Dealing with minor illnesses: The link between primary care characteristics and Walk-in Centres' attendances
| Autor: | Gianluca Fiorentini, Cristina Ugolini, Matteo Lippi Bruni, Andrea Donatini, Irene Mammi |
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| Přispěvatelé: | Ugolini, Cristina, Lippi Bruni, Matteo, Mammi, Irene, Donatini, Andrea, Fiorentini, Gianluca |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Panel count data models
Adult Male Walk-in Centre Adolescent Walk in centres Settore SECS-P/05 - Econometria Walk-in Centres Minor (academic) Primary care Empirical Research Settore SECS-P/02 - Politica Economica Ambulatory Care Facilities Severity of Illness Index Health Services Accessibility Unit (housing) Young Adult 03 medical and health sciences 0302 clinical medicine Empirical research Nursing Severity of illness Humans Medicine 030212 general & internal medicine Settore SECS-P/01 - Economia Politica Health policy Aged Service (business) Primary Health Care business.industry Medicine (all) 030503 health policy & services Health Policy Avoidable attendance Female Italy Middle Aged Panel count data model Settore SECS-P/03 - Scienza delle Finanze 0305 other medical science business |
| Popis: | The reformulation of existing boundaries between primary and secondary care, in order to shift selected services traditionally provided by Emergency Departments (EDs) to community-based alternatives, has determined a variety of organisational solutions. One innovative change has been the introduction of fast-track systems for minor injuries or illnesses, whereby community care providers are involved in order to divert patients away from EDs. These facilities offer an open-access service for patients not requiring hospital treatments, and may be staffed by nurses and/or primary care general practitioners operating within, or alongside, the ED. To date little research has been undertaken on such experiences. To fill this gap, we analyse a Walk-in Centre (WiC) in the Italian city of Parma, consisting of a minor injury unit located alongside the teaching hospital's ED. We examine the link between the utilisation rates of the WiC and primary care characteristics, focusing on the main organisational features of the practices and estimating panel count data models for 2007-2010. Our main findings indicate that the extension of practice opening hours significantly lowers the number of attendances, after controlling for General Practitioner's and practice's characteristics. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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