Read by QxMD icon Read

Urgent care, emergency medicine, family practice

Brenda Reiss-Brennan, Kimberly D Brunisholz, Carter Dredge, Pascal Briot, Kyle Grazier, Adam Wilcox, Lucy Savitz, Brent James
IMPORTANCE: The value of integrated team delivery models is not firmly established. OBJECTIVE: To evaluate the association of receiving primary care in integrated team-based care (TBC) practices vs traditional practice management (TPM) practices (usual care) with patient outcomes, health care utilization, and costs. DESIGN: A retrospective, longitudinal, cohort study to assess the association of integrating physical and mental health over time in TBC practices with patient outcomes and costs...
August 23, 2016: JAMA: the Journal of the American Medical Association
S Tercanli, I Filges
No abstract text is available yet for this article.
October 2015: Ultraschall in der Medizin
Dean A Seehusen, Marjorie A Bowman, Anne Victoria Neale
This issue contains several articles that highlight the effect of context and tradeoffs encountered in the practice of family medicine. Some articles demonstrate how context affects the implementation of the patient-centered medical home model, the community risk of a measles outbreak, the rate of complementary and alternative medicine among different generations, and the number of family physicians primarily providing urgent and emergent care in a region. Tradeoffs are explored in articles that look at how electronic medical record use has changed the composition of workload in primary care and how the burgeoning number of clinical guidelines affects the choices made by family physicians...
July 2014: Journal of the American Board of Family Medicine: JABFM
Félix Miguel García, Ana Isabel Fernández Quintana, Amadeo Díaz Prats
The present article describes the general organization of pre-hospital emergency care in the autonomous regions and provides data on activity corresponding to 2010, drawn from the information available in the Primary Care Information System of the Ministry of Health, Social Policy and Equality. Emergency care is provided through various organizational structures covering 24-hour periods. Family medicine attended 17.8 million emergency consultations and nursing attended 10.2 million (year 2010, 14 autonomous communities, 79...
March 2012: Gaceta Sanitaria
Stuart J Yoffe, Robert W Moore, John O Gibson, Nemat M Dadfar, Rebecca L McKay, David A McClellan, Tse-Yang Huang
BACKGROUND AND OBJECTIVES: A substantial proportion of emergency department (ED) visits by children are for non-urgent care. The objective of this research is to determine whether a parent-focused educational intervention can reduce non-urgent ED visits. METHODS: A regional hospital system (which includes a central hospital, four satellite hospitals, and two primary care clinics) provided monthly data retrospectively from January 2006 to October 2007 on ED visits by children...
February 2011: Family Medicine
John L Campbell, Jean Ramsay, Judith Green, Kate Harvey
BACKGROUND: The government has proposed a 48-hour target for GP availability. Although many practices are moving towards delivering that goal, recent national patient surveys have reported a deterioration in patients' reports of doctor availability. What practice factors contribute to patients' perceptions of doctor availability? METHOD: A cross sectional patient survey (11,000 patients from 54 inner London practices, 7247 (66%) respondents) using the General Practice Assessment Survey...
June 2005: Family Practice
V Lattimer, S Brailsford, J Turnbull, P Tarnaras, H Smith, S George, K Gerard, S Maslin-Prothero
OBJECTIVES: To describe the components of an emergency and urgent care system within one health authority and to investigate ways in which patient flows and system capacity could be improved. METHODS: Using a qualitative system dynamics (SD) approach, data from interviews were used to build a conceptual map of the system illustrating patient pathways from entry to discharge. The map was used to construct a quantitative SD model populated with demographic and activity data to simulate patterns of demand, activity, contingencies, and system bottlenecks...
November 2004: Emergency Medicine Journal: EMJ
Juliette Shellman
With the unprecedented growth in the African American elderly population, there exists an urgent need to prepare nurses to deliver culturally competent care. The purpose of this study was to increase the knowledge available about the cultural heritage, worldviews, and life experiences of African American elders. Reminiscence interviews were conducted with African American elders living in a medium-sized northeast urban community. Data were analyzed using Spiegelberg's phenomenological Method. The following themes emerged: (a) nobody ever asked me before, (b) stories of discrimination, (c) coping with discrimination, (d) the hurt of discrimination, and (e) self-discoveries...
October 2004: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
Malcolm Woollard
OBJECTIVES: This study sought expert consensus about which categories of patients from 248 Medical Priority (MPDS) ambulance dispatch codes might be appropriate for a nonemergency response or for whom dispatch of an ambulance might be appropriately denied if the patient were referred to a more suitable health care provider. METHODS: A Delphi technique was used. Ten physicians, from the specialities of emergency medicine, general practice, and pre-hospital care formed the expert panel but were blinded to each other's identity...
July 2003: Prehospital Emergency Care
(no author information available yet)
Pediatric patients frequently seek medical treatment in the emergency department (ED) unaccompanied by a legal guardian. Current state and federal laws and medical ethics recommendations support the ED treatment of minors with an identified emergency medical condition, regardless of consent issues. Financial reimbursement should not limit the minor patient's access to emergency medical care or result in a breach of patient confidentiality. Every clinic, office practice, and ED should develop policies and guidelines regarding consent for the treatment of minors...
