Children’s unscheduled primary and emergency care in Ireland: decision making, trends, outcomes and parental perspectives (CUPID)

Project’s duration: 01-Sep-18 to 31-Aug-21

The project is funded by Health Research Board (HRB). Programme for funding: National Children’s Hospital Foundation Scheme 2017

Project’s Description: 

The question that this programme of research aims to answer is: What are the patterns, outcomes, decision making processes and parental preferences associated with paediatric healthcare utilisation in Ireland and what is the impact of the introduction of free GP care for the under 6 years old cohort? We propose to address these questions by pairing methodological rigour with a patient-centred approach that accounts for the perspectives of parents and frontline staff. We aim to explore spatial and temporal patterns of utilisation, patient outcomes and the decision making processes of both parents and general practitioners.

The aim of this project is to develop a thorough understanding of the current model of paediatric unscheduled healthcare provision in Ireland and the impact of recent policy interventions. The insights gained by this research can inform evidence-based health policy for the organisation of paediatric care and resource allocation. It will assess the effectiveness of the current model of healthcare delivery and identify opportunities for improvement or intervention by building on international experiences while appreciating the specific contextual differences in the Irish setting.

Collaborators

CUPID is a collaborative research project with partners including the UCD School of Medicine, Maynooth University, Cork University Hospital, CHI at Crumlin, CHI at Temple St, CHI at Tallaght and the Irish College of General Practitioners.

Email us on CUPID@ucd.ie  I  cupiducd@healthmail.ie Connect with us on Twitter #@CUPIDireland

Publications:

  • Project Protocol

McAuliffe E, Hamza M, McDonnell T, Nicholson E, DeBrún A, Barrett, M, Brunsdon C, Bury G, Collins C, Deasy C, Fitzsimons J, Galligan M, Hensey C. Children’s unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol. BMJ Open 2020; 10:e036729. doi: 10.1136/bmjopen-2019-036729  https://bmjopen.bmj.com/content/10/8/e036729

  • Parental Preferences for Unscheduled Healthcare: Systematic Review Protocol

Nicholson E, McDonnell T, Hamza M, DeBrún A, Barrett, M, Brunsdon C, Bury G, Charlton M, Collins C, Deasy C, Fitzsimons J, Galligan M, Hensey C, Kiernan F, McAuliffe E. Factors that influence family and parental preferences and decision making for unscheduled paediatric healthcare: a systematic review protocol [version 2; peer review: 2 approved]. HRB Open Res 2019, 2:11 https://doi.org/10.12688/hrbopenres.12897.2

  • Parental Preferences for Unscheduled Healthcare: Systematic Review

Nicholson E, McDonnell T, De Brún A, Barrett M, Bury G, Collins C, Hensey C, McAuliffe E. Factors that influence family and parental preferences and decision making for unscheduled paediatric healthcare – systematic review. BMC Health Serv Res 20, 663 (2020). https://doi.org/10.1186/s12913-020-05527-5

  • GPs decisions to refer Paediatric patients to the emergency department: Systematic Review and Narrative Synthesis

Conlon C, Nicholson E, Rodríguez-Martin B, O’Donovan R, DeBrún A, McDonnell T, Bury G, McAuliffe E . Factors influencing general practitioners decisions to refer Paediatric patients to the emergency department: a systematic review and narrative synthesis. BMC Fam Pract 21, 210 (2020).  https://bmcfampract.biomedcentral.com/articles/10.1186/s12875-020-01277-9

  • Impact of Free GP care for children aged under 6 on Emergency Department attendance

Policy of free GP care for children under 6 years: the impact on Emergency Department attendance. Social Science & Medicine. June 2021.  Volume 279,113988, ISSN 0277-9536,  

McDonnell T, Nicholson E, Barrett M, Bury G, Collins C, Cummins F, Deasy C, Denny K, De Brún A, Hensey C, McAuliffe E,

https://www.sciencedirect.com/science/article/pii/S0277953621003208?via%3Dihub