Perspectives of Frequent Users of Emergency Departments on a Case Management Intervention: A Qualitative Study.

Details

Ressource 1Download: 10.1177_00469580231159745.pdf (410.06 [Ko])
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_6854D7444D29
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Perspectives of Frequent Users of Emergency Departments on a Case Management Intervention: A Qualitative Study.
Journal
Inquiry
Author(s)
Schaad L., Graells M., Kasztura M., Schmutz E., Moullin J., Hugli O., Daeppen J.B., Ambrosetti J., Ombelli J., Golay M., Ribordy V., Grazioli V.S., Bodenmann P.
ISSN
1945-7243 (Electronic)
ISSN-L
0046-9580
Publication state
Published
Issued date
2023
Peer-reviewed
Oui
Volume
60
Pages
469580231159745
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Effective management of frequent users of emergency departments (FUED) remains challenging. Case management (CM) has shown to improve patient quality of life while reducing ED visits and associated costs. However, little data is available on FUED's perception of CM outside of North America to further improve CM implementation.
Explore the FUED's perspectives about CM in Switzerland.
Semi-structured qualitative interviews eliciting FUED's experiences of CM were conducted among 20 participants (75% female; mean age = 40.6, SD = 12.8) across 6 hospital ED.
Inductive content analysis.
Most participants were satisfied with the CM program. In particular, FUEDs identified the working relationship with the case manager (cm) as key for positive outcomes, and also valued the holistic evaluation of their needs and resources. Overall, patients reported increased motivation and health literacy, as well as facilitated interactions within the healthcare system. Conversely, a small number of participants reported negative views on CM (ie, stigmatization, lack of concrete outcomes). Barriers identified were cm's lack of time, COVID-19's negative impact on CM organization, as well as lack of clarity on the objectives of CM. FUED perceived CM as useful, in particular establishing a working relationship with the cm. Our results suggest that CM can be further improved by (1) professionals remaining non-judgmental toward FUED, (2) making sure the aims and objectives of the CM are understood by the participants, and (3) allowing more time for the cm to carry out their work.
Keywords
Humans, Female, Adult, Male, Case Management, Quality of Life, COVID-19, Delivery of Health Care, Emergency Service, Hospital, case management, emergency department, frequent users of emergency departments, qualitative
Pubmed
Web of science
Open Access
Yes
Create date
24/03/2023 11:44
Last modification date
12/01/2024 11:16
Usage data