The Impact on Emergency Department Utilization and Patient Flows after Integrating with a General Practitioner Cooperative : An Observational Study
المؤلفون المشاركون
Giesen, P.
Thijssen, W. A. M. H.
Koetsenruijter, J.
Wijnen-van Houts, M.
Wensing, M.
المصدر
Emergency Medicine International
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-10-03
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Introduction.
A new model, an emergency care access point (ECAP) for after-hours emergency care, is emerging in The Netherlands.
This study assessed the effect on emergency department (ED) utilization and patient flows.
Methods.
Routinely recorded clinical ED patient data, covering a six-year period, was collected.
Segmented regression analysis was used to analyze after-hours changes over time.
Results.
59.182 patients attended the ED before the start of the ECAP and 51.513 patients after, a decrease of 13%.
Self-referred ED patients decreased 99.5% (OR 0.003; 95% CI 0.002–0.004).
Referred patients increased by 213.4% and ED hospital admissions increased by 20.2%.
A planned outpatient follow-up increased by 5.8% (OR 1.968 95% CI 1.870–2.071).
The latter changed from fewer contacts to more contacts (OR 1.015 95% CI 1.013–1.017).
Consultations at the regional genereral practitioner cooperative (GPC) increased by 26.0% (183.782 versus 232.246).
Conclusion.
ECAP implementation resulted in a decrease in ED utilization, a near absence of self-referring patients, and a higher probability of hospital admission and clinical follow-up.
This suggests either an increase of ED patients with a higher acuity or a lower threshold of admitting referred patients compared to self-referred patients.
Overall, increased collaboration with after-hours primary care and emergency care seemed to optimize ED utilization.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Thijssen, W. A. M. H.& Wijnen-van Houts, M.& Koetsenruijter, J.& Giesen, P.& Wensing, M.. 2013. The Impact on Emergency Department Utilization and Patient Flows after Integrating with a General Practitioner Cooperative : An Observational Study. Emergency Medicine International،Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-466167
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Thijssen, W. A. M. H.…[et al.]. The Impact on Emergency Department Utilization and Patient Flows after Integrating with a General Practitioner Cooperative : An Observational Study. Emergency Medicine International No. 2013 (2013), pp.1-8.
https://search.emarefa.net/detail/BIM-466167
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Thijssen, W. A. M. H.& Wijnen-van Houts, M.& Koetsenruijter, J.& Giesen, P.& Wensing, M.. The Impact on Emergency Department Utilization and Patient Flows after Integrating with a General Practitioner Cooperative : An Observational Study. Emergency Medicine International. 2013. Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-466167
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-466167
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر