Reducing Frequent Visits to the Emergency Department: A Systematic Review of Interventions
Open accessAbstract
OBJECTIVE: The objective of this study was to establish the effectiveness of interventions to reduce frequent emergency department (ED) use among a general adult high ED-use population. METHODS: Systematic review of the literature from 1950-January 2015. Studies were included if they: had a control group (controlled trials or comparative cohort studies), were set in an ED or acute care facility, and examined the impact of an intervention to reduce frequent ED use in a general adult population. Studies reporting non-original data or focused on a specific patient population were excluded. Study design, patient population, intervention, the frequency of ED visits, and costs of frequent ED use and/or interventions were extracted and narratively synthesized. RESULTS: Among 17 included articles, three intervention categories were identified: case management (n = 12), individualized care plans (n = 3), and information sharing (n = 2). Ten studies examining case management reported reductions in mean (-0.66 to -37) or median (-0.1 to -20) number of ED visits after 12-months; one study reported an increase in mean ED visits (+2.79); and one reported no change. Of these, 6 studies also reported reduced hospital costs. Only 1 study evaluating individualized care plans examined ED utilization and found no change in median ED visits post-intervention. Costs following individualized care plans were also only evaluated in 1 study, which reported savings in hospital costs of $742/patient. Evidence was mixed regarding information sharing: 1 study reported no change in mean ED visits and did not examine costs; whereas the other reported a decrease in mean ED visits (-16.9) and ED cost savings of $15,513/patient. CONCLUSIONS: The impact of all three frequent-user interventions was modest. Case management had the most rigorous evidence base, yielded moderate cost savings, but with variable reductions in ED use. Future studies evaluating non-traditional interventions, tailoring to patient subgroups or socio-cultural contexts, are warranted.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Past emergency department use would be a useful measure to identify patients who would benefit from closer follow-up, geriatric referral, emergency department-to-community transition support, and closer engagement with primary care and home care.
“The relative strength of the association we observed with past ED visits is informative, suggesting that past ED use would be useful measure to identify patients who would benefit from closer follow-up, geriatric referral, ED-to-community transition support, and closer engagement with primary care and home care.36”
From Factors associated with recurrent emergency department visits among people living with dementia: A retrospective cohort study (2023) · cites this paper as [36]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554 · see citing works
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817 · see citing works
Dermyshi, E., Wang, Y., Yan, C., Hong, W., Qiu, G., Gong, X., & Zhang, T. (2017) · Neonatology · doi:10.1159/000454668 · Cited by 24,577 · see citing works
Downs, S. H., & Black, N. (1998) · Journal of Epidemiology and Community Health · doi:10.1136/jech.52.6.377 · Cited by 8,252 · see citing works
Frequent Users of Emergency Departments: The Myths, the Data, and the Policy Implications
LaCalle, E., & Rabin, E. (2010) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2010.01.032 · Cited by 648 · see citing works
Althaus, F., Paroz, S., Hügli, O., Ghali, W. A., Daeppen, J., Peytremann‐Bridevaux, I., & Bodenmann, P. (2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.03.007 · Cited by 319 · see citing works
Hansagi, H., Olsson, M., Sjöberg, S., Tomson, Y., & Göransson, S. (2001) · Annals of Emergency Medicine · doi:10.1067/mem.2001.111762 · Cited by 318 · see citing works
Weintraub, N. L., Collins, S. P., Pang, P. S., Levy, P. D., Anderson, A. S., Arslanian‐Engoren, C., Gibler, W. B., McCord, J., Parshall, M. B., Francis, G. S., et al. (2010) · Circulation · doi:10.1161/cir.0b013e3181f9a223 · Cited by 273 · see citing works
Doupe, M. B., Palatnick, W., Day, S., Chateau, D., Soodeen, R.-A., Burchill, C., & Derksen, S. (2012) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.11.036 · Cited by 253 · see citing works
Frequent Users of Massachusetts Emergency Departments: A Statewide Analysis
Fuda, K. K., & Immekus, R. (2006) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2006.03.001 · Cited by 250 · see citing works
Frequent Users of Emergency Department Services: Gaps in Knowledge and a Proposed Research Agenda
Pines, J. M., Asplin, B. R., Kaji, A. H., Lowe, R. A., Magid, D. J., Raven, M. C., Weber, E. J., & Yealy, D. M. (2011) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2011.01086.x · Cited by 221 · see citing works
Kumar, G. S., & Klein, R. (2013) · The Journal of Emergency Medicine · doi:10.1016/j.jemermed.2012.08.035 · Cited by 221 · see citing works
Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial⋆
Shumway, M., Boccellari, A., O'Brien, K., & Okin, R. L. (2008) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2007.04.021 · Cited by 209 · see citing works
The effects of clinical case management on hospital service use among ED frequent users
Okin, R. L., Boccellari, A., Azocar, F., Shumway, M., O'Brien, K., Gelb, A. M., Kohn, M. A., Harding, P., & Wachsmuth, C. (2000) · The American Journal of Emergency Medicine · doi:10.1053/ajem.2000.9292 · Cited by 198 · see citing works
Frequent users of the emergency department: a program to improve care and reduce visits.
