Search results for "Gate-keeping"

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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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