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August 14, 2026Scandinavian Journal of Primary Health CareOpen Access

Drivers of avoidable emergency department visits in older adults with multiple long-term conditions and palliative care needs: a qualitative survey across six care providers

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Authors

HBHanna BringMBMonica BergqvistKMKarin Modig

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Overview

Qualitative survey uncovers primary care shortcomings driving avoidable emergency visits in multimorbid older adults, highlighting the need for proactive, home-based palliative care planning.

Key Points

  • To explore outpatient care shortcomings that drive emergency department visits among older adults with multiple long-term conditions and palliative care needs.
  • Qualitative content analysis of free-text responses from a survey.
  • Included N=100 healthcare professionals (physicians, registered nurses, and nurse assistants) across primary care, home healthcare, emergency departments, geriatrics, ambulance services, and advanced home healthcare in Stockholm.
  • Identified one overarching theme: 'Delayed, fragmented palliative care in primary care settings contributes to ED visits.'
  • Two main categories emerged: challenges in palliative decision-making (failure to recognize needs early and lack of shared decision-making) and deficits in home palliative delivery (inadequate symptom management and poor transfer of patient preferences).

Cite This Study

Bring et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec754b70b84ec8b9138a9https://doi.org/10.1080/02813432.2026.2709432
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