ArticleThe western journal of emergency medicine2009
Crowding and delivery of healthcare in emergency departments: the European perspective.
Article in The western journal of emergency medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Case management programs in emergency department to reduce frequent user visits: a systematic review.Acta bio-medica : Atenei Parmensis · 2019Pooled it
- Recruitment of older adults to clinical trials in the Emergency Department: A qualitative study with clinical trial stakeholders.BMC medical research methodology · 2026Article
- Feasibility of a multimodal AI-based clinical assessment platform in emergency care: an exploratory pilot study.Frontiers in digital health · 2025Article
- Challenges faced by doctors and nurses in the emergency department: An integrated review.Journal of education and health promotion · 2025Review
- Impact of SARS-CoV-2 Pandemic on Emergency Hospitalizations for Acute Respiratory Infections: The Experience of a Paediatric Tertiary Care Hospital in Italy.Influenza and other respiratory viruses · 2024Article
- Shortage of hospital bed capacity and overcrowding in emergency tertiary healthcare centers in Nigeria.Annals of medicine and surgery (2012) · 2022Article
- A case study to investigate the impact of overcrowding indices in emergency departments.BMC emergency medicine · 2022Article
- A modified cardiac triage strategy reduces door to ECG time in patients with ST elevation myocardial infarction.Scientific reports · 2021Article
- Paediatric attendances of the emergency department in a major Irish tertiary referral centre before and after expansion of free GP care to children under 6: a retrospective observational study.BMJ paediatrics open · 2021Observational
- Overcrowding an encumbrance for an emergency health-care system: A perspective of Health-care providers from tertiary care center in Northern India.Journal of education and health promotion · 2021Article
- Observational
- Asylum Seekers and Swiss Nationals with Low-Acuity Complaints: Disparities in the Perceived level of Urgency, Health Literacy and Ability to Communicate-A Cross-Sectional Survey at a Tertiary Emergency Department.International journal of environmental research and public health · 2020Article
- Article
- Strengths and weaknesses of the acute care systems in the United Kingdom and the Netherlands: what can we learn from each other?BMC emergency medicine · 2019Article
- Global, regional and national burden of emergency medical diseases using specific emergency disease indicators: analysis of the 2015 Global Burden of Disease Study.BMJ global health · 2019Article
- Is the use of emergency departments socially patterned?International journal of public health · 2018Observational
- Emergency department performances during overcrowding: the experience of the health protection agency of Brianza.AIMS public health · 2018Article
- Implementation evaluation and refinement of an intervention to improve blunt chest injury management-A mixed-methods study.Journal of clinical nursing · 2017Article
- Effect of crowding on length of stay for common chief complaints in the emergency department: A STROBE cohort study.Medicine · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Emergency department (ED) crowding is a multifactorial problem, resulting in increased ED waiting times, decreased patient satisfaction and deleterious domino effects on the entire hospital. Although difficult to define and once limited to anecdotal evidence, crowding is receiving more attention as attempts are made to quantify the problem objectively. It is a worldwide phenomenon with regional influences, as exemplified when analyzing the problem in Europe compared to that of the United States. In both regions, an aging population, limited hospital resources, staff shortages and delayed ancillary services are key contributors; however, because the structure of healthcare differs from country to country, varying influences affect the issue of crowding. The approach to healthcare delivery as a right of all people, as opposed to a free market commodity, depends on governmental organization and appropriation of funds. Thus, public funding directly influences potential crowding factors, such as number of hospital beds, community care facilities, and staffing. Ultimately ED crowding is a universal problem with distinctly regional root causes; thus, any approach to address the problem must be tailored to regional influences.
Identifiers
20046239PMC2791723What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.