Understanding the distribution of A&E attendances and hospital admissions for the case managed population: A single case cross sectional study

Abstract

Aim To describe the characteristics of case-managed patients presenting at accident and emergency (A & E) and to explore the distribution of their attendances and admissions. Background Recently, the UK Government announced extended-hours primary care provision in an effort to reduce the growing utilization of A & E. No evidence is available to understand the use of acute services by this high-risk patient group. Method A cross-sectional design utilising routinely collected anonymsed A & E attendance and hospital admission data from 2010 to 2015. Results The case-managed population is typically 70 years and older and most often arrive at A & E via emergency services and during the night (00:00–08:59). A large proportion are subsequently admitted having a statistically significant A & E conversion rate. No variables were predictive of admission. Conclusion The high level of A&E conversion could indicate case-managed patients are presenting appropriately with acute clinical need. However, inadequate provision in primary-care could drive decisions for admitting vulnerable patients.

Publication DOI: https://doi.org/10.1016/j.apnr.2016.10.005
Divisions: College of Health & Life Sciences > Aston Pharmacy School
College of Health & Life Sciences
Additional Information: © 2017, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Uncontrolled Keywords: Case Management,long-term conditions,Chronic Disease
Publication ISSN: 0897-1897
Full Text Link: http://www.open ... bcu.ac.uk/3583/
Related URLs: https://www.sci ... 0763?via%3Dihub (Publisher URL)
PURE Output Type: Article
Published Date: 2017-02-01
Published Online Date: 2016-10-07
Accepted Date: 2016-10-03
Authors: Phillips, Eloise (ORCID Profile 0000-0003-1023-1841)
Jones, Sarahjane
Runacres, Jessica
Lintern, Maxine
Radford, Mark

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