After-hours general practice clinics are unlikely to reduce low acuity patient attendances to metropolitan Perth emergency departments

Nagree, Yusuf; Ercleve, Tor; Sprivulis, Peter

doi:10.1071/ah040285

Cited by 27 publications

(28 citation statements)

References 8 publications

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“…The average cost would, therefore, decrease as the number of patients increases 38. This variability in the magnitude of any cost saving is consistent with findings in the North American and Australian literature, with the suggestion that the true costs of non-urgent care in the ED are relatively low 39 40…”

Section: Discussionsupporting

confidence: 81%

Primary care services located with EDs: a review of effectiveness

Ramlakhan¹,

Mason

O’Keeffe

et al. 2016

Emerg Med J

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Section: Discussionsupporting

confidence: 81%

Primary care services located with EDs: a review of effectiveness

Ramlakhan¹,

Mason

O’Keeffe

et al. 2016

Emerg Med J

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“…Several models were discussed at length, including the provision of low acuity after-hours service through a general practice in Maryborough. However, a study by Nagree et al, 1 found that while low-acuity patients are a constant but inexpensive ED workload, diverting them to a general practice lowacuity service is unlikely to significantly reduce the ED attendances and costs. The consensus decision by the GPs present was to assist by working in the EDs of both HBH and MBH, in addition to the internal medicine ward at MBH.…”

Section: Sequence Of Eventsmentioning

confidence: 99%

Necessity breeds innovation: GPs help prevent an emergency department closure

Partanen

O’Brien²,

Eley³

2009

Aust. Health Review

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In January 2006 the Maryborough Base Hospital in Queensland faced imminent closure of its emergency department (ED) due to a shortage of senior medical staff. At the same time patient confidence in Queensland Health was low. During consultation forums, the community had made it clear that their priority was to maintain emergency services in Maryborough. In search of a solution, the Fraser Coast District Health Service asked Maryborough general practitioners to work in the Maryborough Hospital ED and/or in the internal medicine ward as Visiting Medical Officers. While this represented a solution to the problem, there was much to be considered before such a plan could be put into place.THE MARYBOROUGH BASE HOSPITAL in Queensland faced imminent closure of its emergency department (ED) due to an "acute upon chronic" shortage of senior medical staff. At the same time patient confidence in Queensland Health was low due to the Jayant Patel Inquiry and the recent closure of the orthopaedic unit at the Fraser Coast Health Service District (FCHSD), of which Maryborough Base Hospital and Hervey Bay Hospital are part. During consultation forums the community had made it clear that their priority was to maintain ED services in Maryborough. However, once senior medical staff numbers became too low to guarantee supervision for junior staff, the hospital was faced with the closure of the ED unless a solution could be found. In search of such a solution, the FCHSD asked Maryborough general practitioners to work in the Maryborough Hospital ED and/or in the internal medicine ward as Visiting Medical Officers (VMOs).The primary objective of the GP intervention was to keep the Maryborough Base Hospital ED open until more doctors could be recruited, which was envisaged to take at least 6 months. Secondary objectives evolved once the local GPs agreed to work in the ED. These objectives included ongoing training in acute care medi- What is known about the topic? Rural hospitals face difficulties in attracting medical staff. What does this paper add?This case study outlines the process to engage local general practitioners in staffing the emergency department (ED) of a local hospital. Through a negotiation process the GPs agreed to provide Visiting Medical Officer services to the ED and internal medicine ward. Three months after GPs began working, 18 GPs were on the roster and five others were ready to be included on the roster. What are the implications for practitioners? Open communication was identified as a success factor that has assisted in continued GP participation. The outcomes include a better understanding of the logistics and service capacity of the ED among GPs, enhancement of the GP practice and hospital relationship and increased knowledge of community-based care among hospital doctors.

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“…[15][16][17][18] They further emphasise that urgency Category 4 and 5 patients do not equate to primary care patients. If, despite definitional issues, strategies are to be developed to influence patients in this group into altering their pattern of accessing health care, then a broad set of factors must be considered.…”

Section: Importancementioning

confidence: 99%

Primary care presentations at emergency departments: rates and reasons by age and sex

Siminski¹,

Bezzina²,

Lago³

et al. 2008

Aust. Health Review

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Primary care presentations at emergency departments (EDs) have been the subject of much attention in recent years. This paper is a demographic analysis using administrative data from the Emergency Department Information System (EDIS) for 2005 of such presentations in New South Wales EDs and of self-reported reasons for presentation. Age and sex differences in the reasons given by patients for such presentations are analysed using data from a survey of patients conducted in a subset of EDs in 2004.

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After-hours general practice clinics are unlikely to reduce low acuity patient attendances to metropolitan Perth emergency departments

Cited by 27 publications

References 8 publications

Primary care services located with EDs: a review of effectiveness

Primary care services located with EDs: a review of effectiveness

Necessity breeds innovation: GPs help prevent an emergency department closure

Primary care presentations at emergency departments: rates and reasons by age and sex

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