Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment.

Autor: Massou E; Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, CB1 8RN, UK. em716@cam.ac.uk., Basher M; Cambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn, Cambridge, CB21 5EF, UK., Bennett SD; UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.; Institute of Psychiatry, Psychology & Neuroscience, King's College London, De'Crespigny Park, London, SE5 8AF, UK., Ford T; Department of Psychiatry, Hershel Smith Building Cambridge Biomedical Campus, Cambridge, CB2 0SZ, UK., Gandhi S; Department of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK., Heyman I; UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.; Cambridge Children's Hospital Project Team, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, UK.; Paediatric Psychological Medicine, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, UK., Magnusson J; Department of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.; Department of Women and Children's Health, King's College London, St Thomas' Hospital, Westminster Bridge Road, London, SE1 7EH, UK., Mehta R; Patient representative, London, UK., Ng PL; Department of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK., O'Curry S; Cambridge Children's Hospital Project Team, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, UK.; Paediatric Psychological Medicine, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, UK., Ramsay AIG; Department of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK., Fulop NJ; Department of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK., Morris S; Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, CB1 8RN, UK.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2025 Jan 03; Vol. 25 (1), pp. 11. Date of Electronic Publication: 2025 Jan 03.
DOI: 10.1186/s12913-024-12157-8
Abstrakt: Background: Given the increasing recognition of the value of greater integration of physical and mental health services for children and young people, we aimed to evaluate preferences among parents for the characteristics associated with integrated health service provision for two conditions (eating disorders, functional symptom disorders).
Methods: Two discrete choice experiments (DCEs) were conducted, using electronic surveys. Participants were adult parents of children and young people. Choice scenarios were based on five attributes for the eating disorders study, and four attributes for the functional symptom disorders study.
Results: Two hundred parents participated in each DCE. For eating disorders, days missed from school in the last year was the attribute valued most highly, followed by days in hospital in the last year, costs to the NHS, functioning, and interaction with peers with eating disorders. Respondents were willing to trade £531 of costs to the NHS for one less day missed from school. For functional symptom disorders, time to diagnosis was valued most highly, followed by days missed from school while obtaining a diagnosis, reservations about seeing a mental health practitioner, and costs of diagnosis to the NHS. Respondents were willing to trade £4237 of costs to the NHS to wait one month less for a diagnosis.
Conclusion: Respondents' preferences were largely consistent with the planned goals of integrating physical and mental health services. Our findings show the factors which ought to be considered when designing new integrated pathways and evaluating them.
Competing Interests: Declarations. Ethics approval and consent to participate: The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008. The study received ethical approval from the Health Research Authority and Health and Care Research Wales (reference 22/EM/0277). Consent for publication: N/a. Competing interests: TF’s research group receives funding for research consultancy to Place2Be, a third sector organisation that provides mental health training and interventions in schools.
(© 2025. The Author(s).)
Databáze: MEDLINE
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