Bernadette Brady|Toni Andary|Shengmin Pang|Sarah Dennis|Pranee Liamputtong|Robert A. Boland|Elise Tcharkhedian|Matthew Jennings|Natalie Pavlovic|Marguerite Zind|Paul Middleton|Lucy Chipchase
A Mixed-Methods Investigation into Patients’ Decisions to Attend an Emergency Department for Chronic Pain
Camden and Campbelltown Hospitals|Western Sydney University|Liverpool Hospital|University of Sydney|Fairfield Hospital|University of Sydney|University of Sydney|Ingham Institute|Camden and Campbelltown Hospitals|Western Sydney University|Translational Research Institute|University of Sydney|Fairfield Hospital|Liverpool Hospital|Camden and Campbelltown Hospitals|Western Sydney University|Liverpool Hospital|Fairfield Hospital|Camden and Campbelltown Hospitals|Western Sydney University|Liverpool Hospital|South Western Sydney Local Health District|UNSW Sydney|Western Sydney University|Ingham Institute|University of Sydney|Camden and Campbelltown Hospitals|Western Sydney University|Flinders University
abstract objective study explored factors underpin decisions seek emergency department ed care chronic noncancer pain patients identifying culturally linguistically diverse cald australian born design methods mixedmethods study underpinned behavioral model health services use conceptual framework consenting consecutive patients attending ed chronic pain condition recruited cald n 45 australianborn n 45 cohort statistical comparisons compared demographic pain health literacy episode care profiles cohorts twentythree cald 16 australianborn participants consented audiorecorded semistructured interview n 24 focus group n 5 focus groups conducted preferred language interviews translated transcribed english analysis using applied thematic analysis guided conceptual framework data triangulated investigate patterns ed utilization contributing factors cohorts results ed attendance product escalating distress influenced degree participants perceived needs outweighed capacity manage pain interaction amplified presence predisposing factors including constrained social positions trauma exposure biomedical health beliefs importantly experiences varied two cohorts higher degrees pain catastrophizing lower health literacy greater social challenges present cald cohort conclusion study highlights role contextual factors play amplifying painrelated distress cald australianborn patients chronic pain findings support need health care providers recognize features higher vulnerability consider streamlining access available support services