Avoidable Hospitalizations/ Emergency Department Visits- Systematic Review and Meta-synthesis of Qualitative Research

NCT05456906 | Unknown

• 2 other identifiers: 11MOST110-2410-H-037-018-MY3
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to synthesize qualitative evidence related to preventable hospitalizations/ emergency department visits from the perspectives of patients, their families/caregivers, health care providers, and stakeholders, in the hope to identify generalizable conclusions about why social risk factors matter to preventable hospitalizations/ emergency department visits

Conditions

Diabetes; Heart Failure; Chronic Obstructive Pulmonary Disease; Asthma; Hypertension; Urinary Tract Infections; Pneumonia, Bacterial

Keywords

Meta-analysis; Qualitative study; Systematic review; social determinants of health

Outcome Measures

Primary Outcomes (1)

• preventable hospitalizations and/or preventable emergency department visits

  patients who experienced hospitalizations and/ or emergency department visits due to any of the conditions: diabetes-related complication, heart failure, asthma, COPD, urinary tract infection, and bacteria

  Patients were hospitalized or visited emergency department visits as the base line. The interviews were conducted during patient inpatient stay/ emergency department stay or after discharge to the community up to 3 years.

Interventions

No intervention OTHER

No interventions

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who experienced preventable hospitalizations and/ or emergency department visits, their families, and health care providers, with no restriction on publication date or country of origin, are included, regardless of their ages, gender, race/ethnicity, and country of birth.

Sponsors & Collaborators

• Kaohsiung Medical University: lead
• The Ministry of Science and Technology: collaborator
• National Taipei University of Nursing and Health Sciences: collaborator

Study Sites (1)

Kaohsiung Medical University

Kaohsiung City, 807, Taiwan

RECRUITING

Related Publications (13)

• Granger BB, McBroom K, Bosworth HB, Hernandez A, Ekman I. The meanings associated with medicines in heart failure patients. Eur J Cardiovasc Nurs. 2013 Jun;12(3):276-83. doi: 10.1177/1474515112447734. Epub 2012 May 30.

  PMID: 22653088 RESULT

• James S, Annetts K, Frakking T, Broadbent M, Waugh J, Perry L, Lowe J, Clark S. Diabetic ketoacidosis presentations in a low socio-economic area: are services suitable? BMC Health Serv Res. 2021 Jul 10;21(1):682. doi: 10.1186/s12913-021-06715-7.

  PMID: 34246266 RESULT

• Longman JM, Rix E, Johnston JJ, Passey ME. Ambulatory care sensitive chronic conditions: what can we learn from patients about the role of primary health care in preventing admissions? Aust J Prim Health. 2018 Aug;24(4):304-310. doi: 10.1071/PY17191. Epub 2018 Aug 6.

  PMID: 30078392 RESULT

• Pasciak WE, Berg DN, Cherlin E, Fried T, Lipska KJ. Qualitative analysis of reasons for hospitalization for severe hypoglycemia among older adults with diabetes. BMC Geriatr. 2021 May 17;21(1):318. doi: 10.1186/s12877-021-02268-w.

  PMID: 34001014 RESULT

• Quensell ML, Taira DA, Seto TB, Braun KL, Sentell TL. "I Need my Own Place to get Better": Patient Perspectives on the Role of Housing in Potentially Preventable Hospitalizations. J Health Care Poor Underserved. 2017;28(2):784-797. doi: 10.1353/hpu.2017.0074.

  PMID: 28529224 RESULT

• Sentell TL, Seto TB, Young MM, Vawer M, Quensell ML, Braun KL, Taira DA. Pathways to potentially preventable hospitalizations for diabetes and heart failure: a qualitative analysis of patient perspectives. BMC Health Serv Res. 2016 Jul 26;16:300. doi: 10.1186/s12913-016-1511-6.

  PMID: 27456233 RESULT

• Shearer JE, Jenkins CH, Magwood GS, Pope CA. Contested Ownership of Disease and Ambulatory-Sensitive Emergency Department Visits for Type 2 Diabetes. Am J Med Sci. 2016 Apr;351(4):400-6. doi: 10.1016/j.amjms.2016.01.007.

  PMID: 27079346 RESULT

• van den Broek S, Heiwegen N, Verhofstad M, Akkermans R, van Westerop L, Schoon Y, Hesselink G. Preventable emergency admissions of older adults: an observational mixed-method study of rates, associative factors and underlying causes in two Dutch hospitals. BMJ Open. 2020 Nov 20;10(11):e040431. doi: 10.1136/bmjopen-2020-040431.

  PMID: 33444202 RESULT

• Manski-Nankervis JA, Furler J, Audehm R, Blackberry I, Young D. Potentially preventable hospitalisations: are they a useful marker of access to and experience of care in general practice among people with type 2 diabetes? Aust J Prim Health. 2015;21(2):214-20. doi: 10.1071/PY13112.

  PMID: 24491142 RESULT

• Ridge A, Peterson GM, Seidel BM, Anderson V, Nash R. Rural Patients' Perceptions of Their Potentially Preventable Hospitalisation: A Qualitative Study. J Patient Exp. 2022 Jan 4;9:23743735211069825. doi: 10.1177/23743735211069825. eCollection 2022.

  PMID: 35005222 RESULT

• McKenna G, Rogers A, Walker S, Pope C. The influence of personal communities in understanding avoidable emergency department attendance: qualitative study. BMC Health Serv Res. 2020 Sep 21;20(1):887. doi: 10.1186/s12913-020-05705-5.

  PMID: 32958065 RESULT

• Agarwal S, Banerjee J, Baker R, Conroy S, Hsu R, Rashid A, Camosso-Stefinovic J, Sinfield P, Habiba M. Potentially avoidable emergency department attendance: interview study of patients' reasons for attendance. Emerg Med J. 2012 Dec;29(12):e3. doi: 10.1136/emermed-2011-200585. Epub 2011 Dec 28.

  PMID: 22205782 RESULT

• Chen HF, Lin HR. Social determinants of ambulatory care sensitive conditions: a qualitative meta-synthesis based on patient perspectives. Front Public Health. 2023 May 9;11:1147732. doi: 10.3389/fpubh.2023.1147732. eCollection 2023.

  PMID: 37228726 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus; Heart Failure; Pulmonary Disease, Chronic Obstructive; Asthma; Hypertension; Urinary Tract Infections; Pneumonia, Bacterial

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Heart Diseases; Cardiovascular Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Bronchial Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Vascular Diseases; Infections; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Bacterial Infections; Bacterial Infections and Mycoses; Pneumonia; Respiratory Tract Infections

Study Officials

• Hsueh-Fen Chen, Ph.D.

  Kaohsiung Medical University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Hsueh-Fen Chen, Ph.D.

CONTACT

07-3121101; Chenhf@kmu.edu.tw

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: June 30, 2022
• First Posted: July 13, 2022
• Study Start: June 1, 2022
• Primary Completion: July 20, 2022
• Study Completion: August 31, 2022
• Last Updated: July 13, 2022

Record last verified: 2022-07

Locations

TW (1)