Evidence map›Paper›PMID 33840284›Full record

ArticleQualitative health research2021

Understanding Patients' Decisions to Obtain Unplanned, High-Resource Health Care After Colorectal Surgery.

Stephanie T Lumpkin, Eileen Harvey, Paul Mihas, Timothy Carey, Alessandro Fichera, Karyn Stitzenberg

Open access · hybridAbstract read
In one paragraph

Article in Qualitative health research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 92% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Stephanie T LumpkinThe University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0003-3011-8918
Eileen HarveyThe University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Paul MihasThe University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Timothy CareyThe University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Alessandro FicheraBaylor University Medical Center, Dallas, Texas, USA.
Karyn StitzenbergThe University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · USBaylor University Medical Center · US

Funding

Exploring the utilization of post-discharge care in colorectal surgery patientsF32HS026363 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LUMPKIN, STEPHANIE TREFFERT · 2018 to 2019
$147k
AHRQ HHS F32 HS026363
6 · The paper itself

Abstract

Readmissions and emergency department (ED) visits after colorectal surgery (CRS) are common, burdensome, and costly. Effective strategies to reduce these unplanned postdischarge health care visits require a nuanced understanding of how and why patients make the decision to seek care. We used a purposefully stratified sample of 18 interview participants from a prospective cohort of adult CRS patients. Thirteen (72%) participants had an unplanned postdischarge health care visit. Participant decision-making was classified by methodology (algorithmic, guided, or impulsive), preexisting rationale, and emotional response to perceived health care needs. Participants voiced clear mental algorithms about when to visit an ED. In addition, participants identified facilitators and barriers to optimal health care use. They also identified tangible targets for health care utilization reduction efforts, such as improved care coordination with streamlined discharge instructions and improved communication with the surgical team. Efforts should be directed at improving postdischarge communication and care coordination to reduce CRS patients' high-resource health care utilization.

Indexed as

Colorectal SurgeryAdultAftercareDelivery of Health CareEmergency Service, HospitalHumansPatient DischargePatient ReadmissionProspective Studiesbehaviorcaregiverscaretakingcrisiscrisis managementdecision-makingdeterminants of healthemergency carehealthhealth behaviorhealth carehealth seekinginformation seekingqualitativeSoutheastern United Statesusers’ experiences

Identifiers

PMID33840284
PMCPMC8438771
OpenAlexW3153882706

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.