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Randomized Controlled Trial Clinical Trial
Randomized controlled trial of general practitioner versus usual medical care in a suburban accident and emergency department using an informal triage system.
- D Gibney, A W Murphy, D Barton, C Byrne, M Smith, G Bury, E Mullan, and P K Plunkett.
- Department of General Practice, University College Dublin, Republic of Ireland.
- Br J Gen Pract. 1999 Jan 1; 49 (438): 43-4.
AbstractWe determined if care provided by general practitioners (GPs) to non-emergency patients, in a suburban accident and emergency (A&E) department using an informal triage system, differs significantly from care provided by usual A&E staff. One thousand eight hundred and seventy-eight patients participated. By comparison with usual A&E staff, GPs prescribed significantly more often (percentage relative difference [% RD] = 12 [95% confidence interval = 1-23]) and referred more patients to hospital (% RD = 21 [95% CI = 9-33]). This is the first study to report that sessional GPs working in an A&E department utilize similar or more resources than usual A&E staff. It emphasizes the need for the continued audit of initiatives that have been introduced into new settings.
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