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Cited by 7Emergency and Acute Care StudiesChronic Disease Management StrategiesPain Management and Opioid Use

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Understanding the High Frequency Use of the Emergency Department for Patients With Chronic Pain: A Mixed-Methods Study

Glynn, Brittany A., Brulé, Madeleine, Kenny, Samantha L., Khoo, Eve-Ling, Shergill, Yaadwinder, Smyth, Catherine E., Poulin, Patricia A.·2019·Journal for Healthcare Quality
DOI 10.1097/jhq.000000000000073
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Abstract

INTRODUCTION: Chronic pain (CP) is a common driver of emergency department (ED) visits despite the ED not being the ideal setting for CP because of increased risk of adverse events and high costs. PURPOSE: The purpose of this study is to understand factors contributing to CP-related ED visits, patients' care experiences, and patients' perspectives on alternatives to the ED. METHODS: We used a mixed-methods design combining semi-structured interviews and questionnaires with 12 patients with CP who had 12 or more ED visits over 1 year. We analyzed test scores using descriptive statistics and interviews using applied thematic analysis. RESULTS: Four themes emerged. Factors contributing to ED visits included the following: fear (e.g., pain and its impact); inability to cope with pain; family suggestions to go to the ED; and access to other services and resources. Patients had validating and invalidating experiences in the ED: needs were met or not met; and feeling acknowledged or unacknowledged. Patients' experiences with their family physician included feeling supported or unsupported. Alternatives to the ED included working with an interdisciplinary team, developing personalized care plans, and increased community-based resources. CONCLUSIONS: Patients with CP and frequent ED use present with complex pain and care experiences, requiring careful attention to management strategies and the patient-provider relationship.

Overview

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Crossref · 10.1097/jhq.000000000000073

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Research works printed but not linked: 1

  1. Schopflocher, 2011, The prevalence of chronic pain in Canada. Pain Research & Management: The Journal of the Canadian Pain Society, 16, 445

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Metadata

Authors
Glynn, B. A., Brulé, M., Kenny, S. L., Khoo, E.-L., Shergill, Y., Smyth, C. E., & Poulin, P. A.
Affiliations
Ottawa Hospital (CA)
ORCID
Venue
Journal for Healthcare Quality
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-07
Volume
41
Issue
4
Pages
195-211
ISSN
  • 1062-2551 (ISSN-L)
  • 1945-1474
DOI
10.1097/jhq.000000000000073
OpenAlex
W2960567281
Cited by
7
References
33
Citations by year
2025: 1 · 2024: 1 · 2022: 2 · 2021: 2 · 2020: 1
FWCI
1.45
Type
journal article
Language
en
Open access
closed
Locations
  • Journal for Healthcare Quality (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords
chronic pain, emergency department visits, frequent emergency department users, patient experience, fear of pain, pain coping, patient-provider relationship, multidisciplinary care, community resources, individualized care plans
MeSH terms
Adult, Curriculum, Education, Nursing, Continuing, Emergency Service, Hospital, Female, Health Personnel, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, Chronic Pain

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