ArticleHealth expectations : an international journal of public participation in health care and health policy2019
Navigating and making sense of urgent and emergency care processes and provision.
Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors that influence family and parental preferences and decision making for unscheduled paediatric healthcare - systematic review.BMC health services research · 2020Pooled it
- The Registered Nurse Prescriber-Led Triage-Treatment-Continuity Model in Family Medicine: A Practice Innovation and Service Evaluation from Cranston Ridge Medical Clinic.Healthcare (Basel, Switzerland) · 2026Article
- The Dynamics of Doctor-Patient Communication During Remote Consultations: Qualitative Study Among Norwegian Contract General Practitioners.Journal of medical Internet research · 2025Article
- "The impact of the Little Orange Book on how parents/carers manage symptoms of illness in children: A mixed methods study".PloS one · 2025Article
- Help-seeking and access to care for stroke and heart attack during the COVID-19 pandemic: A qualitative study.Sociology of health & illness · 2025Article
- The Impact and Wider Implications of Remote Consultations for General Practice in Norway: Qualitative Study Among Norwegian Contract General Practitioners.JMIR formative research · 2024Article
- Opioid risk-reduction strategies for people with HIV on chronic opioid therapy: A qualitative study of patient perspectives.SSM. Mental health · 2024Article
- Why Do Patients Opt for the Emergency Department over Other Care Choices? A Multi-Hospital Analysis.The western journal of emergency medicine · 2024Article
- Primary care transformation in Scotland: a qualitative evaluation of the views of patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Review
- The patient experience of skill mix changes in primary care: an in-depth study of patient 'work' when accessing primary care.Journal of public health (Oxford, England) · 2023Article
- Parent's preferences for unscheduled paediatric healthcare: A discrete choice experiment.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- GPs in UK: From Health Gatekeepers in Primary Care to Health Agents in Primary Health Care.Risk management and healthcare policy · 2023Article
- The perceptions of general practice among Central and Eastern Europeans in the United Kingdom: A systematic scoping review.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Article
- Tendency to call an ambulance or attend an emergency department for minor or non-urgent problems: a vignette-based population survey in Britain.Emergency medicine journal : EMJ · 2022Article
- Article
- Short stay hospital admissions for an acutely unwell child: A qualitative study of outcomes that matter to parents and professionals.PloS one · 2022Article
- Stuff you think you can handle as a parent and stuff you can't'. Understanding parental health-seeking behaviour when accessing unscheduled care: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundWhilst many health systems offer a range of urgent and emergency care services to deal with the need for unscheduled care, these can be problematic to navigate.
objectiveTo explore how lay people make sense of urgent care provision and processes.
designQualitative study, incorporating citizen panels and longitudinal semi-structured qualitative interviews. SETTING AND
participantsTwo citizens' panels, comprising purposively selected public populations-a group of regular users and a group of potentially marginalized users of urgent and emergency care. Semi-structured interviews were conducted with 100 people, purposively sampled to include those over 75, aged 18-26 years, and from East/Central Europe. A sub-sample of 41 people received a second interview at +6-12 months. Framework analysis was thematic and comparative, moving through coding to narrative and interpretive summaries. FINDINGS AND DISCUSSION: Participants narratives illuminated considerable uncertainty and confusion regarding urgent and emergency care provision which in part could be traced to the contingent nature of urgent and emergency care need. Accounts of emergency care provision were underpinned by strong moral positioning of appropriate help-seeking, demarcating legitimate service use that echoed policy rhetoric, but did not necessarily translate into individual behaviour. People struggled to make sense of urgent care provision making navigating "appropriate" use problematic.
conclusionsThe focus on help-seeking behaviour, rather than sense-making, makes it difficult to move beyond the polarization of "appropriate" and "inappropriate" service use. A deeper analysis of sense-making might shift the focus of attention and allow us to intervene to reshape understandings before this point.
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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.