(2000) · Europe PMC (PubMed Central) · Cited by 187 · see citing works
Blank, F. S. J., Li, H., Henneman, P. L., Smithline, H. A., Santoro, J. S., Provost, D., & Maynard, A. M. (2005) · Journal of Emergency Nursing · doi:10.1016/j.jen.2005.02.008 · Cited by 137 · see citing works
Urban emergency department overcrowding: defining the problem and eliminating misconceptions
Schull, M. J., Slaughter, P. M., & Redelmeier, D. A. (2002) · Canadian Journal of Emergency Medicine · doi:10.1017/s1481803500006163 · Cited by 137 · see citing works
Murphy, A. W. (1998) · Family Practice · doi:10.1093/fampra/15.1.23 · Cited by 129 · see citing works
Bieler, G., Paroz, S., Faouzi, M., Trueb, L., Vaucher, P., Althaus, F., Daeppen, J., & Bodenmann, P. (2012) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2011.01246.x · Cited by 122 · see citing works
Frequent Users of the Emergency Department: Can We Intervene?
Spillane, L. L., Lumb, E. W., Cobaugh, D. J., Wilcox, S. R., Clark, J. S., & Schneider, S. M. (1997) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.1997.tb03581.x · Cited by 108 · see citing works
Vertesi, L. (2004) · Canadian Journal of Emergency Medicine · doi:10.1017/s1481803500009611 · Cited by 98 · see citing works
Phillips, G. A., Brophy, D. S., Weiland, T. J., Chenhall, A. J., & Dent, A. W. (2006) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2006.tb00412.x · Cited by 97 · see citing works
A New Model for Emergency Care of Geriatric Patients
Adams, J. G., & Gerson, L. W. (2003) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2003.tb02002.x · Cited by 73 · see citing works
Reinius, P., Johansson, M., Fjellner, A., Werr, J., Ohlén, G., & Edgren, G. (2013) · European journal of emergency medicine · doi:10.1097/mej.0b013e328358bf5a · Cited by 73 · see citing works
Factors associated with frequent use of emergency services in a medical center.
Huang, J., Tsai, W., Chen, Y.-C., Hu, W., & Yang, D. (2003) · PubMed · Cited by 71 · see citing works
Case management of patients who frequently present to a Scottish emergency department
Skinner, J., Carter, L., & Haxton, C. (2009) · Emergency Medicine Journal · doi:10.1136/emj.2008.063081 · Cited by 69 · see citing works
Markham, D., & Graudins, A. (2011) · BMC Emergency Medicine · doi:10.1186/1471-227x-11-21 · Cited by 62 · see citing works
Crane, S., Collins, L., Hall, J. P., Rochester, D. L., & Patch, S. C. (2012) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2012.02.110156 · Cited by 62 · see citing works
Hansagi, H., Olsson, M., Hussain, A., & Öhlén, G. (2008) · European Journal of Emergency Medicine · doi:10.1097/mej.0b013e3282aa4115 · Cited by 60 · see citing works
Lee, K., & Davenport, L. (2006) · The Health Care Manager · doi:10.1097/00126450-200604000-00008 · Cited by 60 · see citing works
Kennedy, D., & Ardagh, M. (2004) · PubMed · Cited by 43 · see citing works
Evaluation of Care Management for the Uninsured
Shah, R., Chen, X. C., O'Rourke, S., Lee, M., Mohanty, S. A., & Abraham, J. (2011) · Medical Care · doi:10.1097/mlr.0b013e3182028e81 · Cited by 41 · see citing works
'Inappropriate' attenders at accident and emergency departments II: health service responses
Murphy, A. W. (1998) · Family Practice · doi:10.1093/fampra/15.1.33 · Cited by 40 · see citing works
Use of health information technology to manage frequently presenting emergency department patients.
