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Patient Perspectives on the Acceptability of Emergency Admission Risk Prediction: A Focus Group Study

Mark Kingston Orcid Logo, Jan Davies, Helen Snooks Orcid Logo, Alison Porter Orcid Logo, Hayley Hutchings Orcid Logo

Annals of Public Health Reports, Volume: 8, Issue: 1, Pages: 336 - 343

Swansea University Authors: Mark Kingston Orcid Logo, Helen Snooks Orcid Logo, Alison Porter Orcid Logo, Hayley Hutchings Orcid Logo

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DOI (Published version): 10.36959/856/544

Abstract

Background: Emergency admission risk stratification (EARS) tools predict admission risk for a general practice patient population. Policy has encouraged targeting higher risk patients with proactive care approaches, in partnership with patients. Previously published stakeholder views on the acceptab...

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Published in: Annals of Public Health Reports
ISSN: 2642-4924
Published: Scholars Direct 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa67759
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Policy has encouraged targeting higher risk patients with proactive care approaches, in partnership with patients. Previously published stakeholder views on the acceptability and use of EARS tools have been limited to professionals. Objective: Our objective was to explore the views of patients on acceptability, benefits, challenges and risks of communicating emergency admission risk scores to patients. Design, setting and participants: We undertook an in-person focus group with a geographically diverse group of patient and public members in Wales, UK. Participants brought experience of multiple health providers. All had chronic conditions and/or recent experience of emergency admission to hospital. We coded and thematically analyzed the transcript. Results: Participants supported the use of EARS where it was underpinned by communication of risk scores and direct involvement of patients. Participants expressed a desire to receive their own risk scores. They felt EARS use was well suited to holistic approaches to care, and as a stimulus to self-management. They recognized capacity and cost challenges related to general practitioner use but saw potential for other primary and community staff to be involved. The security and integrity of EARS data was deemed important. Conclusions: This study provides a rare insight from a stakeholder group that has largely been excluded from debates around EARS use. These findings identify issues that are deserving of further exploration to improve our understanding of the potential role and effectiveness of EARS and other risk approaches in healthcare. Patient or public contribution: This study was conceived following discussion with public contributors to a trial of emergency admission risk stratification (PRISMATIC) [1], and a subsequent informal workshop with eight members of a patient, carer and public member group aligned to research around chronic conditions management in Wales, UK [2]. This preliminary work emphasized the importance of patient involvement in debates around EARS and contributed to the study reported here and to the information sheet and topic guide. 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spelling v2 67759 2024-09-20 Patient Perspectives on the Acceptability of Emergency Admission Risk Prediction: A Focus Group Study 3442763d6ff0467963e0792d2b5404fa 0000-0003-2242-4210 Mark Kingston Mark Kingston true false ab23c5e0111b88427a155a1f495861d9 0000-0003-0173-8843 Helen Snooks Helen Snooks true false fcc861ec479a79f7fb9befb13192238b 0000-0002-3408-7007 Alison Porter Alison Porter true false bdf5d5f154d339dd92bb25884b7c3652 0000-0003-4155-1741 Hayley Hutchings Hayley Hutchings true false 2024-09-20 MEDS Background: Emergency admission risk stratification (EARS) tools predict admission risk for a general practice patient population. Policy has encouraged targeting higher risk patients with proactive care approaches, in partnership with patients. Previously published stakeholder views on the acceptability and use of EARS tools have been limited to professionals. Objective: Our objective was to explore the views of patients on acceptability, benefits, challenges and risks of communicating emergency admission risk scores to patients. Design, setting and participants: We undertook an in-person focus group with a geographically diverse group of patient and public members in Wales, UK. Participants brought experience of multiple health providers. All had chronic conditions and/or recent experience of emergency admission to hospital. We coded and thematically analyzed the transcript. Results: Participants supported the use of EARS where it was underpinned by communication of risk scores and direct involvement of patients. Participants expressed a desire to receive their own risk scores. They felt EARS use was well suited to holistic approaches to care, and as a stimulus to self-management. They recognized capacity and cost challenges related to general practitioner use but saw potential for other primary and community staff to be involved. The security and integrity of EARS data was deemed important. Conclusions: This study provides a rare insight from a stakeholder group that has largely been excluded from debates around EARS use. These findings identify issues that are deserving of further exploration to improve our understanding of the potential role and effectiveness of EARS and other risk approaches in healthcare. Patient or public contribution: This study was conceived following discussion