ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2026
Cognitive Interviews With Emergency Physicians to Understand Disposition Decisions With People With Dementia With Borderline Cases.
Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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Who cites it
2 citing papers in PubMed.
- Disposition at Equipoise: A Qualitative Study of Emergency Physicians' Decision-Making About Hospitalizing People With Dementia.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- A Qualitative Study of Health Priorities of People With Dementia and Care Partners in Emergency Department and Hospital Care in a Public Safety-Net Setting.Journal of the American Geriatrics Society · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
People with dementia are often hospitalized from the emergency department (ED) for "borderline cases," where outpatient or inpatient management may be clinically reasonable. We sought to investigate how ED physicians make and communicate about decisions in borderline cases. Through cognitive interviews, we asked attending ED physicians from an academic hospital to share their approach to scenarios representing borderline cases with people with dementia and verbalize communication about ED disposition with patients and care partners. We deductively coded responses related to patient/care partner engagement and key features of communication and then elucidated themes related to content and phrasing of communication. Of 21 physicians, two-thirds stated they would offer the option of admission or discharge, but few explicitly communicated admission versus discharge as a choice. Shared decision-making is applicable to these situations and could provide a consistent structure to communication about disposition.
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