General practitioners providing non-urgent care in emergency department: a natural experiment.

ABSTRACT: OBJECTIVE:To examine whether care provided by general practitioners (GPs) to non-urgent patients in the emergency department differs significantly from care provided by usual accident and emergency (A&E) staff in terms of process outcomes and A&E clinical quality indicators. DESIGN:Propensity score matched cohort study. SETTING:GPs in A&E colocated within the University Hospitals Coventry and Warwickshire NHS Trust between May 2015 and March 2016. PARTICIPANTS:Non-urgent attendances visits to the A&E department. MAIN OUTCOMES:Process outcomes (any investigation, any blood investigation, any radiological investigation, any intervention, admission and referrals) and A&E clinical indicators (spent 4 hours plus, left without being seen and 7-day reattendance). RESULTS:A total of 5426 patients

SUBMITTER: Uthman OA 

PROVIDER: S-EPMC5950695 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature