral to the Emergency Department in Ireland: A Discrete Choice Experiment," Health Policy, Elsevier, vol. 132(C).
    • Handle: RePEc:eee:hepoli:v:132:y:2023:i:c:s0168851023000982
    DOI: 10.1016/j.healthpol.2023.104813
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851023000982
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2023.104813?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. McDonnell, Thérèse & Nicholson, Emma & Bury, Gerard & Collins, Claire & Conlon, Ciara & Denny, Kevin & O'Callaghan, Michael & McAuliffe, Eilish, 2022. "Policy of free GP care for children under 6 years: The impact on daytime and out-of-hours general practice," Social Science & Medicine, Elsevier, vol. 296(C).
    2. Emily Lancsar & Jordan Louviere, 2008. "Conducting Discrete Choice Experiments to Inform Healthcare Decision Making," PharmacoEconomics, Springer, vol. 26(8), pages 661-677, August.
    3. Walsh, Brendan & Nolan, Anne & Brick, Aoife & Keegan, Conor, 2019. "Did the expansion of free GP care impact demand for Emergency Department attendances? A difference-in-differences analysis," Social Science & Medicine, Elsevier, vol. 222(C), pages 101-111.
    4. Arne Risa Hole, 2007. "Fitting mixed logit models by using maximum simulated likelihood," Stata Journal, StataCorp LP, vol. 7(3), pages 388-401, September.
    5. Christopher B. Forrest & Paul A. Nutting & Sarah von Schrader & Charles Rohde & Barbara Starfield, 2006. "Primary Care Physician Specialty Referral Decision Making: Patient, Physician, and Health Care System Determinants," Medical Decision Making, , vol. 26(1), pages 76-85, January.
    6. Joanna Coast & Hareth Al‐Janabi & Eileen J. Sutton & Susan A. Horrocks & A. Jane Vosper & Dawn R. Swancutt & Terry N. Flynn, 2012. "Using qualitative methods for attribute development for discrete choice experiments: issues and recommendations," Health Economics, John Wiley & Sons, Ltd., vol. 21(6), pages 730-741, June.
    7. Gregory Merlo & Mieke Driel & Lisa Hall, 2020. "Systematic review and validity assessment of methods used in discrete choice experiments of primary healthcare professionals," Health Economics Review, Springer, vol. 10(1), pages 1-9, December.
    8. McCormick, Barry & Nicodemo, Catia & Redding, Stuart, 2021. "Will policy to constrain GP referrals damage health? Evidence using practice level NHS emergency admissions administrative data," Social Science & Medicine, Elsevier, vol. 270(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Carlsen, Benedicte & Hole, Arne Risa & Kolstad, Julie Riise & Norheim, Ole Frithjof, 2012. "When you can’t have the cake and eat it too," Social Science & Medicine, Elsevier, vol. 75(11), pages 1964-1973.
    2. Emma L Giles & Frauke Becker & Laura Ternent & Falko F Sniehotta & Elaine McColl & Jean Adams, 2016. "Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-19, June.
    3. Rachel Milte & Julie Ratcliffe & Gang Chen & Michelle Miller & Maria Crotty, 2018. "Taste, choice and timing: Investigating resident and carer preferences for meals in aged care homes," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 116-124, March.
    4. Pestana, Joana & Frutuoso, João & Costa, Eduardo & Fonseca, Filipa, 2024. "Heterogeneity in physician's job preferences in a dual practice context – Evidence from a DCE," Social Science & Medicine, Elsevier, vol. 343(C).
    5. Sydenham, Rikke Vognbjerg & Jarbøl, Dorte Ejg & Hansen, Malene Plejdrup & Justesen, Ulrik Stenz & Watson, Verity & Pedersen, Line Bjørnskov, 2022. "Prescribing antibiotics: Factors driving decision-making in general practice. A discrete choice experiment," Social Science & Medicine, Elsevier, vol. 305(C).
    6. Angell, Blake & Onwujekwe, Obinna & Roy, Pallavi & Nwokolo, Chukwudi & McKee, Martin & Mandeville, Kate & Obodoechi, Divine & Agwu, Prince & Odii, Aloysius & Orjiakor, Charles & Hutchinson, Eleanor & , 2023. "Designing feasible anti-corruption strategies in the Nigerian health system: A latent class analysis of a discrete choice experiment," World Development, Elsevier, vol. 166(C).
