March 24, 2026 · Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · DOI: 10.1111/acem.70272

Disposition at Equipoise: A Qualitative Study of Emergency Physicians' Decision-Making About Hospitalizing People With Dementia

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This study investigates how emergency physicians make decisions regarding the hospitalization of patients with dementia in situations where either admission or discharge could be appropriate. Through qualitative interviews, the authors identify key factors influencing these decisions, including caregiver availability, anticipated clinical trajectories, and the potential harms of hospitalization. The findings suggest that improving decision-making processes and health system support for outpatient care could enhance patient-centered outcomes for this vulnerable population.

Anita N Chary, Annika R Bhananker, Rebecca Franks, Jason Bowman, Adrian D Haimovich, Victoria Martell, Elizabeth M Schoenfeld, Cameron J Gettel, Shan W Liu, Kei Ouchi, Maura Kennedy, Aanand Naik, Manish N Shah

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