- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05456906
Avoidable Hospitalizations/ Emergency Department Visits- Systematic Review and Meta-synthesis of Qualitative Research
Avoidable Hospitalizations/ Emergency Department Visits- Meta-synthesis of Qualitative Research
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The present study is a qualitative systematic review and meta-synthesis study. The study primarily focused on the qualitative studies that collected and analyzed narratives from patients who experienced preventable hospitalizations. The information from their families, health care providers, and stakeholders in the qualitative studies are also included. The data collections from patients occurred during their hospital stay, emergency department stay, or after discharge to the community are included. Patients included all ages and gender, regardless of their race/ethnicity and countries.
The qualitative studies must be published in peer-reviewed journals, with language as english and no restriction on publication date or country of origin. Two authors (HC and HL) independently screened the title and reviewed abstracts, then full texts for eligibility. Thorugh synthesizing, the present study is expected to develop themes and sub-themes related to preventable hospitalizations/emergency department visits, in the hope to assist policymakers health care professionals, and stakeholders in properly addressing the underlying factors leading to preventable hospitalizations/emergency department visits .
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Hsueh-Fen Chen, Ph.D.
- Phone Number: 2648 07-3121101
- Email: Chenhf@kmu.edu.tw
Study Locations
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-
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Kaohsiung, Taiwan, 807
- Recruiting
- Kaohsiung Medical University
-
Contact:
- Hsueh-Fen Chen, Ph.D.
- Phone Number: 2648 073121101
- Email: Chenhf@kmu.edu.tw
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Patients were admitted to hospitals and/ or visited the emergency department due to preventable conditions, including diabetes acute complications, diabetes chronic complications, uncontrolled diabetes, low-extremity amputation due to diabetes, COPD, heart failure, hypertension, urinary tract infection, and pneumonia. Patients' families and their health care providers are also included.
exclusion criteria: patients with dementia, mental illness, or cancer
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Retrospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
preventable hospitalizations and/or preventable emergency department visits
Time Frame: 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.
|
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
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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.
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Hsueh-Fen Chen, Ph.D., Kaohsiung Medical University
Publications and helpful links
General Publications
- 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.
- 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.
- 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 6. doi: 10.1071/PY17191. [Epub ahead of print]
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Pneumonia
- Lung Diseases
- Urologic Diseases
- Disease Attributes
- Bacterial Infections
- Bacterial Infections and Mycoses
- Emergencies
- Lung Diseases, Obstructive
- Pulmonary Disease, Chronic Obstructive
- Urinary Tract Infections
- Pneumonia, Bacterial
Other Study ID Numbers
- 11
- MOST110-2410-H-037-018-MY3 (Other Grant/Funding Number: Ministry of Science and Technology in Taiwan)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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