Stokes‐Buzzelli, S., Peltzer-Jones, J. M., Martin, G. B., Ford, M. M., & Weise, A. J. (2010) · PubMed Central · Cited by 34 · see citing works
DeHaven, M. J., Kitzman, H. E., Gimpel, N. E., Culica, D. V., O'Neil, L., Marcee, A. K., Foster, B., Biggs, M. M., & Walton, J. W. (2012) · Journal of Public Health · doi:10.1093/pubmed/fds027 · Cited by 30 · see citing works
Cost-Effective: Emergency Department Care Coordination with A Regional Hospital Information System
Murphy, S. M., & Neven, D. (2014) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2013.11.073 · Cited by 27 · see citing works
Grimmer, K. A., Johnston, K., Somers, E., Luker, J. A., Alemao, L. A., & Jones, D. (2010) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1753-6405.2010.00616.x · Cited by 23 · see citing works
What We Don't Know May Hurt Us: Interventions for Frequent Emergency Department Users
Raven, M. C. (2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.04.009 · Cited by 18 · see citing works
Peddie, S., Richardson, S. K., Salt, L., & Ardagh, M. (2011) · PubMed · Cited by 13 · see citing works
The Role of the Emergency Department in the Patient with Acute Heart Failure
Horton, C., & Collins, S. P. (2013) · Current Cardiology Reports · doi:10.1007/s11886-013-0365-3 · Cited by 12 · see citing works
Dynamic Internet-Mediated Team-Based Case Management of High-Frequency Emergency Department Users
Chiang, C., Lee, C., Tsai, T., Li, C., Lee, W., & Wu, K. (2014) · Hong Kong Journal of Emergency Medicine · doi:10.1177/102490791402100305 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Interventions to reduce emergency department utilisation: A review of reviews
den Heede, K. V., & de Voorde, C. V. (2016) · Health Policy · doi:10.1016/j.healthpol.2016.10.002 · Cited by 210 · see citing works
Soril, L. J. J., Leggett, L. E., Lorenzetti, D., Noseworthy, T., & Clement, F. M. (2016) · Health Policy · doi:10.1016/j.healthpol.2016.02.006 · Cited by 140 · see citing works
Self-citation"Hospital was the only option": Experiences of frequent emergency department users in mental health.
Wise-Harris, D., Pauly, D., Kahan, D., Tan de Bibiana, J., Hwang, S. W., & Stergiopoulos, V. (2017) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-016-0728-3 · Cited by 126 · see citing works
Hudon, C., Chouinard, M., Pluye, P., Sherif, R. E., Bush, P. L., Rihoux, B., Poitras, M.-È., Lambert, M., Zomahoun, H. T. V., & Légaré, F. (2019) · The Annals of Family Medicine · doi:10.1370/afm.2419 · Cited by 91 · see citing works
Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study
Hudon, C., Chouinard, M., Dubois, M., Roberge, P., Loignon, C., Nguemeleu, E. T., Lambert, M., Hudon, É., Diadiou, F., & Bouliane, D. (2018) · The Annals of Family Medicine · doi:10.1370/afm.2233 · Cited by 94 · see citing works
Barrios, M. A. O., & Alfaro-Saíz, J.-J. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17082664 · Cited by 73 · see citing works
Hudon, C., Chouinard, M., Lambert, M., Dufour, I., & Krieg, C. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012353 · Cited by 60 · see citing works
Iovan, S., Lantz, P. M., Allan, K., & Abir, M. (2020) · Medical Care Research and Review · doi:10.1177/1077558719845722 · Cited by 62 · see citing works
Marcoux, V., Chouinard, M., Diadiou, F., Dufour, I., & Hudon, C. (2017) · PLoS ONE · doi:10.1371/journal.pone.0188663 · Cited by 61 · see citing works
Preparing the prescription: a review of the aim and measurement of social referral programmes
Rempel, E., Wilson, E., Durrant, H., & Barnett, J. C. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017734 · Cited by 59 · see citing works
Care Coordination Models and Tools—Systematic Review and Key Informant Interviews
Duan‐Porter, W., Ullman, K. E., Majeski, B., Miake-Lye, I. M., Diem, S. J., & Wilt, T. J. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-021-07158-w · Cited by 58 · see citing works
Defining and Characterizing Frequent Attenders: Systematic Literature Review and Recommendations
Shukla, D. M., Faber, E. B., & Sick, B. T. (2020) · Journal of patient-centered research and reviews · doi:10.17294/2330-0698.1747 · Cited by 56 · see citing works
