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Shifting hospital care to primary care: An evaluation of cardiology care in a primary care setting in the Netherlands
- Source :
- BMC Family Practice, BMC Family Practice, Vol 19, Iss 1, Pp 1-8 (2018), BMC Family Practice, 19(1):55. BioMed Central Ltd, BMC Family Practice, 19(1):55. BioMed Central
- Publication Year :
- 2018
- Publisher :
- BioMed Central Ltd, 2018.
-
Abstract
- BACKGROUND: In an attempt to deal with the pressures on the healthcare system and to guarantee sustainability, changes are needed. This study is focused on a cardiology Primary Care Plus intervention in which cardiologists provide consultations with patients in a primary care setting in order to prevent unnecessary referrals to the hospital. This study explores which patients with non-acute and low-complexity cardiology-related health complaints should be excluded from Primary Care Plus and referred directly to specialist care in the hospital.METHODS: This is a retrospective observational study based on quantitative data. Data collected between January 1 and December 31, 2015 were extracted from the electronic medical record system. Logistic regression analyses were used to select patient groups that should be excluded from referral to Primary Care Plus.RESULTS: In total, 1525 patients were included in the analyses. Results showed that male patients, older patients, those with the referral indication 'Stable Angina Pectoris' or 'Dyspnoea' and patients whose reason for referral was 'To confirm disease' or 'Screening of unclear pathology' had a significantly higher probability of being referred to hospital care after Primary Care Plus.CONCLUSIONS: To achieve efficiency one should exclude patient groups with a significantly higher probability of being referred to hospital care after Primary Care Plus.TRIAL REGISTRATION NUMBER: NTR6629 (Data registered: 25-08-2017) (registered retrospectively).
- Subjects :
- Male
Disease
SPECIALISTS
Logistic regression
0302 clinical medicine
Cardiologists
Health care
Medicine
030212 general & internal medicine
Referral and Consultation
Netherlands
lcsh:R5-920
030503 health policy & services
Age Factors
COST
Middle Aged
Referrals
Primary care
GENERAL-PRACTITIONERS
Hospital care
3. Good health
Hospitalization
Cardiology
Female
0305 other medical science
Family Practice
lcsh:Medicine (General)
Research Article
medicine.medical_specialty
Referral
Heart Diseases
PRESSURE
03 medical and health sciences
Sex Factors
Intervention (counseling)
Internal medicine
Humans
TRIPLE AIM
Aged
Retrospective Studies
Primary Health Care
business.industry
OUTREACH CLINICS
Retrospective cohort study
Logistic Models
JOINT CONSULTATION
HEALTH-CARE
business
Substitution
Subjects
Details
- Language :
- English
- ISSN :
- 14712296
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Family Practice
- Accession number :
- edsair.doi.dedup.....8c9c8d6bb0807080af3ba8ad3c6f1a67