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"Access to urgent care"

E Knowles, A O'Cathain, J Turner, J Nicholl
OBJECTIVE: To measure the effect of an urgent care telephone service NHS 111 on population perceptions of urgent care. DESIGN: Controlled before and after population survey, using quota sampling to identify 2000 respondents reflective of the age/sex profile of the general population. SETTING: England. 4 areas where NHS 111 was introduced, and 3 control areas where NHS 111 had yet to be introduced. PARTICIPANTS: 28 071 members of the general population, including 2237 recent users of urgent care...
October 14, 2016: BMJ Open
Geva Greenfield, Agnieszka Ignatowicz, Shamini Gnani, Medhavi Bucktowonsing, Tim Ladbrooke, Hugh Millington, Josip Car, Azeem Majeed
OBJECTIVES: General practitioner (GP)-led urgent care centres were established to meet the growing demand for urgent care. Staff members working in such centres are central in influencing patients' choices about which services they use, but little is known about staff perceptions of patients' motives for attending urgent care. We hence aimed to explore their perceptions of patients' motives for attending such centres. DESIGN: A phenomenological, qualitative study, including semistructured interviews...
January 14, 2016: BMJ Open
Emma Knowles, Alicia O'Cathain, Janette Turner, Jon Nicholl
OBJECTIVES: Telephone-accessed health care plays a significant part in the delivery of urgent care internationally. NHS 111 is a telephone service set up to improve and simplify access to non-emergency National Health Service health care in England. The first aim of this research was to describe population awareness and use of this new service, overall and within different sub-groups. In doing so, the second aim was to identify any inequity in awareness or use of telephone-accessed health care...
October 2014: Journal of Health Services Research & Policy
Alicia O'Cathain, Emma Knowles, Janette Turner, Jon Nicholl
BACKGROUND: In 2010, a new telephone service, NHS 111, was piloted to improve access to urgent care in England. A unique feature is the use of non-clinical call takers who triage calls with computerized decision support and have access to clinical advisors when necessary. Aim. To explore users' acceptability of NHS 111. DESIGN: Cross-sectional postal survey. SETTING: Four pilot sites in England. METHOD: A postal survey of recent users of NHS 111...
April 2014: Family Practice
Sally Brown, Emily Henderson, Jennifer Howse, Greg Rubin
BACKGROUND: In October 2009, NHS County Durham and Darlington introduced a single point of access telephone number for people requiring out-of-hours health care. We evaluated users' views and experiences of the service. METHODS: We used a validated questionnaire adapted for use in telephone interviews, with open-ended questions added to allow people to express their views. Interviews were carried out with 493 people who had used the urgent care line between April and July 2010 of 1626 telephone calls made, a response rate of 30...
December 2012: Family Practice
Scott Wetterhall, Barri Burrus, Daniel Shugars, James Bader
The Alaska Native people in rural Alaska face serious challenges in obtaining dental care. Itinerant care models have failed to meet their needs for more than 50 years. The dental health aide therapist (DHAT) model, which entails training midlevel care providers to perform limited restorative, surgical, and preventive procedures, was adopted to address some of the limitations of the itinerant model. We used quantitative and qualitative methods to assess residents' satisfaction with the model and the role of DHATs in the cultural context in which they operate...
October 2011: American Journal of Public Health
Judy A Lowthian, Andrea J Curtis, Peter A Cameron, Johannes U Stoelwinder, Matthew W Cooke, John J McNeil
Emergency departments (EDs) in many developed countries are experiencing increasing pressure due to rising numbers of patient presentations and emergency admissions. Reported increases range up to 7% annually. Together with limited inpatient bed capacity, this contributes to prolonged lengths of stay in the ED; disrupting timely access to urgent care, posing a threat to patient safety. The aim of this review is to summarise the findings of studies that have investigated the extent of and the reasons for increasing emergency presentations...
May 2011: Emergency Medicine Journal: EMJ
O W Hugli, M Potin, N Schreyer, B Yersin
Non-urgent cases represent 30-40% of all ED consults; they contribute to overcrowding of emergency departments (ED), which could be reduced if they were denied emergency care. However, no triage instrument has demonstrated a high enough degree of accuracy to safely rule out serious medical conditions: patients suffering from life-threatening emergencies have been inappropriately denied care. Insurance companies have instituted financial penalties to discourage the use of ED as a source of non-urgent care, but this practice mainly restricts access for the underprivileged...
August 9, 2006: Revue Médicale Suisse
W M Lednar
The most valuable resource for most employers is their personnel. Maintaining the health and effective work performance of employee groups is enhanced by a strong and well-delivered occupational health program. Employers' needs in this area include access to urgent care services for on-plant medical problems that occur, regulatory compliance assistance, and medical specialty consultation to identify the contribution of workplace exposures to employee health. This article identifies aspects of each wherein community ambulatory care facilities may assist employers to optimize the health of their work force, provide important and cost-effective medical services, and ensure compliance with legal and regulatory health obligations...
April 1994: Journal of Ambulatory Care Management
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