ArticleInternational journal of qualitative studies on health and well-being2013
Elderly patients' participation in emergency medical services when offered an alternative care pathway.
Article in International journal of qualitative studies on health and well-being, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Caring science research in the ambulance services: an integrative systematic review.Scandinavian journal of caring sciences · 2019Pooled it
- Disparities in direct access to acute geriatric care - an observational analysis of geographic variations of ambulance conveyance.BMC geriatrics · 2026Observational
- Patient safety and predictors for subsequent healthcare contact after self-care referral from Swedish ambulance services: a retrospective cohort study.BMC emergency medicine · 2026Article
- Decision-Making for Older Patients in Acute Prehospital Situations: A Scoping Review.Scandinavian journal of caring sciences · 2025Article
- Nurses' use of an advisory decision support system in ambulance services: A qualitative study.Journal of advanced nursing · 2025Article
- A matter of participation? A critical incident study of municipal care personnel in situations involving care-dependent older persons and emergency medical services.International journal of qualitative studies on health and well-being · 2022Article
- Alternatives to direct emergency department conveyance of ambulance patients: a scoping review of the evidence.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Characteristic patterns of emergency ambulance assignments for older adults compared with adults requiring emergency care at home in Sweden: a total population study.BMC emergency medicine · 2020Article
- Healthcare pathways and resource use: mapping consequences of ambulance assessment for direct care with alternative healthcare providers.BMC emergency medicine · 2020Observational
- Patient participation in municipal elderly care from the perspective of nurses and occupational therapists.Nursing open · 2019Article
- Ambulance nurses' experiences of deciding a patient does not require ambulance care.Nursing open · 2019Article
- They Don't Care About Us! Care Personnel's Perspectives on Ambient Assisted Living Technology Usage: Scenario-Based Survey Study.JMIR rehabilitation and assistive technologies · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As organizational changes in the healthcare system are in progress, to enhance care quality and reduce costs, it is important to investigate how these changes affect elderly patients' experiences and their rights to participate in the choice of healthcare. The aim of this study is to describe elderly patients' lived experience of participating in the choice of healthcare when being offered an alternative care pathway by the emergency medical services, when the individual patient's medical needs made this choice possible. This study was carried out from the perspective of caring science, and a phenomenological approach was applied, where data were analysed for meaning. Data consist of 11 semi-structured interviews with elderly patients who chose a healthcare pathway to a community-based hospital when they were offered an alternative level of healthcare. The findings show that the essence of the phenomenon is described as "There was a ray of hope about a caring encounter and about being treated like a unique human being". Five meaningful constituents emerged in the descriptions: endurable waiting, speedy transference, a concerned encounter, trust in competence, and a choice based on memories of suffering from care. The conclusion is that patient participation in the choice of a healthcare alternative instead of the emergency department is an opportunity of avoiding suffering from care and being objectified.
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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.