کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5567337 1563663 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Understanding the distribution of A&E attendances and hospital admissions for the case managed population: A single case cross sectional study
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
پیش نمایش صفحه اول مقاله
Understanding the distribution of A&E attendances and hospital admissions for the case managed population: A single case cross sectional study
چکیده انگلیسی

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 70 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.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Applied Nursing Research - Volume 33, February 2017, Pages 24-29
نویسندگان
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