Primary care referrals of patients with potentially serious diseases to the emergency department or a quick diagnosis unit: A cross-sectional retrospective study

BMC Family Practice

Volumn 15, Issue 1, 2014, Pages

  Bosch, Xavier ^a   Escoda, Ona ^a   Nicolás, David ^a   Coloma, Emmanuel ^a   Fernández, Sara ^a   Coca, Antonio ^a   López Soto, Alfonso ^a  

^a INSTITUT D INVESTIGACIONS BIOMÈDIQUES AUGUST PI I SUNYER IDIBAPS   (Spain)

Author keywords

Anemia; Cancer; Emergency department; Primary care; Quick diagnosis unit; Referrals

Indexed keywords

CROSS-SECTIONAL STUDY; EMERGENCY HEALTH SERVICE; FEMALE; HOSPITAL SUBDIVISIONS AND COMPONENTS; HUMAN; MALE; ORGANIZATION AND MANAGEMENT; PATIENT REFERRAL; PRIMARY HEALTH CARE; RETROSPECTIVE STUDY; SPAIN;

CROSS-SECTIONAL STUDIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL UNITS; HUMANS; MALE; PRIMARY HEALTH CARE; REFERRAL AND CONSULTATION; RETROSPECTIVE STUDIES; SPAIN;

EID: 84899929545     PISSN: None     EISSN: 14712296     Source Type: Journal    
DOI: 10.1186/1471-2296-15-75     Document Type: Article

References (32)

