Face-to-face priority setting: a secondary qualitative analysis

• Research type

  Research Study

• Full title

  Face-to-face priority setting: a secondary qualitative analysis using 'One in a Million'

• IRAS ID

  276161

• Contact name

  Yuri Hamashima

• Contact email

  yuri.hamashima@bristol.ac.uk

• Sponsor organisation

  University of Bristol

• Duration of Study in the UK

  1 years, 0 months, 4 days

• Research summary

  Decision-making about resource allocation occurs at all levels of healthcare systems, such as deciding the national healthcare budget, allocating a hospital bed and making a referral to specialist care. Primary care physicians are often regarded as key decision-makers to manage healthcare demands and allocate the scarce resources fairly and efficiently. However, decision-making at bedsides or during a consultation is considered as most implicit. In light of efficient and fair resource allocation at point of care, it is pivotal to explore the decision-making process in primary care.
  This project is a secondary qualitative study using the video recorded dataset of GP consultations called ‘One in a million’. This study is going to look at how patients and GPs discussed in face-to-face whether to make a referral to specialists in order to understand more about the context in which an allocation decision under the limited resources occurs in their conversations. The unique database includes over 300 consultations undertaken in different GP practices in 2015 and all the data were already transcribed. The dataset also contains the results of the pre- and post- consultation surveys which inform us of the socio-demographics of patients and the information on the practices by GPs. The research team is going to sample consultations where GPs and patients discuss any referral issues by mainly using the result of the pre-consultation survey, where some patients answered that they had expected to have a referral from a doctor. The data is analysed thematically using methods of coding and constant comparison to identify emerging themes and relationships between them. The research team will also investigate how a conversation between a patient and a doctor is carried out based on the video recording.

• REC name

  East Midlands - Derby Research Ethics Committee

• REC reference

  20/EM/0070

• Date of REC Opinion

  5 Mar 2020

• REC opinion

  Favourable Opinion