Clinical trial NCT05456906: Avoidable Hospitalizations/ Emergency Department Visits- Systematic Review and Meta-synthesis of Qualitative Research
Official title: Avoidable Hospitalizations/ Emergency Department Visits- Meta-synthesis of Qualitative Research
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Diabetes
Heart Failure
Chronic Obstructive Pulmonary Disease
Asthma
Hypertension
Urinary Tract Infections
Pneumonia, Bacterial
Keywords: Meta-analysis
Qualitative study
Systematic review
social determinants of health
Lead sponsor: Kaohsiung Medical University
Sponsor class: OTHER
Collaborators: name: The Ministry of Science and Technology
name: National Taipei University of Nursing and Health Sciences
First posted: 2022-07-13
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients who experienced preventable hospitalizations and/ or emergency department visits, their families, and health care providers, with no restriction on publication date or country of origin, are included, regardless of their ages, gender, race/ethnicity, and country of birth.

Brief summary: 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: 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 .

Eligibility criteria: 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

Primary outcomes:
measure: preventable hospitalizations and/or preventable emergency department visits
timeFrame: 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.
Secondary outcomes:
Other outcomes:
Locations:
city: Kaohsiung
country: Taiwan
facility: Kaohsiung Medical University
Study officials:
affiliation: Kaohsiung Medical University
name: Hsueh-Fen Chen, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References:
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