ArticleBMC geriatrics2020
Patients' perceptions of frequent hospital admissions: a qualitative interview study with older people above 65 years of age.
Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 31 citations in OpenAlex.
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- Continuity Is Essential: The Experiences of Co-Design Participants During the Implementation of a New Health Service.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Municipal healthcare providers' perceptions of reasons for frequent and unplanned hospital admissions among home-dwelling older adults: a Norwegian focus group study.BMC geriatrics · 2025Article
- The Use of RE-AIM to Evaluate a Pharmacist-Led Transitions of Care Service for Multivisit Patients at a Regional Hospital.Pharmacy (Basel, Switzerland) · 2025Article
- Consumers' Perspectives on the Design of a New Digital Frailty Education Course, 'Focus on Frailty': A Qualitative Co-Design Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Trends and characteristics of hospitalisation and mortality among centenarians in old-age homes and communities: a territory-wide study in Hong Kong, 2012-2021.BMJ public health · 2025Article
- Review
- Social Participation and Loneliness in Older Adults in a Rural Australian Context: Individual and Organizational Perspectives.International journal of environmental research and public health · 2024Article
- Comorbidity Burden and Health Care Utilization by Substance use Disorder Patterns among People with HIV in Florida.AIDS and behavior · 2024Article
- Rapid Review on the Concept of Positive Health and Its Implementation in Practice.Healthcare (Basel, Switzerland) · 2024Review
- Experiences of participants in the co-design of a community-based health service for people with high healthcare service use.BMC health services research · 2024Article
- Prevalence of factors contributing to unplanned hospital readmission of older medical patients when assessed by patients, their significant others and healthcare professionals: a cross-sectional survey.European geriatric medicine · 2023Observational
- The Effectiveness of Family Medicine-Driven Interprofessional Collaboration on the Readmission Rate of Older Patients.Healthcare (Basel, Switzerland) · 2023Article
- Evaluation of a patient-centered integrated care program for individuals with frequent hospital readmissions and multimorbidity.Internal and emergency medicine · 2022Article
- Medication-Related Readmissions: Documentation of the Medication Involved and Communication in the Care Continuum.Frontiers in pharmacology · 2022Article
- Motoric cognitive risk syndrome and incident hospitalization in Quebec's older population: Results of the NuAge cohort study.Frontiers in medicine · 2022Article
- Changes in the Comprehensiveness of Rural Medical Care for Older Japanese Patients during the COVID-19 Pandemic.International journal of environmental research and public health · 2021Observational
- Potential Help-Seeking Behaviors Associated with Better Self-Rated Health among Rural Older Patients: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough 'frequent flyer' hospital admissions represent barely 3 to 8% of the total patient population in a hospital, they are responsible for a disproportionately high percentage (12 to 28%) of all admissions. Moreover, hospital admissions are an important contributor to health care costs and overpopulation in various hospitals. The aim of this research is to obtain a deeper insight into the phenomenon of frequent flyer hospital admissions. Our objectives were to understand the patients' perspectives on the cause of their frequent hospital admissions and to identify the perceived consequences of the frequent flyer status.
methodsThis qualitative study took place at the University Hospital of Leuven. The COREQ guidelines were followed to provide rigor to the study. Patients were included when they had at least four overnight admissions in the past 12 months, an age above 65 years and hospital admission at the time of the study. Data were collected via semi-structured interviews and encoded in NVivo.
resultsThirteen interviews were collected. A total of 17 perceived causes for frequent hospital admission were identified, which could be divided into the following six themes: patient, drugs, primary care, secondary care, home and family. Most of the causes were preventable or modifiable. The perceived consequences of being a frequent flyer were divided into the following six themes: body, daily life functioning, social participation, mental status and spiritual dimension. Negative experiences were linked to frequent flying and could be situated mainly in the categories of social participation, mental status and spiritual dimensions.
conclusionsFrequent hospital admissions may be conceived as an indicator, i.e., a 'red flag', of patients' situations characterized by physical, mental, spiritual and social deprivation in their home situation.
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