TY - JOUR
AU - E. Massou
AU - M. Basher
AU - S. D. Bennett
AU - T. Ford
AU - S. Gandhi
AU - I. Heyman
AU - J. Magnusson
AU - R. Mehta
AU - P. L. Ng
AU - S. O'Curry
AU - A. I. G. Ramsay
AU - N. J. Fulop
AU - S. Morris
A1 - 
AB - 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.
AD - Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, CB1 8RN, UK. em716@cam.ac.uk.; Cambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn, Cambridge, CB21 5EF, UK.; 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.; Department of Psychiatry, Hershel Smith Building Cambridge Biomedical Campus, Cambridge, CB2 0SZ, UK.; Department of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, 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.; Department of Women and Children's Health, King's College London, St Thomas' Hospital, Westminster Bridge Road, London, SE1 7EH, UK.; Patient representative, London, UK.; Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, CB1 8RN, UK.
AN - 39754205
BT - BMC Health Serv Res
C5 - Healthcare Disparities; Education & Workforce
CP - 1
DA - Jan 3
DO - 10.1186/s12913-024-12157-8
DP - NLM
ET - 20250103
IS - 1
JF - BMC Health Serv Res
LA - eng
N2 - 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.
PY - 2025
SN - 1472-6963
SP - 11
ST - Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment
T1 - Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment
T2 - BMC Health Serv Res
TI - Integration of physical and mental health services for children and young people with eating disorders and functional symptom disorders: discrete choice experiment
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1186/s12913-024-12157-8
VL - 25
VO - 1472-6963
Y1 - 2025
ER -