Suitability of emergency department attenders to be assessed in primary care: survey of general practitioner agreement in a random sample of triage records analysed in a service evaluation project
| Autor: | Lloyd McCann, Carl Heneghan, Daniel Lasserson, Mary I W Thompson, Matthew Thompson |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Population Sample (statistics) Primary care Audit Accident & Emergency Medicine Medicine In patient education Primary Care education.field_of_study business.industry Research General Medicine Emergency department medicine.disease Triage Relative risk Emergency medicine Medical emergency General practice / Family practice business |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2013-003612 |
| Popis: | OBJECTIVES: To assess the proportion of emergency department (ED) attendances that would be suitable for primary care and the inter-rater reliability of general practitioner (GP) assessment of primary care suitability. DESIGN OF STUDY: Survey of GPs' agreement of suitability for primary care on a random anonymised sample of all ED patients attending over a 1-month period. SETTING: ED of a UK Hospital serving a population of 600 000. METHOD: Four GPs independently used data extracted from clinical notes to rate the appropriateness for management in primary care as well as need for investigations, specialist review or admission. Agreement was assessed using Cohen's κ. RESULTS: The mean percentage of patients that GPs considered suitable for primary care management was 43% (range 38-47%). The κ for agreement was 0.54 (95% CI 0.44 to 0.64) and 0.47(95% CI 0.38 to 0.59). In patients deemed not suitable for primary care, GPs were more likely to determine the need for specialist review (relative risks (RR)=3.5, 95% CI 3.0 to 4.2, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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