Stemerman, R., Arguello, J., Brice, J., Krishnamurthy, A., Houston, M., & Kitzmiller, R. (2021) · JAMIA Open · doi:10.1093/jamiaopen/ooaa069 · Cited by 54 · see citing works
Case Management Reduces Length of Stay, Charges, and Testing in Emergency Department Frequent Users
Grover, C. A., Sughair, J., Stoopes, S., Guillen, F., Tellez, L., Wilson, T. M., Gaccione, C., & Close, R. J. H. (2018) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2017.9.34710 · Cited by 54 · see citing works
Hudon, C., Chouinard, M., Lambert, M., Diadiou, F., Bouliane, D., & Beaudin, J. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017762 · Cited by 53 · see citing works
Jacob, R., Wong, M. L., Hayhurst, C., Watson, P., & Morrison, C. P. (2016) · Clinical Medicine · doi:10.7861/clinmedicine.16-4-325 · Cited by 50 · see citing works
Neuropsychological feedback services improve quality of life and social adjustment
Rosado, D. L., Buehler, S., Botbol, E., Feigon, M., León, A., Luu, H., Carrión, C. I., Gonzalez, M., Rao, J. A., Greif, T. R., et al. (2017) · The Clinical Neuropsychologist · doi:10.1080/13854046.2017.1400105 · Cited by 49 · see citing works
Poremski, D., Harris, D. W., Kahan, D., Pauly, D. F., Leszcz, M., O'Campo, P. J., WASYLENKI, D. A., & Stergiopoulos, V. (2016) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2016.01.004 · Cited by 48 · see citing works
Prevalence of and Predictors for Frequent Utilization of Emergency Department
Ko, M.-C., Lee, Y., Chen, C.-C., Chou, P., & Chu, D. (2015) · Medicine · doi:10.1097/md.0000000000001205 · Cited by 45 · see citing works
Stergiopoulos, V., Gozdzik, A., Cohen, A., Guimond, T. H., Hwang, S. W., Kurdyak, P. A., Leszcz, M., & WASYLENKI, D. A. (2017) · PLoS ONE · doi:10.1371/journal.pone.0182157 · Cited by 45 · see citing works
Tsui, J. I., Miller, C. M., Scott, J. D., Corcorran, M. A., Dombrowski, J. C., & Glick, S. N. (2018) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2018.11.026 · Cited by 43 · see citing works
Chang, E., Ali, R., Seibert, J., & Berkman, N. D. (2022) · Journal of General Internal Medicine · doi:10.1007/s11606-022-07809-6 · Cited by 41 · see citing works
Li, X., Srasuebkul, P., Reppermund, S., & Trollor, J. N. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-018613 · Cited by 38 · see citing works
Belmin, J., Villani, P., Gay, M., Fabriès, S., Havreng‐Théry, C., Malvoisin, S., Denis, F., & Veyron, J.-H. (2022) · Journal of Medical Internet Research · doi:10.2196/40387 · Cited by 37 · see citing works
Experience of emergency department use among persons with a history of adverse childhood experiences
Purkey, E., Davison, C., MacKenzie, M., Beckett, T., Korpal, D., Soucie, K., & Bartels, S. A. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05291-6 · Cited by 37 · see citing works
Factors associated with emergency department useamong veteran psychiatric patients
Blonigen, D. M., Macia, K. S., Bi, X., Suarez, P., Manfredi, L., & Wagner, T. H. (2017) · Psychiatric Quarterly · doi:10.1007/s11126-017-9490-2 · Cited by 36 · see citing works
Patterns of Multiple Emergency Department Visits: Do Primary Care Physicians Matter?
Maeng, D. D., Hao, J., & Bulger, J. B. (2017) · The Permanente Journal · doi:10.7812/tpp/16-063 · Cited by 35 · see citing works
Cunningham, S. D., Magriples, U., Thomas, J. L., Kozhimannil, K. B., Herrera, C., Barrette, E., Shebl, F. M., & Ickovics, J. R. (2017) · Academic Emergency Medicine · doi:10.1111/acem.13215 · Cited by 34 · see citing works
Moe, J., O’Sullivan, F., McGregor, M. J., Schull, M. J., Dong, K. A., Holroyd, B. R., Grafstein, E., Hohl, C. M., Trimble, J., & McGrail, K. M. (2021) · CMAJ Open · doi:10.9778/cmajo.20200168 · Cited by 34 · see citing works
Franco, A., Meldrum, J., & Ngaruiya, C. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06426-z · Cited by 36 · see citing works
Risk Factors for Persistent Frequent Emergency Department Use in Medicare Beneficiaries
Colligan, E. M., Pines, J. M., Colantuoni, E., Howell, B. L., & Wolff, J. L. (2016) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2016.01.033 · Cited by 34 · see citing works
