0000000000598436

AUTHOR

Maria Paola Scapinello

showing 2 related works from this author

Predictors of emergency department referral in patients using out-of-hours primary care services

2016

Background Out of hours (OOH) doctors could manage many cases limiting the inappropriate accesses to ED. However the possible determinants of referral to ED by OOH doctors are poorly studied. We aimed to characterize patients referred from the OOH to ED service in order to explore the gate-keeping role of OOH service for hospital emergency care and to facilitate future research in improving its cost-effectiveness. Methods A retrospective study was made through data collection of 5217 contacts in a local OOH service in the North-East of Italy (from 10/01/2012 to 03/31/2013). Results Only 8.7% (=454 people) of the total contacts were referred to ED. In the multivariate analysis, the significa…

MaleMultivariate analysisReferralPopulationContext (language use)Emergency department; Gate-keeping; Out-of-hours primary careHealth Services AccessibilityOut-of-hours primary care03 medical and health sciences0302 clinical medicineAfter-Hours CareGate-keepingHumansMedicine030212 general & internal medicineeducationReferral and ConsultationRetrospective Studieseducation.field_of_studyPrimary Health Carebusiness.industryEmergency department030503 health policy & servicesHealth PolicyAge FactorsRetrospective cohort studyOvercrowdingEmergency departmentOdds ratioMiddle Agedmedicine.diseaseNursing HomesItalyFemaleMedical emergencyEmergency Service Hospital0305 other medical sciencebusiness
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Role of out of hours primary care service in limiting inappropriate access to emergency department

2017

Out of hours (OOH) doctors can have an important gate-keeping role over the access to the emergency department (ED), but the outcome and the quality of their ED referrals have been poorly studied. We aimed to investigate the outcome of patients referred to ED from OOH service and the determinants of admission or short-stay dispositions. We collected retrospectively data about referrals to ED from a local OOH service in the north-east of Italy using the OOH paper register and the ED electronic database, over the period of 01/10/2012 to 31/03/2013. Out of 5217 patients accessing the OOH service, 408 referrals were included in our analysis. 45.3% (185) of the referrals were admitted to hospita…

AdultMalemedicine.medical_specialtyPalliative careAdolescentNational Health ProgramsReferralPsychological interventionPrimary careconsultation AppropriatenessAfter-hours care03 medical and health sciencesGate keeping0302 clinical medicineOut of hoursInternal MedicineHumansMedicineAppropriateness030212 general & internal medicineChildAgedRetrospective StudiesAfter-hours care; Appropriateness; Emergency service; Gate keeping; Primary health care; Referral and consultation; Internal Medicine; Emergency MedicinePrimary health careEmergency service Gate keeping Referral andService (business)business.industry030503 health policy & servicesReferral and consultationLimitingEmergency departmentMiddle AgedItalyChild PreschoolEmergency medicineEmergency MedicineAfter-hours care Primary health careFemaleEmergency Service Hospital0305 other medical sciencebusinessEmergency serviceInternal and Emergency Medicine
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