作者
Alyson Huntley, Daniel Lasserson, Lesley Wye, Richard Morris, Kath Checkland, Helen England, Chris Salisbury, Sarah Purdy
发表日期
2014/5/1
来源
BMJ open
卷号
4
期号
5
页码范围
e004746
出版商
British Medical Journal Publishing Group
简介
Objectives
To conduct a systematic review to identify studies that describe factors and interventions at primary care practice level that impact on levels of utilisation of unscheduled secondary care.
Setting
Observational studies at primary care practice level.
Participants
Studies included people of any age of either sex living in Organisation for Economic Co-operation and Development (OECD) countries with any health condition.
Primary and secondary outcome measures
The primary outcome measure was unscheduled secondary care as measured by emergency department attendance and emergency hospital admissions.
Results
48 papers were identified describing potential influencing features on emergency department visits (n=24 studies) and emergency admissions (n=22 studies). Patient factors associated with both outcomes were increased age, reduced socioeconomic status, lower educational …
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A Huntley, D Lasserson, L Wye, R Morris, K Checkland… - BMJ open, 2014