Schmidt, M., Ekstrand, J., & Tops, A. B. (2018) · Issues in Mental Health Nursing · doi:10.1080/01612840.2018.1481471 · Cited by 33 · see citing works
Factors Associated With Frequent Emergency Department Use in the Medicare Population
Colligan, E. M., Pines, J. M., Colantuoni, E., & Wolff, J. L. (2016) · Medical Care Research and Review · doi:10.1177/1077558716641826 · Cited by 32 · see citing works
Ross, L. E., Gibson, M. F., Daley, A., Steele, L. S., & Williams, C. C. (2018) · PLoS ONE · doi:10.1371/journal.pone.0201437 · Cited by 32 · see citing works
Jessup, R. L., Bramston, C., Beauchamp, A., Gust, A. P., Cvetanovska, N., Cao, Y., Haywood, C. J., Conilione, P., TACEY, M. A., Copnell, B., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-049222 · Cited by 31 · see citing works
Kahan, D., Poremski, D., Harris, D. W., Pauly, D. F., Leszcz, M., WASYLENKI, D. A., & Stergiopoulos, V. (2016) · PLoS ONE · doi:10.1371/journal.pone.0168782 · Cited by 31 · see citing works
Gabet, M., Armoon, B., Meng, X., & Fleury, M. (2023) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2023.09.008 · Cited by 29 · see citing works
Butler, A., Love, A. D., Young, J. T., & Kinner, S. A. (2019) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-019-09685-1 · Cited by 27 · see citing works
Case Management in Primary Care for Frequent Users of Health Care Services: A Realist Synthesis
Hudon, C., Chouinard, M., Aubrey‐Bassler, K., Muhajarine, N., Burge, F., Bush, P. L., Danish, A., Ramsden, V. R., Légaré, F., Guénette, L., et al. (2020) · The Annals of Family Medicine · doi:10.1370/afm.2499 · Cited by 27 · see citing works
Greenfield, G., Okoli, O., Yamamoto, H., Blair, M. E., Saxena, S. K., Majeed, A., & Hayhoe, B. W. J. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-051409 · Cited by 27 · see citing works
Selby, S., Wang, D., Murray, E., & Lang, E. (2018) · Cureus · doi:10.7759/cureus.3247 · Cited by 26 · see citing works
Moore, M., Cristofalo, M. A., Dotolo, D. G., Torres, N. I., Lahdya, A., Ho, L. A., Vogel, M. T., Forrester, M., Conley, B., & Fouts, S. O. (2017) · Social Science & Medicine · doi:10.1016/j.socscimed.2017.02.014 · Cited by 26 · see citing works
CONECT-6: a case-finding tool to identify patients with complex health needs
Hudon, C., Bisson, M., Dubois, M., Chiu, Y. M., Chouinard, M., Dubuc, N., Elazhary, N., Sabourin, V., & Vanasse, A. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06154-4 · Cited by 24 · see citing works
Hudon, C., Chouinard, M., Bisson, M., Brousselle, A., Lambert, M., Danish, A., Rodríguez, C., & Sabourin, V. (2022) · International Journal of Integrated Care · doi:10.5334/ijic.5652 · Cited by 24 · see citing works
Rash, J. A., Poulin, P. A., Shergill, Y., Romanow, H. C., Freeman, J., Taljaard, M., Hebert, G., Stiell, I. G., & Smyth, C. E. (2018) · Pain Research and Management · doi:10.1155/2018/1875967 · Cited by 23 · see citing works
Moschetti, K., Iglesias, K., Baggio, S., Velonaki, V. S., Hügli, O., Burnand, B., Daeppen, J., Wasserfallen, J., & Bodenmann, P. (2018) · PLoS ONE · doi:10.1371/journal.pone.0199691 · Cited by 23 · see citing works
Making a Dent in the Trillion-Dollar Problem: Toward Zero Defects
Pronovost, P. J., Urwin, J. W., Beck, E. H., Coran, J. J., Sundaramoorthy, A., Schario, M. E., Muisyo, J., Sague, J. C., Shea, S. M., Runnels, P. S., et al. (2020) · NEJM Catalyst · doi:10.1056/cat.19.1064 · Cited by 23 · see citing works
Paid sick leave is associated with fewer ED visits among US private sector working adults
Bhuyan, S. S., Wang, Y., Bhatt, J., Dismuke, S. E., Carlton, E. L., Gentry, D., LaGrange, C. A., & Chang, C. F. (2016) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2015.12.089 · Cited by 23 · see citing works
Street, M., Berry, D., & Considine, J. (2018) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzy062 · Cited by 22 · see citing works
Buja, A., Francesconi, P., Bellini, I., Barletta, V., Girardi, G., Braga, M., Cosentino, M., Marvulli, M., Baldo, V., & Damiani, G. (2020) · Primary Health Care Research & Development · doi:10.1017/s1463423620000080 · Cited by 23 · see citing works
