PDF(Pubmed)
Abstract：
OBJECTIVE: Reductions in paediatric unscheduled healthcare utilisation were seen during the COVID-19 pandemic, with concerns around their impact on children\'s health. The reasons for these changes are not well described. This review aims to explore the factors reported by parents that influenced their decision-making around accessing paediatric unscheduled healthcare during the COVID-19 pandemic.
METHODS: Mixed methods rapid review and thematic synthesis based on the Enhancing Transparency of Reporting the Synthesis of Qualitative research framework.
METHODS: MEDLINE, Embase, Web of Science, PsycEXTRA, PsycINFO, Global Health, Global Index Medicus, Dissertations and Theses Global, Google Scholar and OAISter. Studies published from January 2020 to July 2023 were included.
METHODS: Qualitative, quantitative and mixed methods studies that assessed the perspectives of parents on decisions to access or delay or avoid accessing paediatric unscheduled healthcare during the COVID-19 pandemic.
METHODS: Nvivo 14.23.0 was used to code results the of the primary studies and develop themes, following a thematic synthesis approach.
RESULTS: Twelve studies were included, all from high-income settings, mainly in Europe. The studies were conducted across varying times and levels of COVID-19-related restrictions. The principal descriptive themes identified were (i) concerns about COVID-19 infection, (ii) balancing and navigating risks, (iii) perception of healthcare service status and conditions and (iv) perception of information and advice. These were developed into analytic themes to further describe the decision-making process.
CONCLUSIONS: Parents balanced a range of risks, concerns, advice and responsibilities when considering accessing paediatric unscheduled healthcare during the COVID-19 pandemic. External sources of advice and information were important; misconceptions around public health advice may reflect the multitude of information sources and the rapidly changing circumstances of the pandemic. Public health policy and planning should consider parent perspectives when developing measures to ensure equitable access to appropriate paediatric healthcare services.
METHODS: Mixed methods rapid review and thematic synthesis based on the Enhancing Transparency of Reporting the Synthesis of Qualitative research framework.
METHODS: MEDLINE, Embase, Web of Science, PsycEXTRA, PsycINFO, Global Health, Global Index Medicus, Dissertations and Theses Global, Google Scholar and OAISter. Studies published from January 2020 to July 2023 were included.
METHODS: Qualitative, quantitative and mixed methods studies that assessed the perspectives of parents on decisions to access or delay or avoid accessing paediatric unscheduled healthcare during the COVID-19 pandemic.
METHODS: Nvivo 14.23.0 was used to code results the of the primary studies and develop themes, following a thematic synthesis approach.
RESULTS: Twelve studies were included, all from high-income settings, mainly in Europe. The studies were conducted across varying times and levels of COVID-19-related restrictions. The principal descriptive themes identified were (i) concerns about COVID-19 infection, (ii) balancing and navigating risks, (iii) perception of healthcare service status and conditions and (iv) perception of information and advice. These were developed into analytic themes to further describe the decision-making process.
CONCLUSIONS: Parents balanced a range of risks, concerns, advice and responsibilities when considering accessing paediatric unscheduled healthcare during the COVID-19 pandemic. External sources of advice and information were important; misconceptions around public health advice may reflect the multitude of information sources and the rapidly changing circumstances of the pandemic. Public health policy and planning should consider parent perspectives when developing measures to ensure equitable access to appropriate paediatric healthcare services.
摘要：
目标：在COVID-19大流行期间，儿科计划外医疗保健利用率下降，担心它们对儿童健康的影响。这些变化的原因没有很好地描述。这篇综述旨在探讨父母报告的影响他们在COVID-19大流行期间获得儿科计划外医疗保健的决策的因素。
方法：基于增强报告透明度的混合方法快速审查和主题综合定性研究框架的综合。
方法：MEDLINE，Embase,WebofScience,PsycEXTRA,PsycINFO,全球卫生,全球指数Medicus，全球学位论文和论文，谷歌学者和OAISter。包括2020年1月至2023年7月发表的研究。
方法：定性，定量和混合方法研究，评估父母对在COVID-19大流行期间获得或延迟或避免获得儿科计划外医疗保健的决定的看法。
方法：Nvivo14.23.0用于编码主要研究的结果并开发主题，遵循主题综合方法。
结果：纳入了12项研究，都来自高收入环境，主要在欧洲。这些研究是在不同的时间和水平的COVID-19相关限制下进行的。确定的主要描述性主题是(I)对COVID-19感染的担忧，(ii)平衡和操纵风险，（iii）对医疗保健服务状况和条件的感知，以及（iv）对信息和建议的感知。这些被发展成分析主题，以进一步描述决策过程。
结论：父母平衡了一系列风险，关注,在COVID-19大流行期间考虑获得儿科计划外医疗保健时的建议和责任。外部建议和信息来源很重要；围绕公共卫生建议的误解可能反映了大量信息来源和大流行迅速变化的情况。在制定措施以确保公平获得适当的儿科医疗保健服务时，公共卫生政策和规划应考虑父母的观点。
方法：基于增强报告透明度的混合方法快速审查和主题综合定性研究框架的综合。
方法：MEDLINE，Embase,WebofScience,PsycEXTRA,PsycINFO,全球卫生,全球指数Medicus，全球学位论文和论文，谷歌学者和OAISter。包括2020年1月至2023年7月发表的研究。
方法：定性，定量和混合方法研究，评估父母对在COVID-19大流行期间获得或延迟或避免获得儿科计划外医疗保健的决定的看法。
方法：Nvivo14.23.0用于编码主要研究的结果并开发主题，遵循主题综合方法。
结果：纳入了12项研究，都来自高收入环境，主要在欧洲。这些研究是在不同的时间和水平的COVID-19相关限制下进行的。确定的主要描述性主题是(I)对COVID-19感染的担忧，(ii)平衡和操纵风险，（iii）对医疗保健服务状况和条件的感知，以及（iv）对信息和建议的感知。这些被发展成分析主题，以进一步描述决策过程。
结论：父母平衡了一系列风险，关注,在COVID-19大流行期间考虑获得儿科计划外医疗保健时的建议和责任。外部建议和信息来源很重要；围绕公共卫生建议的误解可能反映了大量信息来源和大流行迅速变化的情况。在制定措施以确保公平获得适当的儿科医疗保健服务时，公共卫生政策和规划应考虑父母的观点。
