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. 2023 Sep-Oct;21(5):432-439.
doi: 10.1370/afm.3021.

Acute Gastroenteritis: A Qualitative Study of Parental Motivations, Expectations, and Experiences During Out-of-Hours Primary Care

Anouk A H Weghorst  1 , Marian J van den Brink  2 , Irma J Bonvanie  2   3 , Jolanda Tuinstra  4   5 , Gea A Holtman  2 , Elleke G M Landeweer  2 , Marjolein Y Berger  2
Affiliations

Acute Gastroenteritis: A Qualitative Study of Parental Motivations, Expectations, and Experiences During Out-of-Hours Primary Care

Anouk A H Weghorst et al. Ann Fam Med. 2023 Sep-Oct.

Abstract

Purpose: Acute gastroenteritis is a common infectious disease in children younger than 6 years of age. Although it is a self-limiting disease, it nevertheless has a high consultation rate in primary care, especially during out-of-hours primary care (OOH-PC). Reasons for this high consultation rate remain unclear.

Methods: The aim of this qualitative study was to explore parental motivations, expectations, and experiences of OOH-PC contacts for children with acute gastroenteritis. We conducted 14 semistructured interviews with parents who contacted OOH-PC in the Netherlands. Interviews were audio-recorded, transcribed, and analyzed using elements of grounded theory and a constant-comparison approach.

Results: Unusual behavior of the sick child, absent micturition, and ongoing vomiting and/or diarrhea, with decreased or no fluid intake, motivated parents to contact OOH-PC. Parents initiated contact to prevent symptom deterioration and to be reassured by a general practitioner (GP), expecting them to perform a thorough physical examination, provide information, and make follow-up plans. Parents reported dissatisfaction if they felt unheard, misunderstood, or not taken seriously, and this increased their likelihood of seeking another consultation. General practitioners did not always meet parental expectations.

Conclusion: Multiple factors affect the decision for parents to contact OOH-PC for their child with gastroenteritis. There is a mismatch between parental expectations and actions of the GP. Awareness regarding parental feelings and understanding their expectations can guide GPs in the interaction with parents, which could improve satisfaction with primary health care and OOH-PC specifically.

Keywords: acute gastroenteritis; children; expectation; general practitioner; motivation; parents; patient experience; primary care.

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Figures

Figure 1.
Figure 1.
Overarching themes and their interactions. OOH-PC = out-of-hours primary care; ORS = oral rehydration solution.
See this image and copyright information in PMC

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References

    1. Dalby-Payne JR, Elliott EJ.. Gastroenteritis in children. BMJ Clin Evid. 2011; 2011: 0314. - PMC - PubMed
    1. Jansen T, Ramerman L, Verheij R.. Zorg op de huisartsenpost [Care at the out-of-hours primary care]. Nivel Zorgregistraties. 2020. In Dutch.
    1. van den Berg J, Berger MY.. Guidelines on acute gastroenteritis in children: a critical appraisal of their quality and applicability in primary care. BMC Fam Pract. 2011; 12: 134. 10.1186/1471-2296-12-134 - DOI - PMC - PubMed
    1. Wolters PI, Holtman G, Fickweiler F, et al. . Referral rates for children with acute gastroenteritis: a retrospective cohort study. BJGP Open. 2020; 4(3): bjgpopen20X101053. 10.3399/bjgpopen20X101053 - DOI - PMC - PubMed
    1. Friesema IH, Lugnér AK, van Duynhoven YT; GEops Working Group . Costs of gastroenteritis in the Netherlands, with special attention for severe cases. Eur J Clin Microbiol Infect Dis. 2012; 31(8): 1895-1900. 10.1007/s10096-011-1518-1 - DOI - PubMed