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Patients cite fear, uncertainty as reasons for return to ED

Patients’ return visits to the ED were found to be largely due to fear or uncertainty about their conditions, according to a study of 60 ED patients from two hospitals in Philadelphia.

Each interviewed patient returned to the ED within 9 days after an initial visit, usually for the same condition. The interview consisted of open-ended questions designed to prompt patients to share personal perspectives on their experience in the ED.

Along with fear and uncertainty, patients cited other reasons for the return visit. They included feeling their complaint had been unaddressed; that more tests were needed; that they were rushed out or left underprepared; their condition worsened or did not improve; or their illness interfered with their job.

Many patients, even those with insurance or a PCP, did not follow up by scheduling appointments with a PCP or specialist. Many said they preferred hospitals for emergency care because they felt they are faster or more convenient, could provide answers more quickly or because there would be other doctors there who could provide a second opinion.

“When asked why they did not follow up as an outpatient, patients reported feeling that their symptoms were too severe to wait until their scheduled appointment or being instructed to return to the ER by the outpatient provider they contacted,” researcher Kristin L. Rising, MD, of the department of emergency medicine at Thomas Jefferson University, said in a press release. “Sometimes, they may just need reassurance, especially when there is no clear explanation for what is causing their symptoms. Going forward, technology may play a role in facilitating connectedness with care teams to help patients stay healthy.”

Disclosure: The authors report no relevant financial disclosures.