Why Are Some Male Alcohol Misuse Disorder Patients High Utilisers of Emergency Health Services? An Asian Qualitative Study.
alcohol misuse
emergency department
emergency services
high utilization
repeated attendances
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
30 08 2022
30 08 2022
Historique:
received:
28
06
2022
revised:
25
08
2022
accepted:
25
08
2022
entrez:
9
9
2022
pubmed:
10
9
2022
medline:
14
9
2022
Statut:
epublish
Résumé
Certain alcohol misuse patients heavily utilise the Emergency Department (ED) and Emergency Medical Services (EMS) and may present with intoxication or long-term sequelae of alcohol misuse. Our study explored reasons for repeated ED/EMS utilisation and sought to understand perpetuating and protective factors for drinking. Face-to-face semi-structured qualitative interviews were conducted. Participants were recruited from an ED in Singapore. Interviews were audio-recorded, transcribed verbatim and underwent manual thematic analysis. Emergent themes were independently reviewed for agreement. Data from medical records, interview transcripts, and field notes were triangulated for analysis. All participants were male ( ED/EMS provide sought-after services for alcohol misuse patients, resulting in high utilisation. Social and medical intervention could improve drinking behaviours and decrease overall ED/EMS utilisation.
Sections du résumé
BACKGROUND
Certain alcohol misuse patients heavily utilise the Emergency Department (ED) and Emergency Medical Services (EMS) and may present with intoxication or long-term sequelae of alcohol misuse. Our study explored reasons for repeated ED/EMS utilisation and sought to understand perpetuating and protective factors for drinking.
METHODS
Face-to-face semi-structured qualitative interviews were conducted. Participants were recruited from an ED in Singapore. Interviews were audio-recorded, transcribed verbatim and underwent manual thematic analysis. Emergent themes were independently reviewed for agreement. Data from medical records, interview transcripts, and field notes were triangulated for analysis.
RESULTS
All participants were male (
CONCLUSION
ED/EMS provide sought-after services for alcohol misuse patients, resulting in high utilisation. Social and medical intervention could improve drinking behaviours and decrease overall ED/EMS utilisation.
Identifiants
pubmed: 36078521
pii: ijerph191710795
doi: 10.3390/ijerph191710795
pmc: PMC9518548
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Références
Addiction. 2012 Aug;107(8):1443-52
pubmed: 22296228
Acad Emerg Med. 2015 Sep;22(9):1025-33
pubmed: 26284824
Am J Addict. 2009 Jul-Aug;18(4):277-88
pubmed: 19444731
PeerJ. 2020 Mar 24;8:e8774
pubmed: 32231881
Clin Med (Lond). 2016 Aug;16(4):325-9
pubmed: 27481374
Drug Alcohol Rev. 2022 Jul;41(5):1236-1244
pubmed: 35437844
Can J Psychiatry. 2022 Jul;67(7):534-543
pubmed: 34254563
Alcohol Alcohol. 2017 Mar 09;52(2):234-241
pubmed: 27940571
CMAJ. 2019 Jul 22;191(29):E804-E810
pubmed: 31332048
Emerg Med J. 2016 Mar;33(3):187-93
pubmed: 26698364
CMAJ. 2020 Nov 23;192(47):E1522-E1531
pubmed: 33229348
Addict Sci Clin Pract. 2018 Aug 6;13(1):18
pubmed: 30078375
BMC Health Serv Res. 2017 Feb 16;17(1):140
pubmed: 28209195
Eur J Epidemiol. 2019 Apr;34(4):397-407
pubmed: 30627937
Psychiatr Serv. 2009 Dec;60(12):1618-28
pubmed: 19952152
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
BMC Public Health. 2020 Mar 14;20(1):332
pubmed: 32171278
Subst Use Misuse. 2017 Sep 19;52(11):1460-1468
pubmed: 28467154
Lancet. 2018 Sep 22;392(10152):1015-1035
pubmed: 30146330
Frontline Gastroenterol. 2013 Apr;4(2):130-134
pubmed: 23502815
Emerg Med J. 2009 Apr;26(4):263-7
pubmed: 19307386
Ann Emerg Med. 2006 Jul;48(1):1-8
pubmed: 16781914