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Factors influencing general practitioners decisions to refer Paediatric patients to the emergency department: a systematic review and narrative synthesis.

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  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100967792 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2296 (Electronic) Linking ISSN: 14712296 NLM ISO Abbreviation: BMC Fam Pract Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2000-2021]
    • الموضوع:
      General Practitioners*; Child ; Decision Making ; Emergency Service, Hospital ; Humans ; Parents ; Referral and Consultation
    • نبذة مختصرة :
      Background: Clinical guidelines are integral to a general practitioner's decision to refer a paediatric patient to emergency care. The influence of non-clinical factors must also be considered. This review explores the non-clinical factors that may influence general practitioners (GPs) when deciding whether or not to refer a paediatric patient to the Emergency Department (ED).
      Methods: A systematic review of peer-reviewed literature published from August 1980 to July 2019 was conducted to explore the non-clinical factors that influence GPs' decision-making in referring paediatric patients to the emergency department. The results were synthesised using a narrative approach.
      Results: Seven studies met the inclusion criteria. Non-clinical factors relating to patients, GPs and health systems influence GPs decision to refer children to the ED. GPs reported parents/ caregivers influence, including their perception of severity of child's illness, parent's request for onward referral and GPs' appraisal of parents' ability to cope. Socio-economic status, GPs' aversion to risk and system level factors such as access to diagnostics and specialist services also influenced referral decisions.
      Conclusions: A myriad of non-clinical factors influence GP referrals of children to the ED. Further research on the impact of non-clinical factors on clinical decision-making can help to elucidate patterns and trends of paediatric healthcare and identify areas for intervention to utilise resources efficiently and improve healthcare delivery.
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    • Grant Information:
      NCHF-2017-009 Ireland HRBI_ Health Research Board
    • Contributed Indexing:
      Keywords: Decision-making; Non-clinical factors; Paediatric; Referrals; Unscheduled healthcare
    • الموضوع:
      Date Created: 20201017 Date Completed: 20210924 Latest Revision: 20240329
    • الموضوع:
      20240329
    • الرقم المعرف:
      PMC7568398
    • الرقم المعرف:
      10.1186/s12875-020-01277-9
    • الرقم المعرف:
      33066729