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Healthcare Providers’ Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study

Frequent users of emergency departments (FUED; ≥ 5 ED visits/year) commonly cumulate medical, social, and substance use problems requiring complex and sustained care coordination often unavailable in ED. This study aimed to explore ED healthcare providers’ challenges related to FUED care to gain ins...

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Autores principales: Bodenmann, Patrick, Kasztura, Miriam, Graells, Madison, Schmutz, Elodie, Chastonay, Oriane, Canepa-Allen, Marina, Moullin, Joanna, von Allmen, Michael, Lemoine, Melissa, Hugli, Olivier, Daeppen, Jean-Bernard, Grazioli, Véronique S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326990/
https://www.ncbi.nlm.nih.gov/pubmed/34328025
http://dx.doi.org/10.1177/00469580211028173
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author Bodenmann, Patrick
Kasztura, Miriam
Graells, Madison
Schmutz, Elodie
Chastonay, Oriane
Canepa-Allen, Marina
Moullin, Joanna
von Allmen, Michael
Lemoine, Melissa
Hugli, Olivier
Daeppen, Jean-Bernard
Grazioli, Véronique S.
author_facet Bodenmann, Patrick
Kasztura, Miriam
Graells, Madison
Schmutz, Elodie
Chastonay, Oriane
Canepa-Allen, Marina
Moullin, Joanna
von Allmen, Michael
Lemoine, Melissa
Hugli, Olivier
Daeppen, Jean-Bernard
Grazioli, Véronique S.
author_sort Bodenmann, Patrick
collection PubMed
description Frequent users of emergency departments (FUED; ≥ 5 ED visits/year) commonly cumulate medical, social, and substance use problems requiring complex and sustained care coordination often unavailable in ED. This study aimed to explore ED healthcare providers’ challenges related to FUED care to gain insight into the support and resources required to address FUED complex needs. An online survey was sent to all general adult emergency services within Switzerland (N = 106). Participants were asked to indicate the extent to which they perceived that FUED represented a problem and to describe the main challenges encountered. In total, 208 physicians and nurses from 75 EDs (70.7%) completed the survey. Among the 208 participants, 134 (64%) reported that FUED represented a challenge and 133 described 1 to 5 challenges encountered. A conventional content analysis yielded 4 main categories of perceived challenges. Negative consequences in the ED secondary to FUED’s presence (eg, ED overcrowding, staff helplessness, and fatigue) was the most frequently reported challenge, followed by challenges related to FUEDs’ characteristics (eg, mental health and social problems) leading to healthcare complexity. The third most frequently encountered challenge was related to the ED inappropriateness and inefficiency to address FUEDs’ needs. Finally, challenges related to the lack of FUED healthcare network were the least often mentioned. ED healthcare providers experience a wide range of challenges related to FUED care. These findings suggest that currently EDs nor their staff are equipped to address FUEDs’ complex needs.
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spelling pubmed-83269902021-08-09 Healthcare Providers’ Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study Bodenmann, Patrick Kasztura, Miriam Graells, Madison Schmutz, Elodie Chastonay, Oriane Canepa-Allen, Marina Moullin, Joanna von Allmen, Michael Lemoine, Melissa Hugli, Olivier Daeppen, Jean-Bernard Grazioli, Véronique S. Inquiry Original Research Frequent users of emergency departments (FUED; ≥ 5 ED visits/year) commonly cumulate medical, social, and substance use problems requiring complex and sustained care coordination often unavailable in ED. This study aimed to explore ED healthcare providers’ challenges related to FUED care to gain insight into the support and resources required to address FUED complex needs. An online survey was sent to all general adult emergency services within Switzerland (N = 106). Participants were asked to indicate the extent to which they perceived that FUED represented a problem and to describe the main challenges encountered. In total, 208 physicians and nurses from 75 EDs (70.7%) completed the survey. Among the 208 participants, 134 (64%) reported that FUED represented a challenge and 133 described 1 to 5 challenges encountered. A conventional content analysis yielded 4 main categories of perceived challenges. Negative consequences in the ED secondary to FUED’s presence (eg, ED overcrowding, staff helplessness, and fatigue) was the most frequently reported challenge, followed by challenges related to FUEDs’ characteristics (eg, mental health and social problems) leading to healthcare complexity. The third most frequently encountered challenge was related to the ED inappropriateness and inefficiency to address FUEDs’ needs. Finally, challenges related to the lack of FUED healthcare network were the least often mentioned. ED healthcare providers experience a wide range of challenges related to FUED care. These findings suggest that currently EDs nor their staff are equipped to address FUEDs’ complex needs. SAGE Publications 2021-07-30 /pmc/articles/PMC8326990/ /pubmed/34328025 http://dx.doi.org/10.1177/00469580211028173 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Bodenmann, Patrick
Kasztura, Miriam
Graells, Madison
Schmutz, Elodie
Chastonay, Oriane
Canepa-Allen, Marina
Moullin, Joanna
von Allmen, Michael
Lemoine, Melissa
Hugli, Olivier
Daeppen, Jean-Bernard
Grazioli, Véronique S.
Healthcare Providers’ Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study
title Healthcare Providers’ Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study
title_full Healthcare Providers’ Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study
title_fullStr Healthcare Providers’ Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study
title_full_unstemmed Healthcare Providers’ Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study
title_short Healthcare Providers’ Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study
title_sort healthcare providers’ perceptions of challenges with frequent users of emergency department care in switzerland: a qualitative study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326990/
https://www.ncbi.nlm.nih.gov/pubmed/34328025
http://dx.doi.org/10.1177/00469580211028173
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