Evidence map›Paper›PMID 36447196›Full record

ArticleBMC health services research2022

Understanding patient preferences for emergency care for lower triage acuity presentations during GP hours: a qualitative study in Australia.

Viola Korczak, Kenneth Yakubu, Blake Angell, Paul Middleton, Michael Dinh, Thomas Lung, Stephen Jan

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

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  8. What Is Important to Older People When Accessing Urgent Health Care: Key Considerations and Recommendations From Consumer Consultations.Health expectations : an international journal of public participation in health care and health policy · 2025
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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

7 authors at 4 institutions in 1 country.

Viola KorczakThe George Institute for Global Health, University of New South, Sydney, Australia. vkorczak@georgeinstitute.org.au.
Kenneth YakubuThe George Institute for Global Health, University of New South, Sydney, Australia.
Blake AngellThe George Institute for Global Health, University of New South, Sydney, Australia.
Paul MiddletonSouth Western Emergency Research Institute, Ingham Institute, Liverpool, Australia.
Michael DinhThe Green Light Institute for Emergency Care, Royal Prince Alfred Hospital, Camperdown, Australia.
Thomas LungThe George Institute for Global Health, University of New South, Sydney, Australia.
Stephen JanThe George Institute for Global Health, University of New South, Sydney, Australia.
The George Institute for Global Health · AUIngham Institute · AURoyal Prince Alfred Hospital · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow acuity presentations to Australian emergency departments drive long wait times, higher costs and may be better treated in primary care settings. This study sought to understand factors leading these patients to present to emergency departments.

methodsSemi-structured interviews were carried out with patients at two tertiary emergency departments in Sydney during general practitioner opening hours. Nvivo was used to code the interviews and a thematic analysis was carried out to capture the main themes from the interviews.

resultsForty-four interviews were included in the analysis across the two sites. They represented a diverse population in terms of ethnicity, education and socioeconomic background. Patient preferences for emergency care were organised into four main themes: (i) patients were referred (either by another health service, work, friend, or family), (ii) emergency department factors (convenience of investigations and severity of symptoms requiring emergency care), (iii) GP factors (does not have a GP, cannot find an appointment with a GP or has previously had a negative experience with a GP) and (iv) personal factors such as their connection to the hospital.

conclusionMultiple factors led patients to seek ED care for low acuity presentations during GP hours. Some of these factors could be addressed to meet patient needs in the community, however this is currently not the case. Addressing these factors to improve access to GP clinics and the availability of services outside the hospital setting could reduce ED presentations and likely improve patient experience.

Indexed as

Emergency Medical ServicesTriageAustraliaEmergency TreatmentHumansPatient PreferenceEmergency departmentHealth policyModels of care

Identifiers

PMID36447196
PMCPMC9706995
OpenAlexW4310229365

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.