Experiences of Frequent Users of Emergency Departments in Health Care Setting in French-Speaking Switzerland: A Qualitative Study

被引：0

作者：

Graells, Madison ^{[1
]}

Schaad, Luana ^{[1
]}

Schmutz, Elodie ^{[1
]}

Moullin, Joanna ^{[2
]}

Hugli, Olivier ^{[3
]}

Daeppen, Jean-Bernard ^{[4
]}

Ambrosetti, Julia ^{[5
]}

Ombelli, Julien ^{[6
]}

Golay, Michel ^{[7
]}

Ribordy, Vincent ^{[8
]}

Bodenmann, Patrick ^{[1
]}

Grazioli, Veronique S. ^{[1
]}

机构：

[1] Univ Lausanne, Ctr Primary Care & Publ Hlth, Dept Vulnerabil & Social Med, CH-1011 Lausanne, Switzerland

[2] Curtin Univ, Fac Hlth Sci, Sch Populat Hlth, Perth 6845, Australia

[3] Univ Lausanne, Lausanne Univ Hosp, Emergency Dept, CH-1011 Lausanne, Switzerland

[4] Lausanne Univ Hosp, Dept Psychiat, Addict Med, CH-1011 Lausanne, Switzerland

[5] Geneva Univ Hosp, Emergency Dept, CH-1205 Geneva, Switzerland

[6] North Vaud Hosp Grp, Emergency Dept, CH-1400 Yverdon, Switzerland

[7] La Broye Hosp, Emergency Dept, CH-1530 Payerne, Switzerland

[8] Fribourg Hosp, Emergency Dept, CH-1700 Fribourg, Switzerland

来源：

HEALTHCARE | 2023年 / 11卷 / 09期

基金：

瑞士国家科学基金会;

关键词：

frequent users of emergency department; experience in health care; qualitative inquiry; French-speaking Switzerland; CASE-MANAGEMENT; COVERAGE SYSTEM; SATISFACTION;

D O I：

10.3390/healthcare11091228

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Aims. Frequent users of the emergency department (FUED; five ED visits or more per year) often have negative experiences in health care settings, potentially aggravating their health problems. Scarce research has explored FUED experiences in health care in Europe, none in Switzerland. Thus, this study aimed to conduct an in-depth exploration of FUED experiences in health care settings in Switzerland. Methods. Semi-structured interviews were conducted among 20 FUED (75% female; mean age = 40.6, SD = 12.8). Qualitative data were subject to inductive content analysis. Results. Five main themes emerged from the analysis. The main findings documented that FUED experiences in health care were mostly negative, leading to negative emotions, dissatisfaction and a loss of confidence in the system, although some positive experiences were reported as well. The relationship with health care workers was perceived as playing a key role in FUED experiences. Conclusion. The findings indicate that FUED often have negative experiences in the health care system in Switzerland. The relationship with the health care staff is reported as a decisive ingredient of the experience in health care. Future research is needed to develop awareness-raising interventions for health care staff to improve FUED experiences in health care.

引用

页数：11

共 41 条

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