Evidence map›Paper›PMID 40590106›Full record

ArticleEmergency medicine Australasia : EMA2025

Staff and Referrer Experiences and Challenges With a New Emergency Department Avoidance Service for Older People: A Qualitative Study.

Miia Rahja, Sarah Collyer, Elizabeth Lynch, Gillian Harvey

Abstract read
In one paragraph

Article in Emergency medicine Australasia : EMA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

4 authors.

Miia RahjaFlinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia.ORCID 0000-0003-0845-5459
Sarah CollyerCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Elizabeth LynchCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Gillian HarveyCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.

Funding

Medical Research Future Fund 2018573
6 · The paper itself

Abstract

objectiveThe traditional emergency department (ED) is not well suited to older people's urgent, but non-life-threatening, care needs. The Complex And Restorative CentrE (CARE) is a new service established in Adelaide (South Australia) designed to provide urgent care for older people and to reduce ED presentations for this population group. This study explores staff and referrer experiences of the service and identifies potential challenges for future sustainability and scale-up.

methodsSemi-structured interviews with CARE staff and service referrers were conducted. Transcripts were analysed inductively using a thematic approach.

resultsA total of 13 CARE staff members and five referrers took part. While the service was well perceived, in- and outbound referral processes, and its small size were identified as areas in need of addressing to support sustainability. Specifically, key considerations were 'streamlining referral and intake processes', 'care planning and optimising bed availability' and 'acute care access gaps'.

conclusionsOur findings emphasise how quality improvement initiatives, informed by staff and patient feedback, can drive necessary adjustments to enhance service user and stakeholder satisfaction. Our study has provided insights that can help guide CARE and similar programmes in evolving to meet growing urgent care needs for older populations, improve patient outcomes, and support long-term viability in healthcare systems.

Indexed as

Emergency Service, HospitalReferral and ConsultationAdultAgedAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSouth Australiaaged careemergency servicehospital avoidancequality improvementurgent care

Identifiers

PMID40590106
PMCPMC12210102

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.