Avoidable Hospitalizations/ Emergency Department Visits- Systematic Review and Meta-synthesis of Qualitative Research

Study Overview
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Brief Summary
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The aim of the study is to synthesize qualitative evidence related to preventable hospitalizations/ emergency department visits from the perspectives of patients, their families/caregivers, health care providers, and stakeholders, in the hope to identify generalizable conclusions about why social risk factors matter to preventable hospitalizations/ emergency department visits

Detailed Description
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The present study is a qualitative systematic review and meta-synthesis study. The study primarily focused on the qualitative studies that collected and analyzed narratives from patients who experienced preventable hospitalizations. The information from their families, health care providers, and stakeholders in the qualitative studies are also included. The data collections from patients occurred during their hospital stay, emergency department stay, or after discharge to the community are included. Patients included all ages and gender, regardless of their race/ethnicity and countries. The qualitative studies must be published in peer-reviewed journals, with language as english and no restriction on publication date or country of origin. Two authors (HC and HL) independently screened the title and reviewed abstracts, then full texts for eligibility. Thorugh synthesizing, the present study is expected to develop themes and sub-themes related to preventable hospitalizations/emergency department visits, in the hope to assist policymakers health care professionals, and stakeholders in properly addressing the underlying factors leading to preventable hospitalizations/emergency department visits .

Official Title
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Avoidable Hospitalizations/ Emergency Department Visits- Meta-synthesis of Qualitative Research

Conditions
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Asthma, Diabetes, Heart Failure, Chronic Obstructive Pulmonary Disease, Hypertension, Urinary Tract Infections, Pneumonia, Bacterial

Intervention / Treatment
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* Other: No intervention


Participation Criteria
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Eligibility Criteria
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Patients were admitted to hospitals and/ or visited the emergency department due to preventable conditions, including diabetes acute complications, diabetes chronic complications, uncontrolled diabetes, low-extremity amputation due to diabetes, COPD, heart failure, hypertension, urinary tract infection, and pneumonia. Patients' families and their health care providers are also included. exclusion criteria: patients with dementia, mental illness, or cancer

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: No intervention|No interventions|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| preventable hospitalizations and/or preventable emergency department visits | patients who experienced hospitalizations and/ or emergency department visits due to any of the conditions: diabetes-related complication, heart failure, asthma, COPD, urinary tract infection, and bacteria | Patients were hospitalized or visited emergency department visits as the base line. The interviews were conducted during patient inpatient stay/ emergency department stay or after discharge to the community up to 3 years. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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social determinants of health, Meta-analysis, Qualitative study, Systematic review