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dc.contributor.authorMurphy, A.
dc.date.accessioned2018-08-24T08:25:48Z
dc.date.available2018-08-24T08:25:48Z
dc.date.issued1998-02-01
dc.identifier.citationMurphy, A. (1998). 'inappropriate' attenders at accident and emergency departments ii: health service responses. Family Practice 15 (1), 33-37
dc.identifier.issn1460-2229
dc.identifier.urihttp://hdl.handle.net/10379/9604
dc.description.abstractBackground. Health services have responded to perceived 'inappropriate' attenders at accident and emergency (A&E) departments in three ways. Firstly, they have responded by attempting to decrease the numbers of patients attending A&E departments. There is little evidence supporting the efficacy of such policies. Secondly, they have responded by referring inappropriate attenders to another site. Research indicates that whilst such referral may be feasible, resultant decreases in departmental workloads have yet to be demonstrated. Patient outcome has also to be determined. Thirdly, by performing triage of attenders they provide care appropriate to their needs. Sessional GPs working in A&E departments manage non-emergency A&E attenders safely and use fewer resources than do usual A&E staff. Long-term effects on health-seeking behaviour and patient perception of the distinction between primary care services have yet to be determined. Conclusions. Rather than vainly attempting to make the patients appropriate to the service, future initiatives should concentrate on making the A&E service more appropriate to the patient.
dc.publisherOxford University Press (OUP)
dc.relation.ispartofFamily Practice
dc.subjecta&e departments
dc.subjectprimary-care
dc.subjecthospital emergency
dc.subjectprospective identification
dc.subjectgeneral-practitioners
dc.subjectnonemergency patients
dc.subjectrefusing care
dc.subjecttriage
dc.subjectcost
dc.subjectusers
dc.subjectroom
dc.title'inappropriate' attenders at accident and emergency departments ii: health service responses
dc.typeArticle
dc.identifier.doi10.1093/fampra/15.1.33
dc.local.publishedsourcehttps://academic.oup.com/fampra/article-pdf/15/1/33/9794314/150033.pdf
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