Evidence map›Paper›PMID 38719223›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2024

Managing "socially admitted" patients in hospital: a qualitative study of health care providers' perceptions.

Jasmine C Mah, Christie Stilwell, Madeline Kubiseski, Gaurav Arora, Karen Nicholls, Sheliza Khan, Jonathan Veinot, Lucy Eum, Susan Freter, Katalin Koller and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. "Social admissions" to hospital are not personal failures but policy ones.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Jasmine C Mah *Department of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS Jmah@dal.ca.
Christie Stilwell *Department of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Madeline KubiseskiDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Gaurav AroraDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Karen NichollsDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Sheliza KhanDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Jonathan VeinotDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Lucy EumDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Susan FreterDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Katalin KollerDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Maia von MaltzahnDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Kenneth RockwoodDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Samuel D SearleDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Melissa K AndrewDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.
Emily Gard MarshallDepartment of Medicine (Mah, Eum), and Faculties of Health (Stilwell) and Medicine (Kubiseski, Arora), Dalhousie University; Frailty and Elder Care Network (Nicholls), Care Coordination Centre (Khan), and Queen Elizabeth II Halifax Infirmary Emergency Department (Veinot), Nova Scotia Health; Division of Geriatric Medicine (Freter, Koller, von Maltzahn, Rockwood, Searle, Andrew), Department of Medicine, and Department of Family Medicine Primary Care Research Unit (Marshall), Dalhousie University, Halifax, NS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency departments are a last resort for some socially vulnerable patients without an acute medical illness (colloquially known as "socially admitted" patients), resulting in their occupation of hospital beds typically designated for patients requiring acute medical care. In this study, we aimed to explore the perceptions of health care providers regarding patients admitted as "social admissions."

methodsThis qualitative study was informed by grounded theory and involved semistructured interviews at a Nova Scotia tertiary care centre. From October 2022 to July 2023, we interviewed eligible participants, including any health care clinician or administrator who worked directly with "socially admitted" patients. Virtual or in-person individual interviews were audio-recorded and transcribed, then independently and iteratively coded. We mapped themes on the 5 domains of the Quintuple Aim conceptual framework.

resultsWe interviewed 20 nurses, physicians, administrators, and social workers. Most identified as female (

interpretationHealth care providers viewed "socially admitted" patients as needing enhanced care but identified individual, institutional, and system challenges that impeded its realization. Examining perceptions of the people who care for "socially admitted" patients offers insights to guide clinicians and policy-makers in caring for socially vulnerable patients.

Indexed as

Attitude of Health PersonnelQualitative ResearchAdultEmergency Service, HospitalFemaleGrounded TheoryHealth PersonnelHumansInterviews as TopicMaleMiddle AgedNova ScotiaVulnerable Populations

Identifiers

PMID38719223
PMCPMC11073828

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.