Substitution of outpatient hospital care with specialist care in the primary care setting: A systematic review on quality of care, health and costs.

ABSTRACT:

Rationale, aims and objective

Substituting outpatient hospital care with primary care is seen as a solution to decrease unnecessary referrals to outpatient hospital care and decrease rising healthcare costs. This systematic review aimed to evaluate the effects on quality of care, health and costs outcomes of substituting outpatient hospital care with primary care-based interventions, which are performed by medical specialists in face-to-face consultations in a primary care setting.

Method

The systematic review was performed using the PICO framework. Original papers in which the premise of the intervention was to substitute outpatient hospital care with primary care through the involvement of a medical specialist in a primary care setting were eligible.

Results

A total

SUBMITTER: van Hoof SJM 

PROVIDER: S-EPMC6675042 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature