Physician and Parental Decision-Making Prior to Acute Medical Paediatric Admission

Healthcare
Rebecca Barwise-MunroSteve Turner

Abstract

The number of acute medical paediatric emergency admissions is rising. We undertook qualitative interviews with parents and clinicians to better understand what factors, other than the health status of the child, may influence decision making leading to emergency admission. Semi-structured interviews were conducted with parents; clinicians working in general practice, out-of-hours or the emergency department (referring clinicians); and doctors working in acute medical paediatrics (receiving clinicians). Ten parents, 7 referring clinicians and 10 receiving clinicians were interviewed. Parents described "erring on the side of caution" when seeking medical opinion and one mentioned anxiety. Among themes seen among referring clinicians, "erring on the side of caution" was also identified as was managing "parental anxiety" and acting on "gut instinct". Among receiving clinicians, themes included managing parental anxiety and increasing parental expectations of the health service. The study of parent and referring clinician decision-making prior to a hospital admission can identify "teachable moments" where interventions might be delivered to slow or even arrest the rise in short-stay acute medical admissions in Britain and other cou...Continue Reading

References

Jul 3, 2003·Pediatrics·Aida BiancoItalo F Angelillo
Feb 9, 2006·Archives of Disease in Childhood·M Kamper-JørgensenC S Benn
Feb 24, 2006·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Christopher B ForrestBarbara Starfield
Mar 30, 2006·BMC Family Practice·Ann Van den BruelFrank Buntinx
Nov 26, 2008·Paediatrics & Child Health·Adam ChengVincent J Grant
Feb 1, 2012·Medical Teacher·Sarah YardleyTim Dornan
Feb 2, 2012·Archives of Disease in Childhood·Jo Thompson CoonStuart Logan
Sep 28, 2012·BMJ : British Medical Journal·Ann Van den BruelDavid Mant

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