with public contributors to a trial of emergency admission risk stratification (PRISMATIC) [1], and a subsequent informal workshop with eight members of a patient, carer and public member group aligned to research around chronic conditions management in Wales, UK [2]. This preliminary work emphasized the importance of patient involvement in debates around EARS and contributed to the study reported here and to the information sheet and topic guide. JD, a public contributor, was a co-applicant on PRISMATIC, took part in a preliminary workshop, and is a co-author of this paper. Journal Article Annals of Public Health Reports 8 1 336 343 Scholars Direct 2642-4924 Primary health care, Health services research, Emergency health services, Risk stratification, Clinical prediction rule, Chronic disease 28 8 2024 2024-08-28 10.36959/856/544 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Other 2024-09-20T17:05:09.1481016 2024-09-20T16:54:58.2857696 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Mark Kingston 0000-0003-2242-4210 1 Jan Davies 2 Helen Snooks 0000-0003-0173-8843 3 Alison Porter 0000-0002-3408-7007 4 Hayley Hutchings 0000-0003-4155-1741 5 67759__31431__bd9e01d6ddee4cb097a8132c3be7d4c9.pdf 67759.VOR.pdf 2024-09-20T17:01:15.7253419 Output 705374 application/pdf Version of Record true Copyright: © 2024 Kingston MR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. true eng https://creativecommons.org/licenses/by/4.0/
title Patient Perspectives on the Acceptability of Emergency Admission Risk Prediction: A Focus Group Study
spellingShingle Patient Perspectives on the Acceptability of Emergency Admission Risk Prediction: A Focus Group Study
Mark Kingston
Helen Snooks
Alison Porter
Hayley Hutchings
title_short Patient Perspectives on the Acceptability of Emergency Admission Risk Prediction: A Focus Group Study
title_full Patient Perspectives on the Acceptability of Emergency Admission Risk Prediction: A Focus Group Study
title_fullStr Patient Perspectives on the Acceptability of Emergency Admission Risk Prediction: A Focus Group Study
title_full_unstemmed Patient Perspectives on the Acceptability of Emergency Admission Risk Prediction: A Focus Group Study
title_sort Patient Perspectives on the Acceptability of Emergency Admission Risk Prediction: A Focus Group Study
author_id_str_mv 3442763d6ff0467963e0792d2b5404fa
ab23c5e0111b88427a155a1f495861d9
fcc861ec479a79f7fb9befb13192238b
bdf5d5f154d339dd92bb25884b7c3652
author_id_fullname_str_mv 3442763d6ff0467963e0792d2b5404fa_***_Mark Kingston
ab23c5e0111b88427a155a1f495861d9_***_Helen Snooks
fcc861ec479a79f7fb9befb13192238b_***_Alison Porter
bdf5d5f154d339dd92bb25884b7c3652_***_Hayley Hutchings
author Mark Kingston
Helen Snooks
Alison Porter
Hayley Hutchings
author2 Mark Kingston
Jan Davies
Helen Snooks
Alison Porter
Hayley Hutchings
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container_title Annals of Public Health Reports
container_volume 8
container_issue 1
container_start_page 336
publishDate 2024
institution Swansea University
issn 2642-4924
doi_str_mv 10.36959/856/544
publisher Scholars Direct
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description Background: Emergency admission risk stratification (EARS) tools predict admission risk for a general practice patient population. Policy has encouraged targeting higher risk patients with proactive care approaches, in partnership with patients. Previously published stakeholder views on the acceptability and use of EARS tools have been limited to professionals. Objective: Our objective was to explore the views of patients on acceptability, benefits, challenges and risks of communicating emergency admission risk scores to patients. Design, setting and participants: We undertook an in-person focus group with a geographically diverse group of patient and public members in Wales, UK. Participants brought experience of multiple health providers. All had chronic conditions and/or recent experience of emergency admission to hospital. We coded and thematically analyzed the transcript. Results: Participants supported the use of EARS where it was underpinned by communication of risk scores and direct involvement of patients. Participants expressed a desire to receive their own risk scores. They felt EARS use was well suited to holistic approaches to care, and as a stimulus to self-management. They recognized capacity and cost challenges related to general practitioner use but saw potential for other primary and community staff to be involved. The security and integrity of EARS data was deemed important. Conclusions: This study provides a rare insight from a stakeholder group that has largely been excluded from debates around EARS use. These findings identify issues that are deserving of further exploration to improve our understanding of the potential role and effectiveness of EARS and other risk approaches in healthcare. Patient or public contribution: This study was conceived following discussion with public contributors to a trial of emergency admission risk stratification (PRISMATIC) [1], and a subsequent informal workshop with eight members of a patient, carer and public member group aligned to research around chronic conditions management in Wales, UK [2]. This preliminary work emphasized the importance of patient involvement in debates around EARS and contributed to the study reported here and to the information sheet and topic guide. JD, a public contributor, was a co-applicant on PRISMATIC, took part in a preliminary workshop, and is a co-author of this paper.
published_date 2024-08-28T17:05:07Z
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