Do general practitioners working in or alongside the emergency department improve clinical outcomes or experience? A mixed-methods study.

ABSTRACT:

Objectives

To examine the effect of general practitioners (GPs) working in or alongside the emergency department (GPED) on patient outcomes and experience, and the associated impacts of implementation on the workforce.

Design

Mixed-methods study: interviews with service leaders and NHS managers; in-depth case studies (n=10) and retrospective observational analysis of routinely collected national data. We used normalisation process theory to map our findings to the theory's four main constructs of coherence, cognitive participation, collective action and reflexive monitoring.

Setting and participants

Data were collected from 64 EDs in England. Case site data included: non-participant observation of 142 clinical encounters; 467 semistructured interviews with policy-make

SUBMITTER: Scantlebury A 

PROVIDER: S-EPMC9490584 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature