Observational studyBMC health services research2021
Understanding what matters most to patients in acute care in seven countries, using the flash mob study design.
Observational study in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- The Disposition Decision: A Qualitative Study of Swedish Emergency Physicians' Objectives Through a Value-Focused Thinking Analysis.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- What really matters to older adults in life and treatment: a qualitative study on the role of connectedness in person-centered care.BMC geriatrics · 2026Article
- Contextual Analysis and Implementation Strategies for an Age-Friendly Emergency Department Uptake: The FRED Study Protocol.Journal of the American Geriatrics Society · 2026Article
- Barriers, Enablers, and Impacts of Implementing National Comprehensive Care Standards in Acute Care Hospitals: An Interview Study.Nursing reports (Pavia, Italy) · 2025Article
- Assessing what matters most in older emergency department patients.Age and ageing · 2025Observational
- Healthcare Professionals' Perceptions of Lifestyle Medicine in Specialized Care: A Survey-Based Study in a Dutch Hospital.American journal of lifestyle medicine · 2025Article
- The impact and experience of a culturally adapted brief intervention for harmful alcohol use in an emergency care setting (PPKAY: Punguza Pombe Kwa Afya Yako): A case series.medRxiv : the preprint server for health sciences · 2025Article
- A qualitative study regarding older people's goals of care in relation to frailty status: finding meaning in 'smaller things' in life.Age and ageing · 2025Article
- Hospital 4Ms: Documentation and association with patient characteristics.Journal of the American Geriatrics Society · 2025Article
- Observational
- Identification of implementation enhancement strategies for national comprehensive care standards using the CFIR-ERIC approach: a qualitative study.BMC health services research · 2024Article
- 'None of Them Know Me': A Qualitative Study of the Implications of Locum Doctor Working for Patient Experience.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- The implementation and impacts of the Comprehensive Care Standard in Australian acute care hospitals: a survey study.BMC health services research · 2024Article
- Prevalence of Frailty in European Emergency Departments (FEED): an international flash mob study.European geriatric medicine · 2024Article
- Effect of a Point-of-Care Ultrasound-Driven vs Standard Diagnostic Pathway on 24-Hour Hospital Stay in Emergency Department Patients with Dyspnea-Protocol for A Randomized Controlled Trial.Open access emergency medicine : OAEM · 2024Article
- Patient Involvement in Decisions regarding Emergency Department Discharge: A Multimethod Study.Emergency medicine international · 2023Article
- What matters and influence resuscitation preference? Development, field testing, and structural validation of items among older patients in the emergency department.BMC geriatrics · 2022Article
- Assessed and discharged - diagnosis, mortality and revisits in short-term emergency department contacts.BMC health services research · 2022Article
- Validation of a Simple Score for Mortality Prediction in a Cohort of Unselected Emergency Patients.International journal of clinical practice · 2022Article
- Correction to: Understanding what matters most to patients in acute care in seven countries, using the flash mob study design.BMC health services research · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
23 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTruly patient-centred care needs to be aligned with what patients consider important, and is highly desirable in the first 24 h of an acute admission, as many decisions are made during this period. However, there is limited knowledge on what matters most to patients in this phase of their hospital stay. The objective of this study was to identify what mattered most to patients in acute care and to assess the patient perspective as to whether their treating doctors were aware of this.
methodsThis was a large-scale, qualitative, flash mob study, conducted simultaneously in sixty-six hospitals in seven countries, starting November 14th 2018, ending 50 h later. One thousand eight hundred fifty adults in the first 24 h of an acute medical admission were interviewed on what mattered most to them, why this mattered and whether they felt the treating doctor was aware of this.
resultsThe most reported answers to "what matters most (and why)?" were 'getting better or being in good health' (why: to be with family/friends or pick-up life again), 'getting home' (why: more comfortable at home or to take care of someone) and 'having a diagnosis' (why: to feel less anxious or insecure). Of all patients, 51.9% felt the treating doctor did not know what mattered most to them.
conclusionsThe priorities for acutely admitted patients were ostensibly disease- and care-oriented and thus in line with the hospitals' own priorities. However, answers to why these were important were diverse, more personal, and often related to psychological well-being and relations. A large group of patients felt their treating doctor did not know what mattered most to them. Explicitly asking patients what is important and why, could help healthcare professionals to get to know the person behind the patient, which is essential in delivering patient-centred care.
trial registrationNTR (Netherlands Trial Register) NTR7538 .
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