The impact of walk-in centres and GP co-operatives on emergency department presentations: A systematic review of the literature

International Emergency Nursing
Jessica CrawfordRuth DeSouza

Abstract

Internationally, non-urgent presentations are increasing the pressure on Emergency Department (ED) staff and resources. This systematic review aims to identify the impact of alternative emergency care pathways on ED presentations - specifically GP cooperatives and walk-in clinics. Based on a structured PICO enquiry with either walk-in clinic or GP cooperative as the intervention, a search was made for peer-reviewed publications in English, between 2000 and 2014. Medline plus, OVID, PubMed, and Google Scholar were searched. The Critical Appraisal Skills Program (CASP) guidelines were used to assess study quality and data was extracted using an adapted JBI Qualitative Assessment and Review Instrument (QARI). Subsequent reporting followed the PRISMA guideline. Eleven high quality quantitative studies met the inclusion criteria. Walk-in clinics do have the potential to reduce non-urgent emergency department presentations, however evidence of this effect is low. GP cooperatives offer an alternative care stream for patients presenting to the ED and do significantly reduce local ED attendances. Community members need to be made aware of these options in order to make informed treatment choices. GP cooperatives in particular do have th...Continue Reading

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Citations

May 14, 2019·Autism Research : Official Journal of the International Society for Autism Research·Brittany N HandLaura Arnstein Carpenter
Jun 4, 2019·Health & Social Care in the Community·Miriam LeviFrancesco Lapi
Jun 6, 2020·Journal of Primary Care & Community Health·Julia EllbrantPia Karlsland Åkeson
Nov 16, 2019·International Journal of Environmental Research and Public Health·Daniel Aiham GhazaliEnrique Casalino
May 14, 2021·International Journal of Integrated Care·Andrew Dickinson, Stefanie Joos
May 21, 2021·Journal of Health Organization and Management·John AdieMarianne Wallis
Aug 6, 2021·The American Journal of Emergency Medicine·Verena FuhrmannDominik Roth

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