• Ugeskrift for laeger · Aug 1999

    [Many patients treated in the emergency department could be treated by a general practitioner on call].

    • M B Laursen and H P Jensen.
    • Aalborg Sygehus, ortopaedkirurgisk afdeling. mons@aas.nja.dk
    • Ugeskr. Laeg. 1999 Aug 16; 161 (33): 4624-7.

    AbstractMisuse of accident and emergency (A&E) departments is a problem throughout the world. Staffing A&E departments with general practitioners has been reported as successful in a few prospective studies. A medical audit of all A&E charts during one week was carried out. The audit-panel included two orthopaedic surgeons and two general practitioners. The charts were divided in two groups: 1) true A&E cases, 2) inappropriate A&E users, who should have visited the general practitioners' acute consultation instead. There was substantial agreement between audit-panel groups that 57% of attenders could visit the general practitioner instead. Ten percent of attenders received no treatment in the A&E department, but were transferred to other departments within the hospital. It is concluded that two-thirds of the A&E department attenders could have visited the general practitioners instead, for treatment or for referral to the relevant hospital department.

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