Evidence map›Paper›PMID 41328694›Full record

ArticleFamily practice2025

Why do patients seek emergency care for problems that could be managed in primary care? A scoping review.

Ka Yan Alison Chao, Geoff McCombe, Walter Cullen, Yohei Okada, Gayathri Devi Nadarajan, Fahad Javaid Siddiqui, Marcus Eng Hock Ong, Tomas Barry

Abstract readScoping Review
In one paragraph

Article in Family practice, 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

8 authors.

Ka Yan Alison ChaoSchool of Medicine, University College Dublin, Dublin D04 C1P1, Ireland.ORCID 0009-0008-9769-645X
Geoff McCombeSchool of Medicine, University College Dublin, Dublin D04 C1P1, Ireland.ORCID 0000-0003-4898-3459
Walter CullenSchool of Medicine, University College Dublin, Dublin D04 C1P1, Ireland.
Yohei OkadaPrehospital and Emergency Research Centre, Health Services and Systems Research, Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.
Gayathri Devi NadarajanPrehospital and Emergency Research Centre, Health Services and Systems Research, Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.
Fahad Javaid SiddiquiPrehospital and Emergency Research Centre, Health Services and Systems Research, Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.
Marcus Eng Hock OngPrehospital and Emergency Research Centre, Health Services and Systems Research, Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.
Tomas BarrySchool of Medicine, University College Dublin, Dublin D04 C1P1, Ireland.

Funding

Health Research Board CSF-2020-006Health Research Board ECSA-2024-002
6 · The paper itself

Abstract

backgroundEmergency care systems worldwide are increasingly facing capacity challenges. A significant number of people are using emergency care, including the use of emergency departments and ambulance services, for conditions that could be managed in primary care settings, potentially creating unnecessary strains on the already heavily burdened emergency care systems, leading to overcrowding, inefficient use of healthcare resources, and inadequate access to emergency care for those in need.

objectivesThis scoping review of the literature aimed to explore existing evidence considering the multifaceted factors contributing to patients' decisions to seek emergency care for conditions manageable in primary care.

methodsA comprehensive search of "PubMed", "Embase", "MEDLINE", "CINAHL" and "the Cochrane Library" was conducted, including peer-reviewed articles published from Jan 1st 2004, until June 15th 2024. This review was conducted following the methodological framework presented by Arksey and O'Malley.

resultsA total of 44 studies conducted in 21 countries worldwide were included in the final analysis. Key data were extracted and analysed using thematic analysis, and the following themes have been identified: (1) accessibility and convenience, (2) health anxiety, (3) uncertainty and knowledge gaps in healthcare services, (4) external advice and encouragement, and (5) personal influences.

conclusionOur study maps the existing international literature to inform researchers and policymakers on possible future development of efficient alternative care frameworks and pathways designed to alter emergency care utilisation behaviours, ultimately reducing unnecessary visits and ensuring efficient care is provided for true emergencies.

Indexed as

Emergency Medical ServicesEmergency Service, HospitalHealth Services AccessibilityPatient Acceptance of Health CarePrimary Health CareHumansambulanceemergency carehealthcare seeking behaviourhealthcare utilityprimary careurgent care

Identifiers

PMID41328694
PMCPMC12670163

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.