March 2003: Pediatrics
Louis C Hampers, S Glenn Faries, Steven R Poole
BACKGROUND: Ambulatory presentation to a tertiary pediatric emergency department (ED) is not convenient for many families. Yet many primary care pediatricians (PCPs) desire after-hours urgent care for their patients as an alternative to extended office hours or care by general emergency medicine providers at community hospitals. OBJECTIVE: To describe a regional, community-based pediatric urgent care network (PUCN). METHODS: The PUCN consists of 4 models: 1) pediatric emergency medicine faculty in a community hospital ED; 2) general pediatricians in a community hospital ED; 3) general pediatricians in a freestanding urgent care center; and 4) general pediatricians in a community hospital-based urgent care center...
December 2002: Pediatrics
Vincent Lafay, Christiane Giraud, Corinne Bel, Olivier Giovannetti
INSTALLATION OF A GENERAL MEDICINE CONSULTATION: In 1995, in reaction to an increase of more than 35% over three years, related essentially to out-patient consultations, the installation of a general medicine consultation (GMC) near the emergency unit reception area (EUR) was envisaged. The project, developed over 5 years and based on an epidemiological study, was finally set-up in January 2000. The aims of the GMC are to supply information to the patients, help them in their administrative rights, and their subsequent follow-up by an external physician; the benefits expected by the EUR is the re-concentration on heavier and more urgent pathologies...
October 26, 2002: La Presse Médicale
L Becker, M Eisenberg, C Fahrenbruch, L Cobb
BACKGROUND: To determine the need for placing automated external defibrillators (AEDs) in medical and dental practices, we identified cardiac arrests at these locations. METHODS: Locations of cardiac arrest were abstracted from Emergency Medical Services data from January 1, 1990, through December 31, 1996. We calculated the annual incidence of cardiac arrest per type of practice. RESULTS: There were 142 cardiac arrests in medical or dental practices...
June 25, 2001: Archives of Internal Medicine
D Murfin
This paper reviews recent changes in the provision and organization of primary care in the UK. Access and availability are of prime importance to patients, particularly when medical care is sought urgently, and are therefore important elements of quality. The paper also discusses the possible impact of further changes in the delivery of primary care, including overlapping responsibilities of general practice and accident and emergency (A&E) departments and the role of NHS Direct, a telephone advice service.
2001: Journal of the Royal Society of Medicine
Hilty, Kelly, Hales
Bipolar disorder is relatively rare in obstetrics and gynecology (ob/gyn) practice compared with depressive and anxiety disorders, but there is a high risk for poor outcomes for patients and their offspring. Ob/Gyn physicians are assuming increasing responsibility for the care of these patients in today's managed care environment, working independently or in collaboration with a psychiatrist. The clinical presentation of bipolar patients may include mania and/or depression, in addition to more minor mood fluctuations that accompany the emotional and physical changes of pregnancy...
May 1, 2000: Primary Care Update for Ob/Gyns
J Dale, C Salisbury
The last decade has seen a burgeoning of out-of-hours services in a movement characterized by experimentation and innovation that may have implications for all health services. The system needs to be more integrated to remove duplication and fill existing gaps in the service. But resistance from healthcare professionals is a major barrier. A shift from an out-of-hours emergency service towards 24-hour access for routine healthcare would be unsustainable and have limited health gain. NHS Direct should be the single point of access, with open access to A&E services restricted to people unable to telephone and who require urgent specialist care...
October 21, 1999: Health Service Journal
R A Pennie
OBJECTIVES: To observe the frequency with which children in outpatient primary care settings are prescribed antibiotics and to investigate why these antibiotics are prescribed. To compare the prescribing behaviour of family doctors, primary care pediatricians, and urgent care physicians and to determine where refinements in management are most needed to reduce the number of antibiotic prescriptions appropriately. DESIGN: Prospective study using a data entry form with mostly closed-ended questions...
September 1998: Canadian Family Physician Médecin de Famille Canadien
A Smajkić, D Niksić
The spontaneous development of the organization and practice of emergency medicine created a number of types of emergency medicine units. Long time, these units were developed in out-hospital institutions such as health centres. Together with these services, all acute hospitals have had full day,s emergency services for definite care of urgent conditions. The authors give principles of this activity organization in the light of expected incidence and severity of urgent conditions related to the number of population which gravitate to particular hospital or other health services...
1997: Medicinski Arhiv
Z Alon, S Vinker, S Nakar, H Abu-Amar, G Sadovsky, E Hyam
Direct self-referrals to a consultant, especially on an urgent basis, has not been widely explored before. The health insurance system in Israel permits elective direct self-referrals to various specialists, but the range and reasons of urgent self-referrals has not yet been evaluated. Our aim was to evaluate urgent self-referrals to ambulatory consultants and to see to what extent a qualified family physician can triage and treat those patients. The setting was an urban ambulatory multi-disciplinary consultation center in the city of Ashdod in central Israel, serving a population of approximately 150,000...
November 1997: Israel Journal of Medical Sciences
S H Schuman, L J Mohr, W M Simpson
A four-prototype approach to the occupational and environmental medicine (OEM) patient in a busy primary care setting is described. A 2 x 2 table illustrates the two diagnostic, interrelated tasks during the outpatient, non-urgent visit: (a) sick? yes/no, and (b) exposed? yes/no. One may have the basic skills for task (a) but feel insecure for task (b). With OEM experience, creative use of resources (databases and consultants), and patient cooperation, a better balance between task (a) and task (b) can be achieved...
December 1997: Journal of Occupational and Environmental Medicine
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"