Emma Nicholson|Thérèse McDonnell|Aoife De Brún|Michael J. Barrett|Gerard Bury|Claire Collins|Conor Hensey|Éilish McAuliffe
Factors that influence family and parental preferences and decision making for unscheduled paediatric healthcare – systematic review
University College Dublin|University College Dublin|University College Dublin|National Children’s Research Centre|Children's Health Ireland at Crumlin|University College Dublin|Temple Street Children's University Hospital|University College Dublin
abstract introduction health systems offer access unscheduled care numerous routes however typically provided general practitioners gps emergency medicine doctors emergency departments eds gps outofhours gp services practitioner cooperatives unscheduled healthcare constitutes substantial portion healthcare delivery systematic review conducted establish factors influence parents decision making seeking unscheduled healthcare children systematic review question factors influence decision making parents families seeking unscheduled paediatric healthcare method five databases cinahl pubmed scopus psycinfo econlit four grey literature databases proquest lenus opengrey google scholar searched titles abstracts 3746 articles screened fulltext screening performed 177 articles fiftysix papers selected inclusion review data relating different types unscheduled health services namely primary care emergency department outofhours services extracted articles narrative approach used synthesise extracted data results several factors identified influencing parental preferences decision making seeking unscheduled healthcare children number included studies identified predisposing factors race ethnicity socioeconomic status ses impacting healthcareseeking behaviour parents unscheduled healthcare use often initiated parents perception childs condition urgent need reassurance choice unscheduled service influenced myriad factors waiting times availability gp appointments location ed relationship parent caregiver gp conclusion policy planning initiatives always reflect patients negotiate health system single entity numerous entry points altering patients behaviour public health initiatives seek improve instance health literacy reducing emergency hospital admissions preventative primary care requires understanding relative importance factors influence behaviour decision making interactions factors