    7. Haghani, Milad & Bliemer, Michiel C.J. & Hensher, David A., 2021. "The landscape of econometric discrete choice modelling research," Journal of choice modelling, Elsevier, vol. 40(C).
    8. Wang, Sophie Y. & Cantarelli, Paola & Groene, Oliver & Stargardt, Tom & Belle, Nicola, 2023. "Patient expectations do matter - Experimental evidence on antibiotic prescribing decisions among hospital-based physicians," Health Policy, Elsevier, vol. 128(C), pages 11-17.
    9. Spinks, Jean & Mortimer, Duncan, 2015. "The effect of traffic lights and regulatory statements on the choice between complementary and conventional medicines in Australia: Results from a discrete choice experiment," Social Science & Medicine, Elsevier, vol. 124(C), pages 257-265.
    10. Blake, Miranda R. & Lancsar, Emily & Peeters, Anna & Backholer, Kathryn, 2019. "Sugar-sweetened beverage price elasticities in a hypothetical convenience store," Social Science & Medicine, Elsevier, vol. 225(C), pages 98-107.
    11. Sivey, Peter & Scott, Anthony & Witt, Julia & Joyce, Catherine & Humphreys, John, 2012. "Junior doctors’ preferences for specialty choice," Journal of Health Economics, Elsevier, vol. 31(6), pages 813-823.
    12. Pierre-Alexandre Mahieu & Henrik Andersson & Olivier Beaumais & Romain Crastes & François-Charles Wolff, 2014. "Is Choice Experiment Becoming more Popular than Contingent Valuation? A Systematic Review in Agriculture, Environment and Health," Working Papers 2014.12, FAERE - French Association of Environmental and Resource Economists.
    13. Que, Sisi & Awuah-Offei, Kwame & Weidner, Nathan & Wang, Yumin, 2017. "Discrete choice experiment validation: A resource project case study," Journal of choice modelling, Elsevier, vol. 22(C), pages 39-50.
    14. Emily Lancsar & Peter Burge, 2014. "Choice modelling research in health economics," Chapters, in: Stephane Hess & Andrew Daly (ed.), Handbook of Choice Modelling, chapter 28, pages 675-687, Edward Elgar Publishing.
    15. Susana Oliveira & Lígia M. Costa Pinto, 2021. "Choice experiments to elicit the users’ preferences for coastal erosion management: the case of Praia da Amorosa," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 23(7), pages 9749-9765, July.
    16. Walsh, Sharon & O'Shea, Eamon & Pierse, Tom & Kennelly, Brendan & Keogh, Fiona & Doherty, Edel, 2020. "Public preferences for home care services for people with dementia: A discrete choice experiment on personhood," Social Science & Medicine, Elsevier, vol. 245(C).
    17. Claudia Molema & Jorien Veldwijk & Wanda Wendel-Vos & Ardine de Wit & Ien van de Goor & Jantine Schuit, 2019. "Chronically ill patients’ preferences for a financial incentive in a lifestyle intervention. Results of a discrete choice experiment," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-15, July.
    18. Chen, Gang & Ratcliffe, Julie & Milte, Rachel & Khadka, Jyoti & Kaambwa, Billingsley, 2021. "Quality of care experience in aged care: An Australia-Wide discrete choice experiment to elicit preference weights," Social Science & Medicine, Elsevier, vol. 289(C).
    19. Mamine, Fateh & Fares, M'hand & Minviel, Jean Joseph, 2020. "Contract Design for Adoption of Agrienvironmental Practices: A Meta-analysis of Discrete Choice Experiments," Ecological Economics, Elsevier, vol. 176(C).
    20. Plaxcedes Chiwire & Charlotte Beaudart & Silvia M. Evers & Hassan Mahomed & Mickaël Hiligsmann, 2022. "Enhancing Public Participation in Public Health Offerings: Patient Preferences for Facilities in the Western Cape Province Using a Discrete Choice Experiment," IJERPH, MDPI, vol. 19(1), pages 1-26, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:132:y:2023:i:c:s0168851023000982. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.