1. International perspectives on emergency department crowding. Pines JM, Hilton JA, Weber EJ, Alkemade AJ, Al Shabanah H, Anderson PD, Bernhard M, Bertini A, Gries A, Ferrandiz S, Kumar VA, Harjola VP, Hogan B, Madsen B, Mason S, Ohlén G, Rainer T, Rathlev N, Revue E, Richardson D, Sattarian M, Schull MJ, Acad Emerg Med 2011 18 1358 1370
2. State of emergency medicine in Spain. Miró O, Int J Emerg Med 2010 3 219 226
3. Interventions to improve outpatient referrals from primary care to secondary care. Akbari A, Mayhew A, Al-Alawi MA, Grimshaw J, Winkens R, Glidewell E, Pritchard C, Thomas R, Fraser C, Cochrane Database Syst Rev 2008 4 CD005471
4. Should alternatives to conventional hospitalisation be promoted in an era of financial constraint? Pericás JM, Aibar J, Soler N, López-Soto A, Sanclemente-Ansó C, Bosch X, Eur J Clin Invest 2013 43 602 615
5. Comparison of quick diagnosis units and conventional hospitalization for the diagnosis of cancer in Spain: a descriptive cohort study. Bosch X, Moreno P, Ríos M, Jordán A, López-Soto A, Oncology 2012 83 283 291
6. Quick diagnosis units: avoiding referrals from primary care to the ED and hospitalizations. Bosch X, Jordán A, Lopez-Soto A, Am J Emerg Med 2013 31 114 123
7. International Classification of Diseases (ICD). 10th Revision (ICD-10). World Health Organization, 2014 Available at: http://www.who.int/ classifications/icd/en Accessed February 28, 2014
8. APACHE II: a severity of disease classification system. Knaus WA, Draper EA, Wagner DP, Zimmerman JE, Crit Care Med 1985 13 818 829
9. Neglected topics in chronic pain treatment outcome studies: determination of success. Turk DC, Rudy TE, Sorkin BA, Pain 1993 53 3 16
10. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Charlson ME, Pompei P, Ales KL, MacKenzie CR, J Chron Dis 1987 40 373 383
11. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Ware JE Jr, Sherbourne CD, Med Care 1992 30 473 483
12. Measuring change in disability after inpatient rehabilitation: comparison of the responsiveness of the Barthel index and the Functional Independence Measure. van der Putten JJ, Hobart JC, Freeman JA, Thompson AJ, J Neurol Neurosurg Psychiatry 1999 66 480 484
13. Altman DG, Practical Statistics for Medical Research London: Chapman & Hall 1991 403 409
14. Effectiveness of organizational interventions to reduce emergency department utilization: a systematic review. Flores-Mateo G, Violan-Fors C, Carrillo-Santisteve P, Peiró S, Argimon JM, PLoS One 2012 7 35903
15. Emergency department overuse: perceptions and solutions. Adams JG, JAMA 2013 309 1173 1174
16. A Matter of Urgency: Reducing Emergency Department Overuse. NEHI Research Brief, 2010 Available at: http://www.nehi.net/writable/publication-files/file/ nehi-ed-overuse-issue-brief-032610finaledits.pdf Accessed February 28, 2014
17. Primary care professionals providing non-urgent care in hospital emergency departments. Khangura JK, Flodgren G, Perera R, Rowe BH, Shepperd S, Cochrane Database Syst Rev 2012 11 CD002097
18. Comparison of presenting complaint vs discharge diagnosis for identifying "nonemergency emergency department visits. Raven MC, Lowe RA, Maselli J, Hsia RY, JAMA 2013 309 1145 1153
19. Should GPs be fined for rises in avoidable emergency admissions to hospital? Nagpaul C, No BMJ 2013 346 1391
20. Blunt I, Bardsley M, Dixon J, Trends in Emergency Admissions in England 2004-2009 The Nuffield Trust 2010 Available at: http://www.nuffieldtrust.org.uk/ publications/trends-emergency-admissions-england-2004-2009 Accessed February 28, 2014.
21. Avoidable emergency admissions? Lillebo B, Dyrstad B, Grimsmo A, Emerg Med J 2013 30 707 711
22. The Evolving Role of Emergency Departments in the United States. Gonzalez Morganti K, Bauhoff S, Blanchard JC, Abir M, Iyer N, Smith AC, Vesely JV, Okeke EN, Kellermann AL, 2013 Available at: http://www.rand.org/pubs/research- reports/RR280.html Accessed February 28, 2014
23. Do diagnostic delays in cancer matter? Neal RD, Br J Cancer 2009 101 suppl 2 9 S12
24. Time intervals from first symptom to treatment of cancer: a cohort study of 2,212 newly diagnosed cancer patients. Hansen RP, Vedsted P, Sokolowski I, Søndergaard J, Olesen F, BMC Health Serv Res 2011 11 284
25. What if cancer survival in Britain were the same as in Europe: how many deaths are avoidable? Abdel-Rahman M, Stockton D, Rachet B, Hakulinen T, Coleman MP, Br J Cancer 2009 101 115 S124
26. Use of general practice, diagnostic investigations and hospital services before and after cancer diagnosis-a population-based nationwide registry study of 127,000 incident adult cancer patients. Christensen KG, Fenger-Grøn M, Flarup KR, Vedsted P, BMC Health Serv Res 2012 12 224
27. Quick and early diagnostic outpatient unit: an effective and efficient assistential model. Five years experience. Capell S, Comas P, Piella T, Rigau J, Pruna X, Martínez F, Montull S, Med Clin (Barc) 2004 123 247 250
28. Rapid diagnosis unit in a third level hospital. Descriptive study of the first year and a half. Rubio-Rivas M, Vidaller A, Pujol i Farriols R, Mast R, Rev Clin Esp 2008 208 561 563
29. Quick diagnosis units: a potentially useful alternative to conventional hospitalisation. Bosch X, Aíbar J, Capell S, Coca A, López-Soto A, Med J Aust 2009 191 496 498
30. Health at a Glance: Europe 2012. Organisation for Economic Co-operation and Development, OECD Publishing 2012 Available at: http://dx.doi.org/10.1787/ 9789264183896-en Accessed February 28, 2014
31. Study on the immediate care clinics of the internal medicine department (University Clinic Hospital of Valladolid). De Santos Castro PA, Jimeno Cargues A, García Cobo MC, Rev Clin Esp 2006 206 84 89
32. Conventional hospitalization alternatives in internal medicine. Torres M, Capdevila JA, Armario P, Montull S, Med Clin (Barc) 2005 124 620 626