- Title
- The impact of walk-in centres and GP co-operatives on emergency department presentations : A systematic review of the literature
- Creator
- Crawford, Jessica; Cooper, Simon J.; Cant, Robyn; DeSouza, Ruth
- Date
- 2017
- Type
- Text; Journal article; Review
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/160455
- Identifier
- vital:12181
- Identifier
-
https://doi.org/10.1016/j.ienj.2017.04.002
- Identifier
- ISSN:1755-599X
- Abstract
- Background Internationally, non-urgent presentations are increasing the pressure on Emergency Department (ED) staff and resources. This systematic review aims to identify the impact of alternative emergency care pathways on ED presentations – specifically GP cooperatives and walk-in clinics. Methods Based on a structured PICO enquiry with either walk-in clinic or GP cooperative as the intervention, a search was made for peer-reviewed publications in English, between 2000 and 2014. Medline plus, OVID, PubMed, and Google Scholar were searched. The Critical Appraisal Skills Program (CASP) guidelines were used to assess study quality and data was extracted using an adapted JBI Qualitative Assessment and Review Instrument (QARI). Subsequent reporting followed the PRISMA guideline. Results Eleven high quality quantitative studies met the inclusion criteria. Walk-in clinics do have the potential to reduce non-urgent emergency department presentations, however evidence of this effect is low. GP cooperatives offer an alternative care stream for patients presenting to the ED and do significantly reduce local ED attendances. Community members need to be made aware of these options in order to make informed treatment choices. Conclusion GP cooperatives in particular do have the potential to reduce ED workload. Further research is required to uncover recent trends and patient outcomes for walk-in clinics and GP cooperatives. © 2017 Elsevier Ltd
- Publisher
- Elsevier Ltd
- Relation
- International Emergency Nursing Vol. 34, no. (2017), p. 36-42
- Rights
- Copyright © 2017 Elsevier Ltd
- Rights
- This metadata is freely available under a CCO license
- Subject
- 1110 Nursing; Emergency medical services; General practice; Outcome and process evaluation-health care; Physicians primary healthcare; Triage
- Reviewed
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