Quick diagnosis units: Avoiding referrals from primary care to the ED and hospitalizations

American Journal of Emergency Medicine

Volumn 31, Issue 1, 2013, Pages 114-123

  Bosch, Xavier ^a   Jordán, Anna ^a   López Soto, Alfonso ^a  

^a UNIVERSITY OF BARCELONA   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL TRIAL; COHORT ANALYSIS; EMERGENCY CARE; FEMALE; HEALTH CARE COST; HOSPITAL DEPARTMENT; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; OUTPATIENT CARE; PATIENT REFERRAL; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; QUICK DIAGNOSIS UNIT;

CHI-SQUARE DISTRIBUTION; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL COSTS; HOSPITAL UNITS; HOSPITALIZATION; HUMANS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; PRIMARY HEALTH CARE; PROSPECTIVE STUDIES; QUESTIONNAIRES; REFERRAL AND CONSULTATION; RETROSPECTIVE STUDIES; STATISTICS, NONPARAMETRIC;

EID: 84870895629     PISSN: 07356757     EISSN: 15328171     Source Type: Journal    
DOI: 10.1016/j.ajem.2012.06.013     Document Type: Article

References (31)

1. J.M. Martin-Moreno, P. Alonso, A. Claveria, L. Gorgojo, and S. Peiró Spain: a decentralised health system in constant flux BMJ 338 2009 b1170
2. S. Beatty, W. Stevens, G. Stevens, J. Kolbe, and B. Cox Lung cancer patients in New Zealand initially present to secondary care through the emergency department rather than by referral to a respiratory specialist N Z Med J 122 2009 33 41
3. M. Porta, E. Fernandez, J. Belloc, N. Malats, M. Gallén, and J. Alonso Emergency admission for cancer: a matter of survival? Br J Cancer 77 1998 477 484
4. V. Sikka, and J.P. Ornato Cancer diagnosis and outcomes in Michigan EDs vs. other settings Am J Emerg Med 30 2012 283 292
5. P. Matorras, M. de Pablo, L. Otero, F. Alonso, R. Daroca, and N. Díaz-Caneja Adecuación de los ingresos en un servicio de Medicina Interna de un hospital de tercer nivel Med Clin (Barc). 94 1990 290 293
6. J.I. González-Montalvo, J.J. Baztán, L. Rodríguez-Mañas, E. San Cristóbal, A. Gato, and P. Ballesteros Ingreso hospitalario urgente en servicios médicos: causas, justificación, factores sociales y sus diferencias en función de la edad Med Clin (Barc) 103 1994 441 444
7. F.J. Rodríguez-Vera, M.R. Alcoucer, F.J. Rodríguez, T. Camacho, J. Colchero, and E. Pujol Adecuación de los ingresos en un servicio de Medicina Interna de un hospital de segundo nivel An Med Interna (Madrid). 16 1999 277 280
8. S. Daly, D.A. Campbell, and P.A. Cameron Short-stay units and observation medicine: a systematic review Med J Aust 178 2003 559 563
9. I. Scott, L. Vaughan, and D. Bell Effectiveness of acute medical units in hospitals: a systematic review Int J Qual Health Care 21 2009 397 407
10. B.P. Lucas, R. Kumapley, B. Mba, I. Nisar, K. Lee, and S. Ofori-Ntow A hospitalist-run short-stay unit: features that predict length-of-stay and eventual admission to traditional inpatient services J Hosp Med 4 2009 276 284
11. S. Capell, P. Comas, T. Piella, J. Rigau, X. Pruna, and F. Martínez Quick and early diagnostic outpatient unit: an effective and efficient model of care. Five years experience Med Clin (Barc) 123 2004 247 250
12. M. Rubio-Rivas, A. Vidaller, R. Pujol I Rarriols, and R. Mast Rapid diagnosis unit in a third level hospital. Descriptive study of the first year and a half Rev Clin Esp 208 2008 561 563
13. M.J. Kendall, V. Toescu, and D.M.A. Wallace QED: quick and early diagnosis Lancet 348 1996 528 529
14. X. Bosch, A. Jordán, A. Coca, and A. López-Soto Quick diagnosis units versus hospitalization for the diagnosis of potentially severe diseases in Spain J Hosp Med 7 2012 41 47
15. X. Bosch, J. Aibar, S. Capell, A. Coca, and A. López-Soto Quick diagnosis units: a potentially useful alternative to conventional hospitalisation Med J Aust 191 2009 496 498
16. World Health Organization International Classification of Diseases (ICD). 10th revisión (ICD-10) http://www.who.int/classifications/icd/en/ 2012 Accessed 3 June
17. M.E. Charlson, P. Pompei, K.L. Ales, and C.R. MacKenzie A new method of classifying prognostic comorbidity in longitudinal studies: development and validation J Chronic Dis 40 1987 373 383
18. M.F. Drummond, M.J. Sculpher, and G.W. Torrance Methods for the economic evaluation of health care programmes 2005 Oxford University Press New York (N.Y.)
19. S.S. Tan, F.F. Rutten, B.M. van Ineveld, W.K. Redekop, and L. Hakkaart-van Roijen Comparing methodologies for the cost estimation of hospital services Eur J Health Econ 10 2009 39 45
20. S.A. Finkler, D.M. Ward, and J.J. Baker Essentials of cost accounting for health care organisations 3rd edition 2007 Aspen Publishers New York (N.Y.)
21. K.H. Long, M.P. Bannon, S.P. Zietlow, E.R. Helgeson, W.S. Harmsen, and C.D. Smith A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: clinical and economic analyses Surgery 129 2001 390 400
22. J. Schreyögg A micro-costing approach to estimating hospital costs for appendectomy in a cross-European context Health Econ 17 1 Suppl 2008 S59 S69
23. S.G. Henry, R.M. Ness, R.A. Stiles, A.K. Shintani, and R.S. Dittus A cost analysis of colonoscopy using microcosting and time-and-motion techniques J Gen Intern Med 22 2007 1415 1421
24. D. Basic, and A. Khoo Admission variables predicting short lengths of stay of acutely unwell older patients: relevance to emergency and medical short-stay units Aust Health Rev 33 2009 502 512
25. W.F. Peacock 4th, J. Young, S. Collins, D. Diercks, and C. Emerman Heart failure observation units: optimizing care Ann Emerg Med 47 2006 22 33
26. D. McD Taylor, D.M. Bennett, and P.A. Cameron A paradigm shift in the nature of care provision in emergency departments Emerg Med J 21 2004 681 684
27. J. Borkan, C.B. Eaton, D. Novillo-Ortiz, P. Rivero Corte, and A.R. Jadad Renewing primary care: lessons learned from the Spanish health care system Health Aff (Millwood). 29 2010 1432 1441
28. A. Duran, J.L. Lara, and M. van Waveren Spain: health system review. Copenhagen: European Observatory on Health Systems and Policies Health Syst Transit 8 4 2006
29. Ministry of Health and Social Policy, Health Information Institute National health system of Spain 2012 The Ministry Madrid http://www.msps.es/en/ organizacion/sns/libroSNS.htm Accessed 3 June
30. Ministry of Health and Consumer Affairs Spanish National Health System 2012 The Ministry Madrid http://www.msc.es/en/estadEstudios/estadisticas/docs/ FOLLETO-BAJA-INGLES.PDF Accessed 3 June
31. Red.es Health Departments of all Autonomous Regions, INGESA (Ceuta and Melilla), Ministry of Health and Consumer Affairs ICT in the national health system: the Healthcare Online Programme 2012 Red.es Madrid http://www.epractice. eu/files/media/media2623.pdf Accessed 3 June