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
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.
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“when patients who are structurally disadvantaged seek care at the ED, the chances of experiencing negative judgements or stigmatization are high [53–55].”
From Using a health equity lens to measure patient experiences of care in diverse health care settings (2024) · cites this paper as [53]
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Varcoe, C., Browne, A. J., Bungay, V., Perrin, N., Wilson, E., Wathen, C. N., Byres, D., & Roberta Price, E. (2022) · International Journal of Health Services · doi:10.1177/00207314221075515 · Cited by 39
Using a health equity lens to measure patient experiences of care in diverse health care settings
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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)
- Venue
- Journal for Healthcare Quality
- Published
- 2019-07
- Volume
- 41
- Issue
- 4
- Pages
- 195-211
- ISSN
- 1062-2551 (ISSN-L)
- 1945-1474
- 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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