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Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper

Authors :
Michelle Edwards
Jonathan Benger
Katherine Morton
Janet Brandling
Thomas Hughes
Freya Davies
Adrian Edwards
Sarah Voss
Matthew Cooke
Aloysius Niroshan Siriwardena
Alison Cooper
Andrew Carson-Stevens
Source :
Emergency Medicine Journal : EMJ
Publication Year :
2019
Publisher :
BMJ, 2019.

Abstract

Primary care services in or alongside emergency\ud departments look and function differently and are\ud described using inconsistent terminology. Research to\ud determine effectiveness of these models is hampered by\ud outdated classification systems, limiting the opportunity\ud for data synthesis to draw conclusions and inform\ud decision-making and policy. We used findings from a\ud literature review, a national survey of Type 1 emergency\ud departments in England and Wales, staff interviews,\ud other routine data sources and discussions from\ud two stakeholder events to inform the taxonomy. We\ud categorised the forms inside or outside the emergency\ud department: inside primary care services may be\ud integrated with emergency department patient flow or\ud may run parallel to that activity; outside services may be\ud offered on site or off site. We then describe a conceptual\ud spectrum of integration: identifying constructs that\ud influence how the services function—from being closer\ud to an emergency medicine service or to usual primary\ud care. This taxonomy provides a basis for future evaluation\ud of service models that will comprise the evidence base\ud to inform policy-making in this domain. Commissioners\ud and service providers can consider these constructs in\ud characterising and designing services depending on local\ud circumstances and context.

Details

ISSN :
14720213 and 14720205
Volume :
36
Database :
OpenAIRE
Journal :
Emergency Medicine Journal
Accession number :
edsair.doi.dedup.....ec1159e0ea12ba248f1016b0b4744db9
Full Text :
https://doi.org/10.1136/emermed-2018-208305