Patient and care characteristics of self-referrals treated by the general practitioner cooperative at emergency-care-access-points in the Netherlands

BMC Family Practice
Martijn RuttenPaul Giesen

Abstract

In the Netherlands, out-of-hours primary care is provided in general practitioner-cooperatives (GPCs). These are increasingly located on site and in collaboration with emergency departments of hospitals (ED). At such sites, also called emergency-care-access-points (ECAP), the GPC is generally responsible for the triage and treatment of self-referrals who used to attend the ED. To evaluate the effects and safety of this novel organisation, we studied the characteristics and the quality of care given by GPCs to self-referrals at ECAPs. Retrospective analysis (August 2011-January 2012) of 783 records of self-referred patients at three Dutch GPCs in an ECAP. This was supplemented with a retrospective analysis of patient records during a follow-up period of three-months to asses safety. Patient-characteristics: 59% was male, 46% aged between 16-45 years and 59% trauma-related. Most cases (95%) were triaged low-urgent. None received the highest urgency-category. Quality: The triage outcome was correct in 79%, underestimated in 12% and overestimated in 9%. After GP consultation 20% were referred to the ED, mostly for radio-diagnostics. Of the referrals to secondary care, 98% were according to common medical practice. Thirty percent ha...Continue Reading

References

Apr 25, 2008·Annals of Emergency Medicine·Nathan R Hoot, Dominik Aronsky
Nov 26, 2008·Annals of Emergency Medicine·John C MoskopKelly J Bookman
Oct 5, 2010·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·A Joan P BoekeHenriette E van der Horst
Jul 20, 2011·Annals of Internal Medicine·Paul GiesenMichel Wensing
Mar 14, 2013·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Aaron A Bellow, Gordon Lee Gillespie
Oct 26, 2013·International Journal of Emergency Medicine·Christien van der LindenJohn R Richards
Dec 20, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sharif A IsmailShamini Gnani
Jun 3, 2014·BMC Health Services Research·Nahara Anani Martínez-GonzálezThomas Rosemann
Aug 20, 2014·Family Practice·Joost Johan Godert WammesMarjan J Faber
Nov 5, 2015·Emergency Medicine Journal : EMJ·Shammi RamlakhanRuth Brown
Mar 13, 2016·Journal of Advanced Nursing·Mieke van der BiezenMiranda Laurant
Apr 19, 2017·Annals of Internal Medicine·Marleen SmitsPaul Giesen

❮ Previous
Next ❯

Citations

May 16, 2019·European Journal of Public Health·Marleen SmitsRobert Verheij
Jun 25, 2018·BMC Family Practice·Bernhard RiedlKlaus Linde
Mar 16, 2021·Primary Health Care Research & Development·Birgitte SchoenmakersMarc Sabbe
Mar 28, 2021·BMC Health Services Research·Birgitte SchoenmakersMarc Sabbe
Aug 10, 2021·The European Journal of General Practice·Martijn H RuttenMarleen Smits
Sep 2, 2021·Ciência & saúde coletiva·Juan Carlos Morales PiñeroJuan Sebastián Martínez Vela

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Evaluation in Clinical Practice
Linda HuibersMichel Wensing
European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Nicole KraaijvangerMichael Edwards
© 2022 Meta ULC. All rights reserved