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Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper
- 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 Research to\ud determine effectiveness of these models is hampered by\ud outdated classification systems, limiting the opportunity\ud for data synthesis to draw conclusions and inform\ud decision-making and policy.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.
- Subjects :
- Emergency Medical Services
media_common.quotation_subject
Context (language use)
Critical Care and Intensive Care Medicine
emergency departments
Terminology
primary care
Taxonomy (general)
Medicine
Function (engineering)
media_common
Service (business)
Wales
Primary Health Care
business.industry
Stakeholder
emergency care systems, primary care
General Medicine
Emergency department
Public relations
Service provider
England
Models, Organizational
Emergency Medicine
Emergency Service, Hospital
business
Concepts
Subjects
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