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Patients’ Experiences of Attending Emergency Departments Where Primary Care Services Are Located: Qualitative Findings from Patient and Clinician Interviews from a Realist Evaluation by Delyth Price; Michelle Edwards; Freya Davies; Alison Cooper; Joy McFadzean; Andrew Carson-Stevens; Matthew Cooke; Jeremy Dale; Bridie Angela Evans; Barbara Harrington; Julie Hepburn; Aloysius Niroshan Siriwardena; Helen Snooks; Adrian Edwards is a Medicine article available to read on EtoBox.

What is Patients’ Experiences of Attending Emergency Departments Where Primary Care Services Are Located: Qualitative Findings from Patient and Clinician Interviews from a Realist Evaluation about?

## Abstract ## Background Patient experience is an important outcome and indicator of healthcare quality, and patient reported experiences are key to improving quality of care. While patient experience in emergency departments (EDs) has been reported in research, there is limited evidence about patients’ specific experiences with primary care services located in or alongside EDs. We aim to identify theories about patient experience and acceptability of being streamed to a primary care clinician in an ED. ## Methods Using theories from a rapid realist review as a basis, we interviewed 24 patients and 106 staff members to generate updated theories about patient experience and acceptability of streaming to primary care services in EDs. Feedback from 56 stakeholders, including clinicians, policymakers and patient and public members, as well as observations at 13 EDs, also contributed to the development of these theories, which we present as a programme theory. ## Results We found that patients had no expectations or preferences for which type of clinician they were seen by, and generally found being streamed to a primary care clinician in the ED acceptable. Clinicians and patients repo

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Author

Delyth Price; Michelle Edwards; Freya Davies; Alison Cooper; Joy McFadzean; Andrew Carson-Stevens; Matthew Cooke; Jeremy Dale; Bridie Angela Evans; Barbara Harrington; Julie Hepburn; Aloysius Niroshan Siriwardena; Helen Snooks; Adrian Edwards

Publisher

Springer Science and Business Media LLC

Published

2022

Language

EN

Field

Medicine (Health Sciences)