ArticleScandinavian journal of primary health care2026
Drivers of avoidable emergency department visits in older adults with multiple long-term conditions and palliative care needs: a qualitative survey across six care providers.
Article in Scandinavian journal of primary health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
objectivesEmergency department (ED) visits remain common among older adults with multiple long-term conditions, many of whom have palliative care needs. However, the ED environment is burdensome for these patients and often misaligned with their goals. This study explores experiences of shortcomings in outpatient care that drive ED use in this population to inform a primary care intervention.
methodQualitative content analysis of free-text responses from a survey of 100 physicians, registered nurses and nurse assistants working across primary care practices, home healthcare, EDs, geriatrics, ambulance services and advanced home healthcare in Stockholm.
resultsThe analysis distinguished one overarching theme: 'Delayed, fragmented palliative care in primary care settings contributes to ED visits'. This theme comprised two categories: (1) Palliative decision-making in primary care, including subcategories
conclusionDelayed recognition of palliative care needs and the resulting delay in action are perceived as important drivers of avoidable ED visits in older adults with multiple long-term conditions. Strengthening generalist palliative care in primary care through targeted education, adequate resources, and access to specialist support are potential important components of an intervention aiming to reduce ED use and enable more proactive, person-centred, end‑of‑life care.
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