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. 2023 Apr 25;11(9):1228.
doi: 10.3390/healthcare11091228.

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

Madison Graells  1 , Luana Schaad  1 , Elodie Schmutz  1 , Joanna Moullin  2 , Olivier Hugli  3 , Jean-Bernard Daeppen  4 , Julia Ambrosetti  5 , Julien Ombelli  6 , Michel Golay  7 , Vincent Ribordy  8 , Patrick Bodenmann  1 , Véronique S Grazioli  1
Affiliations

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

Madison Graells et al. Healthcare (Basel). .

Abstract

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.

Keywords: French-speaking Switzerland; experience in health care; frequent users of emergency department; qualitative inquiry.

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Conflict of interest statement

The authors declare they have no conflicts of interest.

References

    1. World Health Organization. Organization for Economic Co-operation. Development & International Bank for Reconstruction and Development . Delivering Quality Health Services: A Global Imperative for Universal Health Coverage. World Health Organization; Geneva, Switzerland: 2019.
    1. Malebranche M., Grazioli V.S., Kasztura M., Hudon C., Bodenmann P. Case management for frequent emergency department users: No longer a question of if but when, where and how. Can. J. Emerg. Med. 2021;23:12–14. doi: 10.1007/s43678-020-00024-4. - DOI - PMC - PubMed
    1. Bieler G., Paroz S., Faouzi M., Trueb L., Vaucher P., Althaus F., Daeppen J.-B., Bodenmann P. Social and medical vulnerability factors of emergency department frequent users in a universal health insurance system. Acad. Emerg. Med. 2012;19:63–68. doi: 10.1111/j.1553-2712.2011.01246.x. - DOI - PubMed
    1. Althaus F., Stucki S., Guyot S., Trueb L., Moschetti K., Daeppen J.B., Bodenmann P. Characteristics of highly frequent users of a Swiss academic emergency department: A retrospective consecutive case series. Eur. J. Emerg. Med. 2013;20:413–419. doi: 10.1097/MEJ.0b013e32835e078e. - DOI - PubMed
    1. Vu F., Daeppen J.-B., Hugli O., Iglesias K., Stucki S., Paroz S., Allen M.C., Bodenmann P. Screening of mental health and substance users in frequent users of a general Swiss emergency department. BMC Emerg. Med. 2015;15:27. doi: 10.1186/s12873-015-0053-2. - DOI - PMC - PubMed

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