Risk Factors for Pediatric Asthma Readmissions: A Systematic Review
Hogan, A. H., Carroll, C. L., Iverson, M. G., Hollenbach, J. P., Philips, K., Saar, K., Simoneau, T., Sturm, J. J., Vangala, D., & Flores, G. (2021) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2021.05.015 · Cited by 22 · see citing works
McConville, S., Raven, M. C., Sabbagh, S. H., & Hsia, R. Y.-J. (2018) · Health Affairs · doi:10.1377/hlthaff.2017.0784 · Cited by 22 · see citing works
Emergency department use among kidney transplant recipients in the United States
Lovasik, B. P., Zhang, R. V., Hockenberry, J. M., Schrager, J. D., Pastan, S. O., Adams, A. B., Mohan, S., Larsen, C. P., & Patzer, R. E. (2017) · American Journal of Transplantation · doi:10.1111/ajt.14578 · Cited by 22 · see citing works
Magwenzi, P., Rusakaniko, S., Sibanda, E., & Fz, G. (2022) · Respiratory Research · doi:10.1186/s12931-022-02170-y · Cited by 21 · see citing works
Hudon, C., Chouinard, M., Aubrey‐Bassler, K., Burge, F., Doucet, S. A., Ramsden, V. R., Brodeur, M., Bush, P. L., Couturier, Y., Dubois, M., et al. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-026433 · Cited by 21 · see citing works
Barrios, M. A. O., & Alfaro-Saíz, J.-J. (2020) · PLoS ONE · doi:10.1371/journal.pone.0234984 · Cited by 24 · see citing works
Identifying subgroups and risk among frequent emergency department users in British Columbia
Moe, J., O’Sullivan, F., McGregor, M. J., Schull, M. J., Dong, K. A., Holroyd, B. R., Grafstein, E., Hohl, C. M., Trimble, J., & McGrail, K. M. (2021) · Journal of the American College of Emergency Physicians Open · doi:10.1002/emp2.12346 · Cited by 20 · see citing works
Hudon, C., Chouinard, M., Aubrey‐Bassler, K., Muhajarine, N., Burge, F., Pluye, P., Bush, P. L., Ramsden, V. R., Légaré, F., Guénette, L., et al. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017701 · Cited by 20 · see citing works
Chastonay, O. J., Lemoine, M., Grazioli, V. S., Allen, M. C., Kasztura, M., Moullin, J. C., Daeppen, J., Hügli, O., & Bodenmann, P. (2021) · BMC Emergency Medicine · doi:10.1186/s12873-020-00397-w · Cited by 20 · see citing works
Toloo, G. S., Bahl, N., LIM, D. J., FitzGerald, G., Wraith, D., Chu, K., Kinnear, F. B., Aitken, P. J., & Morel, D. (2019) · Emergency Medicine Australasia · doi:10.1111/1742-6723.13447 · Cited by 19 · see citing works
Characteristics of frequent users of the emergency department with chronic pain
Shergill, Y., Rice, D. B., Smyth, C. E., Tremblay, S., Nelli, J., Small, R., Hebert, G., Singer, L. N., Rash, J. A., & Poulin, P. A. (2020) · Canadian Journal of Emergency Medicine · doi:10.1017/cem.2019.464 · Cited by 20 · see citing works
Patient perspectives on emergency department self-referral after bariatric surgery
Stevens, H. E., Wells, E. E., Ross, R., Stricklen, A. L., & Ghaferi, A. A. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.01.015 · Cited by 19 · see citing works
Distinct subgroups of emergency department frequent users: A latent class analysis
Birmingham, L. E., Cheruvu, V. K., Frey, J. A., Stiffler, K. A., & VanGeest, J. B. (2019) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2019.04.029 · Cited by 19 · see citing works
Binnie, V., Brocque, R. M. L., Jessup, M., & Johnston, A. N. B. (2020) · Australasian Emergency Care · doi:10.1016/j.auec.2020.11.002 · Cited by 19 · see citing works
Risk of Frequent Emergency Department Use Among an Ambulatory Care Sensitive Condition Population
Hudon, C., Courteau, J., Chiu, Y. M., Chouinard, M., Dubois, M., Dubuc, N., Elazhary, N., Racine-Hemmings, F., Dufour, I., & Vanasse, A. (2019) · Medical Care · doi:10.1097/mlr.0000000000001270 · Cited by 18 · see citing works
Malebranche, M. E., Grazioli, V. S., Kasztura, M., Hudon, C., & Bodenmann, P. (2020) · Canadian Journal of Emergency Medicine · doi:10.1007/s43678-020-00024-4 · Cited by 18 · see citing works
Moe, J., Wang, E. Y., McGregor, M. J., Schull, M. J., Dong, K. A., Holroyd, B. R., Hohl, C. M., Grafstein, E., O’Sullivan, F., Trimble, J., et al. (2022) · CMAJ Open · doi:10.9778/cmajo.20210131 · Cited by 18 · see citing works
