ArticleEmergency medicine international2019
Challenges Faced by Prehospital Emergency Physicians Providing Emergency Care to Patients with Advanced Incurable Diseases.
Article in Emergency medicine international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The trial behind it
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Who cites it
17 citing papers in PubMed, 30 citations in OpenAlex.
- Health care assistants in out of hours community palliative care: multiple qualitative organisational case studies.BMC palliative care · 2026Article
- The dynamic of control: A qualitative analysis of the perspectives of patients and family members with palliative care needs on Emergency Medical Services.Palliative care and social practice · 2026Article
- The role of specialized outpatient palliative care in emergency advance directives: fewer hospitalizations, greater alignment with patient wishes.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Patient Transfer Process From Pre-Hospital to the Hospital Emergency Department: A Grounded Theory Study.Nursing open · 2025Article
- Integrating emergency medical services and palliative care: A nominal group technique.African journal of primary health care & family medicine · 2025Article
- The specialization of emergency medical services in Iran: A qualitative study.Journal of education and health promotion · 2025Article
- South African palliative care provider perspectives on emergency medical services in palliative situations.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Challenges and opportunities to improve efficiency and quality of prehospital emergency care using an mHealth platform: Qualitative study in Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Decision-making on the fly: a qualitative study of physicians in out-of-hospital emergency medical services.BMC emergency medicine · 2023Article
- Article
- A comparative study on specialized services in pre-hospital emergencies in Iran and selected countries.Journal of education and health promotion · 2023Review
- Emergency medical services: the next linking asset for public health approaches to palliative care?Palliative care and social practice · 2023Article
- The most important components of out-of-hours community care for patients at the end of life: A Delphi study of healthcare professionals' and patient and family carers' perspectives.Palliative medicine · 2022Article
- Unwelcome memento mori or best clinical practice? Community end of life anticipatory medication prescribing practice: A mixed methods observational study.Palliative medicine · 2022Observational
- Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study.Frontiers in psychology · 2021Article
- Workplace interpersonal conflict in prehospital emergency: Concept analysis.Journal of education and health promotion · 2021Article
- Knowledge, Practice, and Associated Factors of Nurses in Pre-Hospital Emergency Care at a Tertiary Care Teaching Hospital.Open access emergency medicine : OAEM · 2020Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe aim of our study was to investigate challenges faced by emergency physicians (EPs) who provide prehospital emergency care to patients with advanced incurable diseases and family caregivers in their familiar home environment.
methodsQualitative study using semistructured interviews with open-ended questions to collect data from 24 EPs. Data were analyzed using qualitative content analysis.
resultsWe identified nine categories of challenges: structural conditions of prehospital emergency care, medical documentation and orders, finding optimal patient-centered therapy, uncertainty about legal consequences, challenges at the individual (EP) level, challenges at the emergency team level, family caregiver's emotions, coping and understanding of patient's illness, patient's wishes, coping and understanding of patient's illness, and social, cultural, and religious background of patients and families. EPs strengthened that the integrations of specialized prehospital palliative care services improved emergency care by providing resources to patients and family caregivers, enhancing the quality and availability of medical documentation and accessibility of aftercare in emergencies. Areas of improvement that were identified were to promote emergency physicians' knowledge and skills in palliative care, communication, and family caregiver support by education and training. Furthermore, structures for better care on-site, thorough medical documentation, and specialized palliative care emergency facilities in hospital and prehospital care were requested.
conclusionPrehospital emergency care in patients with advanced incurable diseases in their familiar home environment may be improved by training EPs in palliative care, communication, and caregiver support competences. Results underline the importance of collaborative specialized palliative care and prehospital emergency care.
Identifiers
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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.