Evidence map›Paper›PMID 34328025›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

Healthcare Providers' Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study.

Patrick Bodenmann, Miriam Kasztura, Madison Graells, Elodie Schmutz, Oriane Chastonay, Marina Canepa-Allen, Joanna Moullin, Michael von Allmen, Melissa Lemoine, Olivier Hugli and 2 more

Open access · goldAbstract read

PubMed Full text at PMC Publisher

In one paragraph

Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it

0cells of the map it votes in

8citing papers in PubMed

2.9field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

Health mediation does not reduce the readmission rate of frequent users of emergency departments living in precarious conditions: what lessons can be learned from this randomised controlled trial?BMC emergency medicine · 2024
Trial
"I surely don't call for fun": experiences of being a "frequent caller" to the Danish emergency helpline.BMC public health · 2025
Article
Reasons for High Emergency Department Use Among Patients With Common Mental Disorders or Substance-Related Disorders.Healthcare policy = Politiques de sante · 2024
Article
Compassion Fatigue in Emergency Medicine: Current Perspectives.Open access emergency medicine : OAEM · 2024
Review
Health mediation: an intervention mode for improving emergency department care and support for patients living in precarious conditions.BMC health services research · 2023
Article
Experiences of Frequent Users of Emergency Departments in Health Care Setting in French-Speaking Switzerland: A Qualitative Study.Healthcare (Basel, Switzerland) · 2023
Article
Methodological approaches to study context in intervention implementation studies: an evidence gap map.BMC medical research methodology · 2022
Article
Quantifying Compassion Fatigue in Ancillary and Clinical Staff in an Adult Emergency Department.The western journal of emergency medicine · 2022
Article

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

12 authors at 3 institutions in 2 countries.

Patrick BodenmannDepartment of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Switzerland.

Miriam KaszturaDepartment of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Switzerland.

Madison GraellsDepartment of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Switzerland.

Elodie SchmutzDepartment of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Switzerland.

Oriane ChastonayDepartment of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Switzerland.

Marina Canepa-AllenDepartment of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Switzerland.

Joanna MoullinFaculty Health Sciences, School of Pharmacy and Biomedical Sciences, Curtin University, Western Australia.

Michael von AllmenDepartment of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Switzerland.

Melissa LemoineDepartment of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Switzerland.

Olivier HugliEmergency Department, Lausanne University Hospital, University of Lausanne, Switzerland.

Jean-Bernard DaeppenAddiction Medicine, Department of Psychiatry, University of Lausanne, Switzerland.

Véronique S GrazioliDepartment of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Switzerland.ORCID 0000-0003-1956-7712

University of Lausanne · CHAddiction Switzerland · CHCurtin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Frequent users of emergency departments (FUED; ≥ 5 ED visits/year) commonly cumulate medical, social, and substance use problems requiring complex and sustained care coordination often unavailable in ED. This study aimed to explore ED healthcare providers' challenges related to FUED care to gain insight into the support and resources required to address FUED complex needs. An online survey was sent to all general adult emergency services within Switzerland (N = 106). Participants were asked to indicate the extent to which they perceived that FUED represented a problem and to describe the main challenges encountered. In total, 208 physicians and nurses from 75 EDs (70.7%) completed the survey. Among the 208 participants, 134 (64%) reported that FUED represented a challenge and 133 described 1 to 5 challenges encountered. A conventional content analysis yielded 4 main categories of perceived challenges. Negative consequences in the ED secondary to FUED's presence (eg, ED overcrowding, staff helplessness, and fatigue) was the most frequently reported challenge, followed by challenges related to FUEDs' characteristics (eg, mental health and social problems) leading to healthcare complexity. The third most frequently encountered challenge was related to the ED inappropriateness and inefficiency to address FUEDs' needs. Finally, challenges related to the lack of FUED healthcare network were the least often mentioned. ED healthcare providers experience a wide range of challenges related to FUED care. These findings suggest that currently EDs nor their staff are equipped to address FUEDs' complex needs.

Indexed as

Emergency Service, HospitalHealth PersonnelAdultHumansPerceptionQualitative ResearchSwitzerlandED healthcare providers’ challengesfrequent users of emergency department

Identifiers

PMID34328025

DOI10.1177/00469580211028173

PMCPMC8326990

OpenAlexW3184589111

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.