Hand, B. N., Boan, A. D., Bradley, C. C., Charles, J. M., & Carpenter, L. A. (2019) · Autism Research · doi:10.1002/aur.2124 · Cited by 18 · see citing works
Moe, J., Wang, Y. E., Schull, M. J., Dong, K. A., McGregor, M. J., Hohl, C. M., Holroyd, B. R., & McGrail, K. M. (2022) · BMC Emergency Medicine · doi:10.1186/s12873-022-00673-x · Cited by 17 · see citing works
Molina, M. F., Evans, J. L., Montoy, J. C. C., Cawley, C. L., Graham-Squire, D., Pérez, K., Raven, M. C., & Kanzaria, H. K. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.39076 · Cited by 17 · see citing works
Methamphetamine, Amphetamine, and MDMA Use and Emergency Department Recidivism
Richards, J. R., Placone, T. W., Wang, C. G., van der Linden, C., Derlet, R. W., & Laurin, E. G. (2020) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2020.04.051 · Cited by 17 · see citing works
Jones, A., Maclagan, L. C., Watt, J. A., Schull, M. J., Jaakkimainen, L., Swayze, S., Guan, J., & Bronskill, S. E. (2022) · Journal of the American Geriatrics Society · doi:10.1111/jgs.17726 · Cited by 16 · see citing works
Neale, J., Parkman, T., Day, E., & Drummond, C. (2016) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2016.1185091 · Cited by 16 · see citing works
Mauro, R. D., Silvio, V. D., Bosco, P., Laquintana, D., & Galazzi, A. (2019) · Acta bio-medica dell'Ateneo parmense/Acta biomedica · doi:10.23750/abm.v90i6-s.8390 · Cited by 16 · see citing works
Clarke, L., Anderson, M., Anderson, R., Klausen, M. B., Forman, R., Kerns, J., Rabe, A. P. J., Kristensen, S. R., Theodorakis, P. N., Valderas, J. M., et al. (2021) · Milbank Quarterly · doi:10.1111/1468-0009.12536 · Cited by 16 · see citing works
Danish, A., Chouinard, M., Aubrey‐Bassler, K., Burge, F., Doucet, S. A., Ramsden, V. R., Bisson, M., Cassidy, M., Condran, B. R., Lambert, M., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-038241 · Cited by 15 · see citing works
Stergiopoulos, V., Gozdzik, A., de Bibiana, J. T., Guimond, T. H., Hwang, S. W., WASYLENKI, D. A., & Leszcz, M. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1666-1 · Cited by 15 · see citing works
Flowers, A., & Shade, K. (2019) · Professional Case Management · doi:10.1097/ncm.0000000000000368 · Cited by 15 · see citing works
Singer, A. G., Kosowan, L., Katz, A., Ronksley, P. E., McBrien, K., Halas, G., & Williamson, T. S. (2020) · Health Policy · doi:10.1016/j.healthpol.2020.01.011 · Cited by 15 · see citing works
Impact of an individual plan of care for frequent and high utilizers in a large healthcare system
Fertel, B. S., Podolsky, S. R., Mark, J., Muir, M. R., Ladd, M. E., & Smalley, C. M. (2019) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2019.02.032 · Cited by 14 · see citing works
Baughman, D. J., Waheed, A., Khan, M. N., & Nicholson, J. M. (2021) · Cureus · doi:10.7759/cureus.13284 · Cited by 13 · see citing works
Hudon, C., Chouinard, M., Dumont‐Samson, O., Gobeil-Lavoie, A.-P., Morneau, J., Paradis, M., Couturier, Y., Poitras, M.-È., Poder, T. G., Sabourin, V., et al. (2023) · Health Policy · doi:10.1016/j.healthpol.2023.104804 · Cited by 13 · see citing works
Bodenmann, P., Kasztura, M., Graells, M., Schmutz, E., Chastonay, O. J., Allen, M. C., Moullin, J. C., von Allmen, M., Lemoine, M., Hügli, O., et al. (2021) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/00469580211028173 · Cited by 13 · see citing works
Predicting Future Frequent Users of Emergency Departments in California State
Pereira, M. W., Singh, V., Hon, C. P., McKelvey, T. G., Sushmita, S., & Cock, M. D. (2016) · ACM International Conference on Bioinformatics, Computational Biology, and Health Informatics (ACM-BCB) · doi:10.1145/2975167.2985845 · Cited by 13 · see citing works
Kimmel, H. J., Brice, Y. N., Trikalinos, T. A., Sarkar, I. N., & Ranney, M. L. (2018) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2018.0117 · Cited by 12 · see citing works
Garnett, D., Hardy, L. R., Fitzgerald, E., Fisher, T., Graham, L., & Overcash, J. A. (2020) · Clinical journal of oncology nursing · doi:10.1188/20.cjon.65-74 · Cited by 12 · see citing works
Retrospective Analyses of Frequent Emergency Department Users
