Justin S Nichols, Tassos C Kyriakides, Sampson Antwi, Lorna Renner, Margaret Lartey, Obedia A Seaneke, Raphael Obeng, Ann C Catlin, Geliang Gan, Nancy R Reynolds, Elijah Paintsil
High prevalence of non-adherence to antiretroviral therapy among undisclosed HIV-infected children in Ghana
AIDS care
identify prioritise interventions perspectives parents health professionals may alternatives current unscheduled paediatric urgent care pathways flamingo flow admissions children young people sequential mixedmethods study public patient involvement ppi throughout data linkage urgent admissions three referral sources emergency department hours service general practice followed qualitative interviews parents professionals findings presented discussed stakeholder intervention prioritisation event national health service scotland uk quantitative data children urgent medical admission hospital 2015 2017 qualitative interviews parents health professionals experiences urgent short stay hospital admissions children ppi engagement conducted nine parenttoddler groups universitybased ppi advisory group stakeholder event parents health professionals representatives scottish government academia charities ppi attended data 171 039 admissions included 92 229 short stay admissions analysed 48 health professionals 21 parents interviewed stakeholder event included 7 parents 12 health professionals 28 stakeholders analysis synthesis data identified seven interventions prioritised stakeholder event 1 addressing gaps acute paediatric skills health professionals working community settings 2 assessment observation acutely unwell children community settings 3 creation holistic childrens hubs 4 adoption hospital home models three specialised care pathways subgroups children 5 convulsions 6 aged 2 years old 7 wheezebronchiolitis stakeholders prioritised interventions 1 2 3 could combined whole population intervention barriers progressing include resources staffing rurality health professionals families want future interventions patientcentred communitybased aligned outcomes matter