Is information sharing between the emergency department and primary care useful to the care of frequent emergency department users?

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Helen HansagiGunnar Ohlén

Abstract

To assess whether easy access to medical information of the emergency department's (ED) frequent users would be useful to patient care in the ED and at primary healthcare centres (PHCs), and if resource utilization in the following year would be affected. During a 6-month period, frequent users presenting to the ED of Karolinska University Hospital Huddinge, Sweden, were randomized by the electronic database system into an intervention (n=834) or control group (n=965), the definition being three or more visits in 12 months before the index visit. Printout case notes, from the intervention patients' last three visits, were made accessible to the ED physicians and optionally forwarded to the patient's PHC physician. Usefulness of this enhanced information was measured by questionnaires, whereas healthcare utilization was compiled from the electronic database. The case notes of 59 (7.1%) intervention patients were forwarded to the respective PHCs. Of these, access to the enhanced patient information was deemed useful in 82% cases in the ED, versus 76% in PHCs. The mean number of ED visits in the following year did not differ significantly in the total intervention group as compared with the controls: 4.0 and 3.9, respectively (P=0...Continue Reading

References

Feb 1, 1997·European Journal of Epidemiology·T LangB Flicoteaux
Jun 1, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·L L SpillaneS M Schneider
Jul 25, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J H MandelbergM A Kohn
Sep 22, 2000·The American Journal of Emergency Medicine·R L OkinC Wachsmuth
Sep 27, 2000·Journal of Accident & Emergency Medicine·R M Lynch, I Greaves
Nov 7, 2001·Emergency Medicine Journal : EMJ·M Olsson, H Hansagi
Aug 15, 2002·Journal of Health Services Research & Policy·Karen Gardner, Beverly Sibthorpe
Dec 4, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jennifer Prah RugerLawrence M Lewis
Jan 28, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Albert SalazarXavier Corbella
Apr 19, 2005·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Fidela S J BlankAnn M Maynard
Jan 10, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Eddy LangStephen Rosenthal
May 16, 2006·The Health Care Manager·Keon-Hyung Lee, Laura Davenport

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Citations

Jan 9, 2008·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Patrick K Plunkett
Apr 6, 2012·Southern Medical Journal·Randell K WexlerMark Andrews
Jul 10, 2012·BMC Medical Informatics and Decision Making·Ted E PalenKristin B Wallace
Jun 19, 2014·BMC Health Services Research·Patrick BodenmannJean-Bernard Daeppen
Jun 22, 2011·Annals of Emergency Medicine·Fabrice AlthausPatrick Bodenmann
Mar 30, 2010·Annals of Emergency Medicine·Eduardo LaCalle, Elaine Rabin
Jan 1, 2012·Applied Clinical Informatics·L M KernR Kaushal
Jan 1, 2011·Applied Clinical Informatics·A Hincapie, T Warholak
Oct 15, 2011·Emergency Medicine Australasia : EMA·Katherine NelsonTania Hussey
Oct 16, 2015·BMC Medical Informatics and Decision Making·Alexandra T StraussJose L Zayas-Castro
Dec 1, 2014·The American Journal of Emergency Medicine·Alexander T JankePhillip D Levy
Feb 10, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Paul E RonksleyAlan J Forster
Sep 16, 2009·The American Journal of Emergency Medicine·Miquel SánchezOscar Miró
Jul 31, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jessica MoeBrian H Rowe
Dec 14, 2011·Medical Care Research and Review : MCRR·Rosa R BaierDeidre S Gifford
Jun 29, 2017·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·E Stein BronskyDavid Bar-Or
Aug 20, 2015·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Aida M Bertoli-AvellaPleunie P M Rood
Jul 13, 2016·Journal of General Internal Medicine·Patrick BodenmannJean-Bernard Daeppen
Jan 17, 2019·BMC Emergency Medicine·Marie-Josée FleuryHelen-Maria Vasiliadis
Jun 17, 2020·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Sarah J BillupsJoseph J Saseen
Nov 21, 2020·Professional Case Management·Shrieraam SathyanarayananMatthew Maxey

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