Işık, G. Ç., Tandoğan, M., Şafak, T., & Çevik, Y. (2020) · Eurasian Journal of Emergency Medicine · doi:10.4274/eajem.galenos.2019.07108 · Cited by 12 · see citing works
Bronsky, E. S., McGraw, C., Johnson, R., Giordano, K., Orlando, A., & Bar‐Or, D. (2017) · Prehospital Emergency Care · doi:10.1080/10903127.2017.1335820 · Cited by 12 · see citing works
Wong, C., O’Rielly, C. M., Teitge, B. D., Sutherland, R. L., Farquharson, S., Ghosh, S. M., Robertson, H. L., & Lang, E. (2020) · Academic Emergency Medicine · doi:10.1111/acem.13934 · Cited by 12 · see citing works
Hudon, C., Bisson, M., Chouinard, M., Delahunty‐Pike, A., Lambert, M., Howse, D., Schwarz, C. M., Dumont‐Samson, O., Aubrey‐Bassler, K., Burge, F., et al. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09379-7 · Cited by 11 · see citing works
Zhang, Y., Huang, Y., Rosen, A., Jiang, L. G., McCarty, M., RoyChoudhury, A., Han, J. H., Wright, A. T., Ancker, J. S., & Steel, P. A. D. (2024) · PLOS Digital Health · doi:10.1371/journal.pdig.0000606 · Cited by 10 · see citing works
Medicaid long‐term care workforce training intervention and value‐based payment metrics
Fong, M., Russell, D., Brickner, C., Gao, O., Vito, S., & McDonald, M. V. (2021) · Health Services Research · doi:10.1111/1475-6773.13930 · Cited by 11 · see citing works
Factors associated with persistent multiyear frequent emergency department use
Giannouchos, T. V., Pirrallo, R. G., & Ukert, B. D. (2023) · Emergency Medicine Journal · doi:10.1136/emermed-2022-212740 · Cited by 10 · see citing works
Super-Utilization of Health Care Resources Among Gynecologic Oncology Patients
Hay, C. M., Kelley, J. L., Edwards, R. P., Pombier, K. M., & Comerci, J. T. (2018) · American Journal of Medical Quality · doi:10.1177/1062860618757343 · Cited by 10 · see citing works
Hotham, R., O'Keeffe, C. A., Stone, T., Mason, S. M., & Burton, C. D. (2021) · Emergency Medicine Journal · doi:10.1136/emermed-2020-210412 · Cited by 10 · see citing works
Moe, J., Wang, E., McGregor, M. J., Schull, M. J., Dong, K. A., Holroyd, B. R., Hohl, C. M., Grafstein, E., O’Sullivan, F., Trimble, J., et al. (2022) · CMAJ Open · doi:10.9778/cmajo.20210132 · Cited by 10 · see citing works
Bergenstal, T. D., Reitsema, J. A., Heppner, P., Geerts, J., Cho, A., & Smallheer, B. (2019) · Journal of Emergency Nursing · doi:10.1016/j.jen.2019.09.001 · Cited by 10 · see citing works
Huang, P.-T., Kung, P., Kuo, W.-Y., & Tsai, W. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05347-7 · Cited by 10 · see citing works
Patient-Centered Outcomes of an Emergency Department Social and Medical Resource Intervention
Gupta, R., Wang, A., Wang, D., Ortiz, D., Kurian, K. M., Halmer, T. C., & Jaung, M. (2022) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2022.10.57096 · Cited by 9 · see citing works
Delahunty‐Pike, A., Lambert, M., Schwarz, C. M., Howse, D., Bisson, M., Aubrey‐Bassler, K., Burge, F., Chouinard, M., Doucet, S. A., Luke, A., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-073679 · Cited by 9 · see citing works
- Authors
- Soril, L. J. J., Leggett, L. E., Lorenzetti, D. L., Noseworthy, T. W., & Clement, F. M.
- Affiliations
- O'Brien Institute for Public Health (CA)
- Institute of Health Economics (CA)
- Corresponding author
- Clement, Fiona M.
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-04-13
- Volume
- 10
- Issue
- 4
- Pages
- e0123660
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4395429
- OpenAlex
- W1965434882
- Cited by
- 251
- References
- 43
- Citations by year
- 2026: 18 · 2025: 17 · 2024: 13 · 2023: 34 · 2022: 28 · 2021: 32 · 2020: 31 · 2019: 22 · 2018: 24 · 2017: 17 · 2016: 14 · 2015: 1
- FWCI
- 4.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- frequent emergency department users, emergency department utilization, case management, individualized care plans, information sharing, hospital costs, cost reduction, intervention effectiveness
- MeSH terms
- Adult, Emergency Service, Hospital, Humans, Patient Care Planning, Quality Assurance, Health Care, Randomized Controlled Trials as Topic, Cost Savings, Hospital Costs, Case Management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
