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Emergency admissions and subsequent inpatient care through an emergency oncology service at a tertiary cancer centre: service users’ experiences and views

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Chen, Hong, Johnson, Miriam, Boland, Elaine, Seymour, Julie and Macleod, Una (2019) Emergency admissions and subsequent inpatient care through an emergency oncology service at a tertiary cancer centre: service users’ experiences and views. Supportive Care in Cancer, 27 (2). pp. 451-460. doi:10.1007/s00520-018-4328-5

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Official URL: http://dx.doi.org/10.1007/s00520-018-4328-5

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Abstract

Purpose

Avoiding unnecessary emergency admissions and managing those that are admitted more effectively is a major concern for both patients and health services. To generate evidence useful for improving services for direct patient benefit, this study explores service users’ views and experiences of emergency admissions and subsequent inpatient care.

Methods

Participants were recruited during a cancer-related emergency admission from a tertiary cancer centre with an emergency oncology service and emergency department. Semi-structured interviews were conducted with 15 patients and 12 carers post hospital discharge. Interview transcripts were analyzed using framework analysis.

Results

Twenty patients experienced 43 emergency admissions over 6 months. Most admissions (35/43) followed patients presenting acutely or as emergencies with cancer treatment side effects. Most admissions (35/43) were directly to an oncology ward following specialist advice, review and triage, and thus unavoidable. Participants experienced outstanding inpatient care because of the following: prompt and effective symptom control and stabilization of acute conditions; continuity of cancer care and coordination between acute and long-term treatment; satisfactory professional-patient communication and information sharing; responsive, motivated and competent staff; and less restrictive visiting times. Gaps in care were identified.

Conclusions

Many emergency admissions are necessary for people with cancer. Future work should focus on improving easy access to specialist advice and triage, and the process of admission; providing rapid palliation of symptoms and prompt stabilization of acute conditions, and satisfactory inpatient care; closing the circle of care for patients by actively involving primary care and palliative/end-of-life care services to address the complex needs of patients and carers.

Item Type: Journal Article
Divisions: Faculty of Medicine > Warwick Medical School
Journal or Publication Title: Supportive Care in Cancer
ISSN: 0941-4355
Official Date: February 2019
Dates:
DateEvent
February 2019Published
20 June 2018Accepted
Volume: 27
Number: 2
Page Range: pp. 451-460
DOI: 10.1007/s00520-018-4328-5
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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