Evidence map›Paper›PMID 42484765›Full record

ArticleHealth care analysis : HCA : journal of health philosophy and policy2026

The Disposition Decision: A Qualitative Study of Swedish Emergency Physicians' Objectives Through a Value-Focused Thinking Analysis.

Katrin Hruska, Lisa Kurland, Magnus Hjelmblom, Ulla Ahonen-Jonnarth

Abstract read
PubMed Publisher
In one paragraph

Article in Health care analysis : HCA : journal of health philosophy and policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Katrin HruskaSchool of Medical Sciences, Örebro University, Örebro, Sweden. katrin.hruska@gmail.com.ORCID http://orcid.org/0000-0002-0460-2346
Lisa KurlandSchool of Medical Sciences, Örebro University, Örebro, Sweden.
Magnus HjelmblomDepartment of Computer and Geospatial Sciences, Faculty of Engineering and Sustainable Development, University of Gävle, Gävle, Sweden.
Ulla Ahonen-JonnarthDepartment of Computer and Geospatial Sciences, Faculty of Engineering and Sustainable Development, University of Gävle, Gävle, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDisposition decisions in emergency departments involve multiple, often conflicting objectives. This study aimed to develop avalue assessment framework, expressed as a hierarchy of objectives, based on emergency physicians' values.

methodsWe used value-focused thinking to analyze the disposition decision through semi-structured interviews with thirteen emergency physicians in Sweden. A hierarchy of objectives was developed through content analysis and refined through iterative group interviews with the participants.

resultsThree fundamental objectives were identified: maximizing patient health, maximizing alignment with patient preferences, and maximizing healthcare equity. Maximizing patient healthencompassed minimizing morbidity and mortality risk while maximizing wellbeing. Maximizing healthcare equity required balancing individual patient needs against those of other patients in the ED, hospital, and broader healthcare system.

conclusionsThis study conceptualizes the disposition decision as a value-based decision about subsequent care after an ED visit. The hierarchy of objectives provides a transparent framework for analyzing value conflicts, supporting stakeholder communication, and facilitating the development and evaluation of disposition alternatives.

Indexed as

Decision-makingDispositionEmergency medicineValue-focused thinking

Identifiers

What OpenQuestion holds

Textmetadata
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.