Evidence map›Paper›PMID 37555478›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2023

Emergency department patient-centred care perspectives from deaf and hard-of-hearing patients.

Tyler G James, Meagan K Sullivan, Michael M McKee, Jason Rotoli, David Maruca, Rosemarie Stachowiak, JeeWon Cheong, Julia R Varnes

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
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  5. Emergency department patient-centred care perspectives from deaf and hard-of-hearing patients.Health expectations : an international journal of public participation in health care and health policy · 2023
    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

8 authors at 6 institutions in 2 countries.

Tyler G JamesDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-0694-4702
Meagan K SullivanDepartment of Psychiatry, University of Florida, Gainesville, Florida, USA.
Michael M McKeeDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-5561-9885
Jason RotoliDepartment of Emergency Medicine, University of Rochester Medical Center, Rochester, New York, USA.ORCID 0000-0002-1251-4469
David MarucaUnaffiliated Researcher, Florida, USA.
Rosemarie StachowiakUnaffiliated Researcher, Florida, USA.
JeeWon CheongDepartment of Health Education and Behavior, University of Florida, Gainesville, Florida, USA.
Julia R VarnesDepartment of Health Services Research, Management, and Policy, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-2356-8761
Universidade de Marília · BRUniversity of Michigan · USFlorida Department of Health · USUniversity of Florida · USUniversity of Florida Health · USUniversity of Rochester Medical Center · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Development of a conceptual model of emergency department utilization among deaf and hard-of-hearing patients: A mixed methods studyR36HS027537 · AHRQ · UNIVERSITY OF FLORIDA · PI JAMES, TYLER G · 2020 to 2020
$41k
AHRQ HHS R36 HS027537NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR001427
6 · The paper itself

Abstract

backgroundDeaf and hard-of-hearing (DHH) patients are a priority population for emergency medicine health services research. DHH patients are at higher risk than non-DHH patients of using the emergency department (ED), have longer lengths of stay in the ED and report poor patient-provider communication. This qualitative study aimed to describe ED care-seeking and patient-centred care perspectives among DHH patients.

methodsThis qualitative study is the second phase of a mixed-methods study. The goal of this study was to further explain quantitative findings related to ED outcomes among DHH and non-DHH patients. We conducted semistructured interviews with 4 DHH American Sign Language (ASL)-users and 6 DHH English speakers from North Central Florida. Interviews were transcribed and analysed using a descriptive qualitative approach.

resultsTwo themes were developed: (1) DHH patients engage in a complex decision-making process to determine ED utilization and (2) patient-centred ED care differs between DHH ASL-users and DHH English speakers. The first theme describes the social-behavioural processes through which DHH patients assess their need to use the ED. The second theme focuses on the social environment within the ED: patients feeling stereotyped, involvement in the care process, pain communication, receipt of accommodations and discharge processes.

conclusionsThis study underscores the importance of better understanding, and intervening in, DHH patient ED care-seeking and care delivery to improve patient outcomes. Like other studies, this study also finds that DHH patients are not a monolithic group and language status is an equity-relevant indicator. We also discuss recommendations for emergency medicine. PATIENT OR PUBLIC CONTRIBUTION: This study convened a community advisory group made up of four DHH people to assist in developing research questions, data collection tools and validation of the analysis and interpretation of data. Community advisory group members who were interested in co-authorship are listed in the byline, with others in the acknowledgements. In addition, several academic-based co-authors are also deaf or hard of hearing.

Indexed as

DeafnessPersons with Hearing DisabilitiesEmergency Service, HospitalHumansLanguageSign Languagedeaf and hard of hearingemergency medicinehealthcare seekingpatient-centred carepatient-provider communication

Identifiers

PMID37555478
PMCPMC10632638
OpenAlexW4385684206

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.