{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T19:01:15Z","timestamp":1780254075944,"version":"3.54.0"},"reference-count":84,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Silverchain Australia"},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2026668"],"award-info":[{"award-number":["2026668"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>People receiving specialist community palliative care services often experience unplanned hospitalisations. A better understanding of the determinants leading to hospital use will support the development of more responsive palliative care policies and practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To identify the contextual and individual determinants that lead to the unplanned hospital use of people receiving specialist community palliative care services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A systematic review and meta-ethnographic synthesis prospectively registered with PROSPERO (CRD42022287904) and reported according to the PRISMA Statement and eMERGe guidelines. Andersen\u2019s Behavioural Model of Health Service Use was used to frame the synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources:<\/jats:title>\n                    <jats:p>CINAHL, PubMed via the CareSearch palliative care filter, Scopus and Embase were searched in February 2024. High-income country\u2019s studies published in English and reporting empirical qualitative data were eligible for inclusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The 12 included studies provided carers (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 148) and healthcare professionals (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 150) but not patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 0) perspectives of factors contributing to unplanned hospital use. Five constructs were the key reasons for specialist community palliative care patients\u2019 unplanned hospital use, including service limitations and barriers, difficulty accepting death, transitions as catalysts for misunderstanding, carer burden and hospital preference. The line of argument synthesis revealed convergence across studies and showed the decision to seek hospital care is multifaceted, shaped by individual and contextual factors, culminating in unplanned hospital use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This meta-ethnography identified insights for developing effective person-centred initiatives aimed at reducing unplanned hospital use and opportunities for specialist community palliative care services to support patient and carer needs. Capturing patient perspectives is essential for future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261418625","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T06:01:02Z","timestamp":1772085662000},"page":"705-721","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reasons for patients in high income countries accessing hospital care while receiving specialist community palliative care: A systematic review and meta-ethnography"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8627-8852","authenticated-orcid":false,"given":"Norah","family":"Elvidge","sequence":"first","affiliation":[{"name":"School of Nursing, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia"},{"name":"Silverchain, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1399-895X","authenticated-orcid":false,"given":"Melanie","family":"Rolfe","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Smith","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia"},{"name":"Silverchain, Melbourne, VIC, Australia"},{"name":"School of Population Health, Curtin University, Perth, WA, Australia"},{"name":"Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0046-4126","authenticated-orcid":false,"given":"Hannah E.","family":"Carter","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, Brisbane, QLD, Australia"},{"name":"School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3691-8230","authenticated-orcid":false,"given":"Jane L.","family":"Phillips","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia"},{"name":"IMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), University of Technology Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"e_1_3_2_2_2","article-title":"Hospital at home: home-based end-of-life care","volume":"2021","author":"Shepperd S","year":"2021","unstructured":"Shepperd S, Gon\u00e7alves-Bradley DC, Straus SE, et al. 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