MACCABI-RED, community emergency care at the press of a button: a descriptive study.

Autor:	Bar-Yishay M; Department of Family Medicine, Maccabi Healthcare Services, Tel Aviv 6812509, Israel.; Department of Family Medicine and Siaal Research Center for Family Medicine and Primary Care, The Haim Doron Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel., Adler L; Department of Family Medicine, Maccabi Healthcare Services, Tel Aviv 6812509, Israel.; Department of Family Medicine, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel., Bar El A; Department of Family Medicine, Maccabi Healthcare Services, Tel Aviv 6812509, Israel.; Health Division, Maccabi Healthcare Services, Tel Aviv 6812509, Israel., Boker Faran L; Health Division, Maccabi Healthcare Services, Tel Aviv 6812509, Israel., Mizrahi Reuveni M; Department of Family Medicine, Maccabi Healthcare Services, Tel Aviv 6812509, Israel., Sternberg SA; Health Division, Maccabi Healthcare Services, Tel Aviv 6812509, Israel., Schejter E; Health Division, Maccabi Healthcare Services, Tel Aviv 6812509, Israel., Radomyslsky Z; Health Division, Maccabi Healthcare Services, Tel Aviv 6812509, Israel.; Faculty of Medicine, Ariel University, Ariel 40700, Israel., Segal Y; Health Division, Maccabi Healthcare Services, Tel Aviv 6812509, Israel., Azuri J; Department of Family Medicine, Maccabi Healthcare Services, Tel Aviv 6812509, Israel.; Department of Family Medicine, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel., Yehoshua I; Department of Family Medicine, Maccabi Healthcare Services, Tel Aviv 6812509, Israel.; Department of Family Medicine and Siaal Research Center for Family Medicine and Primary Care, The Haim Doron Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel.
Jazyk:	angličtina
Zdroj:	Family practice [Fam Pract] 2024 Oct 08; Vol. 41 (5), pp. 755-760.
DOI:	10.1093/fampra/cmae032
Abstrakt:	Background: Maccabi-RED is a new service developed in Israel that allows primary care staff to direct urgent cases to specialists in the community for evaluation in their local clinics on the same day as an alternative to an emergency department (ED) visit. A primary care physician or a nurse can activate the service, and all nearby specialists receive "a call" and can decide if they are willing to accept it, thus allowing the patient to avoid an unnecessary visit to the ED. Aim: To quantify and characterize the medical care provided by this service in a large national healthcare system. Design and Setting: Multicenter, community-based, retrospective cohort study. Methods: All Maccabi-RED visits recorded between September 2021 and August 2022 were included. Patient characteristics were compared to national demographics. Descriptive statistics were used to present data regarding recorded diagnoses, treating physicians, treatments or referrals provided, and subsequent emergency department admissions or hospitalizations. Results: 31831 visits were recorded. Most frequent diagnoses were musculoskeletal pain (12.1%), otitis or otalgia (7.8%), contusions (7.6%), fractures (7.1%), foreign body (6.7%), pregnancy-related symptoms (6.3%), and upper-respiratory or unspecified viral infection (6.3%). The most common treatments reported were foreign body removal (5%) and cast application (3.5%). Only 7.8% of visits resulted in emergency department admission within seven days (any cause). The average time from patient request to physician treatment was 91 min. Conclusions: Maccabi-RED is being widely used by patients nationwide. Additional studies are needed to investigate whether Maccabi-RED reduces emergency department visits and costs. (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.)
Databáze:	MEDLINE
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