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Understanding parent preferences for NHS paediatric allergy services
Lavanya Diwakar1,2, Carole Cummins3, Tracy Roberts1
1Department of Health Economics, University of Birmingham, Birmingham, UK.
Insights
Parents prioritize formally trained allergy specialists and improved online information for pediatric allergy services. They value enhanced clinic facilities and are willing to wait longer for expert care.
Area of Science:
- Pediatric Allergy Services
- Healthcare Preferences
- Patient-Centered Care
Background:
- Understanding parent preferences is crucial for optimizing NHS pediatric allergy services.
- Current service provision may not fully align with parental expectations.
- Parental input can guide future healthcare commissioning.
Purpose of the Study:
- To investigate parental preferences regarding various attributes of pediatric allergy services.
- To determine the willingness to pay for specific service enhancements.
- To inform the development of patient-centered allergy care.
Main Methods:
- A stated preference study utilizing a discrete choice experiment.
- Online questionnaire administered to parents of children aged 16 years or younger.
- Analysis of preferences for clinician expertise, information provision, facilities, waiting times, and costs.
Main Results:
- Strong preference for formally trained allergy specialists (consultants or nurses) over those without formal training.
- Significant willingness to pay for improved online allergy information and additional clinic facilities (dietitian, eczema support).
- Parents indicated a willingness to wait longer for appointments with trained practitioners.
Conclusions:
- Parental preferences strongly favor specialized expertise and enhanced resources in pediatric allergy clinics.
- Improved online information and integrated support services are highly valued by parents.
- Findings have direct implications for the commissioning and design of future pediatric allergy services in the UK.
Objectives:
To understand parent preferences for NHS paediatric allergy services.
Design:
A stated preference study (discrete choice experiment).
Setting:
West Midlands, UK.
Participants:
A sample of parents of children aged 16 years or younger recruited from the general population through a third party company approved by the University of Birmingham.
Intervention:
An online questionnaire with 18 choice questions describing two hypothetical paediatric allergy specialist clinics described in terms of the clinician, information provision, additional facilities, waiting times and out of pocket expenses. Main outcome measures Preference and willingness to pay estimates for each of the specified attributes.
Results:
Parents strongly preferred that their children be reviewed by consultants or specialist nurses formally trained in allergy compared with consultants with no formal allergy training [Willingness to pay (WTP) estimates for nurse specialist £150.9 (138.8-163.2), trained allergy consultants £218.7 (205.7-231.9), compared with consultants without formal training]. They were willing to wait longer to see trained practitioners. Parents also expressed a strong preference for improving online information regarding allergies [WTP for written information £18.4 (6.1-30.6) and £72.6 for improved online information (59.9-85.3), compared with verbal information]. Specialist clinics with additional dietician and eczema support were also preferred [WTP £29.9 (19.8-40.1), compared with no additional support].
Conclusions:
Parents showed strong preference for formally trained practitioners in specialist allergy clinics. Access to improved online allergy information and additional facilities within allergy clinics were also preferred. These findings have implications for future commissioning of paediatric allergy services in the UK.
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