کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5567337 | 1563663 | 2017 | 6 صفحه PDF | دانلود رایگان |

AimTo describe the characteristics of case-managed patients presenting at accident and emergency (A & E) and to explore the distribution of their attendances and admissions.BackgroundRecently, the UK Government announced extended-hours primary care provision in an effort to reduce the growing utilization of A & E. No evidence is available to understand the use of acute services by this high-risk patient group.MethodA cross-sectional design utilising routinely collected anonymsed A & E attendance and hospital admission data from 2010 to 2015.ResultsThe case-managed population is typically 70Â years and older and most often arrive at A & E via emergency services and during the night (00:00-08:59). A large proportion are subsequently admitted having a statistically significant A & E conversion rate. No variables were predictive of admission.ConclusionThe high level of A&E conversion could indicate case-managed patients are presenting appropriately with acute clinical need. However, inadequate provision in primary-care could drive decisions for admitting vulnerable patients.
Journal: Applied Nursing Research - Volume 33, February 2017, Pages 24-29