Referral of nonurgent children from the emergency department to general practice: Compliance and cost savings

European Journal of Emergency Medicine

Volumn 19, Issue 1, 2012, Pages 14-19

  Van Veen, Mirjam ^a   Ten Wolde, Frank ^a   Poley, Marten J ^a,b   Ruige, Madelon ^d   Van Meurs, Alfred H J ^d   Hablé, Cato ^e   Steyerberg, Ewout W ^c   Moll, Henriëtte A ^a  

^a SOPHIA CHILDREN S HOSPITAL   (Netherlands)

^b ERASMUS UNIVERSITY ROTTERDAM   (Netherlands)

^c ERASMUS MEDICAL CENTER   (Netherlands)

^d JULIANA CHILDREN S HOSPITAL   (Netherlands)

^e Stichting Mobiele Artsen Service Haaglanden (SMASH)   (Netherlands)

Author keywords

child; cost analysis; costs; emergency medical services; epidemiology; family practice; triage

Indexed keywords

ADOLESCENT; ARTICLE; CHILD; COMORBIDITY; CONSULTATION; CONTROLLED STUDY; COST CONTROL; EMERGENCY WARD; FEMALE; FOLLOW UP; GENERAL PRACTICE; GENERAL PRACTITIONER; HOSPITAL DISCHARGE; HUMAN; INFANT; MAJOR CLINICAL STUDY; MALE; NURSE; OBSERVATIONAL STUDY; PARENT; PATIENT COMPLIANCE; PATIENT REFERRAL; PRESCHOOL CHILD; PRIORITY JOURNAL; PROSPECTIVE STUDY; SCHOOL CHILD; TELEPHONE;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; COST SAVINGS; COST-BENEFIT ANALYSIS; EMERGENCY SERVICE, HOSPITAL; FEMALE; GENERAL PRACTITIONERS; HUMANS; INFANT; MALE; NETHERLANDS; NURSING STAFF, HOSPITAL; PRACTICE GUIDELINES AS TOPIC; PROSPECTIVE STUDIES; QUESTIONNAIRES; REFERRAL AND CONSULTATION; TRIAGE;

EID: 84855758945     PISSN: 09699546     EISSN: 14735695     Source Type: Journal    
DOI: 10.1097/MEJ.0b013e32834727d4     Document Type: Article

References (15)

1. Giesen P, Franssen E, Mokkink H, van den Bosch W, van Vugt A, Grol R. Patients either contacting a general practice cooperative or accident and emergency department out of hours: a comparison. Emerg Med J 2006; 23:731-734. (Pubitemid 44377642)
2. Halfon N, Newacheck PW, Wood DL, St Peter RF. Routine emergency department use for sick care by children in the United States. Pediatrics 1996; 98:28-34. (Pubitemid 26226968)
3. Moll van Charante EP, Ter Riet G, Bindels P. Self-referrals to the A&E department during out-of-hours: patients motives and characteristics. Patient Educ Couns 2008; 70:256-265.
4. Hampers LC, Cha S, Gutglass DJ, Binns HJ, Krug SE. Fast track and the pediatric emergency department: resource utilization and patient outcomes. Acad Emerg Med 1999; 6:1153-1159. (Pubitemid 29521576)
5. Simon B, Gabor R, Letourneau P. Secondary triage of the injured pediatric patient within the trauma center: support for a selective resource-sparing two-stage system. Pediatr Emerg Care 2004; 20:5-11. (Pubitemid 38101649)
6. Van Uden CJ, Giesen PH, Metsemakers JF, Grol RP. Development of out-ofhours primary care by general practitioners (GPs) in The Netherlands: from small-call rotations to large-scale GP cooperatives. Fam Med 2006; 38:565-569. (Pubitemid 44395322)
7. Kool RB, Homberg DJ, Kamphuis HC. Towards integration of general practitioner posts and accident and emergency departments: a case study of two integrated emergency posts in the Netherlands. BMC Health Serv Res 2008; 8:225.
8. Mackway-Jones K, Marsden J, Windle J. Emergency triage, Manchester Triage Group. 2nd ed. Oxford: Blackwell Publishing Ltd; 2006.
9. Mackway-Jones K. Emergency triage, Manchester Triage Group. London: BMJ Publishing Group; 1997.
10. Van Veen M, Steyerberg EW, Lettinga L, Ruige M, van Meurs AH, van der Lei J, Moll HA. The safety of the Manchester Triage System to identify less urgent patients in paediatric emergency care: a prospective observational study. Arch Dis Child 2011 [Epub ahead of print].
11. Van Veen M, Steyerberg EW, Ruige M, van Meurs AH, Roukema J, van der Lei J, Moll HA. Manchester Triage System in paediatric emergency care: prospective observational study. BMJ 2008; 337:a1501.
12. Guideline triage at the emergency department. Richtlijn Triage op de spoedeisende hulp. http://www.cbo.nl/product/richtlijnen/ folder20021023121843/ triage-rl-2005.pdf?, 2005 NVSHV, CBO, Medisch Spectrum Twente. [Accessed 3 January 2011]
13. Elshove-Bolk J, Mencl F, van Rijswijck BT, Weiss IM, Simons MP, van Vugt AB. Emergency department patient characteristics: potential impact on emergency medicine residency programs in the Netherlands. Eur J Emerg Med 2006; 13:325-329. (Pubitemid 44715267)
14. Oostenbrink J, Bouwmans C, Koopmanschap M, Rutten F. Manual for cost research. Methods and standard cost prices for economic evaluations in healthcare. CVZ College voor zorgverzekeringen, 2004. http://www.ispor. org/peguidelines/source/Methodenenstandaardkostprijzenvooreconomis cheevaluatiesindegezondheidszorg.pdf. [Accessed 3 January 2011]
15. Rietveld E, Vergouwe Y, Steyerberg EW, Huysman MW, De Groot R, Moll HA. Hospitalization for respiratory syncytial virus infection in young children: development of a clinical prediction rule. Pediatr Infect Dis J 2006; 25:201-207. (Pubitemid 43379058)