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Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons

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Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons. / Parkman, Tom; Neale, Joanne; Day, Ed; Drummond, Colin.

In: BMC Health Services Research, Vol. 17, No. 1, 140, 16.02.2017.

Research output: Contribution to journalArticle

Harvard

Parkman, T, Neale, J, Day, E & Drummond, C 2017, 'Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons', BMC Health Services Research, vol. 17, no. 1, 140. https://doi.org/10.1186/s12913-017-2091-9

APA

Parkman, T., Neale, J., Day, E., & Drummond, C. (2017). Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons. BMC Health Services Research, 17(1), [140]. https://doi.org/10.1186/s12913-017-2091-9

Vancouver

Parkman T, Neale J, Day E, Drummond C. Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons. BMC Health Services Research. 2017 Feb 16;17(1). 140. https://doi.org/10.1186/s12913-017-2091-9

Author

Parkman, Tom ; Neale, Joanne ; Day, Ed ; Drummond, Colin. / Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons. In: BMC Health Services Research. 2017 ; Vol. 17, No. 1.

Bibtex Download

@article{50002d5131c748d687ee25a60f8287a4,
title = "Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons",
abstract = "Background: Understanding why people repeatedly attend Emergency Departments (EDs) for alcohol-related reasons is an important prerequisite to identifying ways of reducing any unnecessary demands on hospital resources. We use Andersen's Behavioural Model of Health Services Use to explore factors that contributed to repeat ED attendances. Methods: Qualitative interviews were conducted with 30 people who repeatedly attended EDs for alcohol-related reasons (≥10 attendances in the past 12 months). We recruited participants from 6 EDs in London, United Kingdom. Data on socio-demographic characteristics, substance use, contact with specialist addiction and other health services, most recent ED attendance, and previous ED attendances were analysed. Results: Participants reported long-standing health problems, almost all were unemployed, and many had limited education and unstable housing. Most held positive health beliefs about EDs, despite some negative experiences. They reported limited community resources: poor social support, inaccessible primary care services, dislike or lack of information about specialist addiction services, and difficulties travelling to services. In contrast, EDs offered immediate, sympathetic care and free transport by ambulance. Participants' perceived need for care was high, with physical injury and pain being the main reasons for ED attendance. Conclusions: Push' and ‘pull' factors contributed to repeated ED use. ‘Push' factors included individual-level problems and wider community service failings. ‘Pull' factors included positive experiences of, and beliefs about, ED care. Community services need to better engage and support people with complex drinking problems, whilst ED staff can be more effective in referring patients to community-based services.",
keywords = "Alcohol, Andersen's behavioural model, Emergency departments, Frequent attender, Qualitative research",
author = "Tom Parkman and Joanne Neale and Ed Day and Colin Drummond",
year = "2017",
month = "2",
day = "16",
doi = "10.1186/s12913-017-2091-9",
language = "English",
volume = "17",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BMC Health Services Research",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons

AU - Parkman, Tom

AU - Neale, Joanne

AU - Day, Ed

AU - Drummond, Colin

PY - 2017/2/16

Y1 - 2017/2/16

N2 - Background: Understanding why people repeatedly attend Emergency Departments (EDs) for alcohol-related reasons is an important prerequisite to identifying ways of reducing any unnecessary demands on hospital resources. We use Andersen's Behavioural Model of Health Services Use to explore factors that contributed to repeat ED attendances. Methods: Qualitative interviews were conducted with 30 people who repeatedly attended EDs for alcohol-related reasons (≥10 attendances in the past 12 months). We recruited participants from 6 EDs in London, United Kingdom. Data on socio-demographic characteristics, substance use, contact with specialist addiction and other health services, most recent ED attendance, and previous ED attendances were analysed. Results: Participants reported long-standing health problems, almost all were unemployed, and many had limited education and unstable housing. Most held positive health beliefs about EDs, despite some negative experiences. They reported limited community resources: poor social support, inaccessible primary care services, dislike or lack of information about specialist addiction services, and difficulties travelling to services. In contrast, EDs offered immediate, sympathetic care and free transport by ambulance. Participants' perceived need for care was high, with physical injury and pain being the main reasons for ED attendance. Conclusions: Push' and ‘pull' factors contributed to repeated ED use. ‘Push' factors included individual-level problems and wider community service failings. ‘Pull' factors included positive experiences of, and beliefs about, ED care. Community services need to better engage and support people with complex drinking problems, whilst ED staff can be more effective in referring patients to community-based services.

AB - Background: Understanding why people repeatedly attend Emergency Departments (EDs) for alcohol-related reasons is an important prerequisite to identifying ways of reducing any unnecessary demands on hospital resources. We use Andersen's Behavioural Model of Health Services Use to explore factors that contributed to repeat ED attendances. Methods: Qualitative interviews were conducted with 30 people who repeatedly attended EDs for alcohol-related reasons (≥10 attendances in the past 12 months). We recruited participants from 6 EDs in London, United Kingdom. Data on socio-demographic characteristics, substance use, contact with specialist addiction and other health services, most recent ED attendance, and previous ED attendances were analysed. Results: Participants reported long-standing health problems, almost all were unemployed, and many had limited education and unstable housing. Most held positive health beliefs about EDs, despite some negative experiences. They reported limited community resources: poor social support, inaccessible primary care services, dislike or lack of information about specialist addiction services, and difficulties travelling to services. In contrast, EDs offered immediate, sympathetic care and free transport by ambulance. Participants' perceived need for care was high, with physical injury and pain being the main reasons for ED attendance. Conclusions: Push' and ‘pull' factors contributed to repeated ED use. ‘Push' factors included individual-level problems and wider community service failings. ‘Pull' factors included positive experiences of, and beliefs about, ED care. Community services need to better engage and support people with complex drinking problems, whilst ED staff can be more effective in referring patients to community-based services.

KW - Alcohol

KW - Andersen's behavioural model

KW - Emergency departments

KW - Frequent attender

KW - Qualitative research

U2 - 10.1186/s12913-017-2091-9

DO - 10.1186/s12913-017-2091-9

M3 - Article

AN - SCOPUS:85012886011

VL - 17

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

M1 - 140

ER -

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