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dc.contributor.authorWang, Mathyas-
dc.contributor.authorWild, Stefanie-
dc.contributor.authorHilfiker, Gabriela-
dc.contributor.authorChmiel, Corinne-
dc.contributor.authorSidler, Patrick-
dc.contributor.authorEichler, Klaus-
dc.contributor.authorRosemann, Thomas-
dc.contributor.authorSenn, Oliver-
dc.date.accessioned2018-11-09T10:37:23Z-
dc.date.available2018-11-09T10:37:23Z-
dc.date.issued2013-
dc.identifier.issn1356-1294de_CH
dc.identifier.issn1365-2753de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/12716-
dc.description.abstractRationale, aims and objectives: The inappropriate use and overcrowding of emergency departments (EDs) by walk‐in patients are well‐known problems in many countries. The current study aimed to determine whether ambulatory walk‐in patients could be treated more efficiently in a new hospital‐integrated general practice (HGP) for emergency care services compared to a traditional ED. Methods: We conducted a pre‐post comparison before and after the implementation of a new HGP. Participants were walk‐in patients attending the ED of a city hospital in Zurich. Main outcome measures were differences in total process time, time intervals between stages of care and diagnostic resources used. Results: The median process time from admission to discharge was 120 minutes in the ED [interquartile range (IQR): 80–165] versus 60 minutes in the HGP (IQR: 40-90) (P < 0.001). The adjusted odds ratio of receiving any additional diagnostics was 1.86 (95% confidence interval 1.06-3.27; P = 0.032) for ED doctors versus general practitioners (GPs) when controlling for patients' age, sex and injury‐related medical problems. Conclusion: The HGP is an efficient way to manage walk‐in patients with regard to process time and utilization of additional diagnostic resources. The involvement of GPs in the HGPs should be considered as a promising model to overcome the inappropriate use of resources in EDs for walk‐in patients who can be treated by ambulatory care.de_CH
dc.language.isoende_CH
dc.publisherWileyde_CH
dc.relation.ispartofJournal of Evaluation in Clinical Practicede_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectEmergency carede_CH
dc.subjectOut-of-hours carede_CH
dc.subjectPrimary carede_CH
dc.subjectSelf-referralde_CH
dc.subjectWalk-in patientde_CH
dc.subjectAmbulatory carede_CH
dc.subjectHospital emergency servicede_CH
dc.subjectGeneral practicede_CH
dc.subjectTime factorde_CH
dc.subjectTriagede_CH
dc.subjectSystems integrationde_CH
dc.subject.ddc362.11: Krankenhäuser und verwandte Einrichtungende_CH
dc.titleHospital-integrated general practice : a promising way to manage walk-in patients in emergency departmentsde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
dc.identifier.doi10.1111/jep.12074de_CH
dc.identifier.pmid24033413de_CH
zhaw.funding.euNode_CH
zhaw.issue1de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end26de_CH
zhaw.pages.start20de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume20de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
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Wang, M., Wild, S., Hilfiker, G., Chmiel, C., Sidler, P., Eichler, K., Rosemann, T., & Senn, O. (2013). Hospital-integrated general practice : a promising way to manage walk-in patients in emergency departments. Journal of Evaluation in Clinical Practice, 20(1), 20–26. https://doi.org/10.1111/jep.12074
Wang, M. et al. (2013) ‘Hospital-integrated general practice : a promising way to manage walk-in patients in emergency departments’, Journal of Evaluation in Clinical Practice, 20(1), pp. 20–26. Available at: https://doi.org/10.1111/jep.12074.
M. Wang et al., “Hospital-integrated general practice : a promising way to manage walk-in patients in emergency departments,” Journal of Evaluation in Clinical Practice, vol. 20, no. 1, pp. 20–26, 2013, doi: 10.1111/jep.12074.
WANG, Mathyas, Stefanie WILD, Gabriela HILFIKER, Corinne CHMIEL, Patrick SIDLER, Klaus EICHLER, Thomas ROSEMANN und Oliver SENN, 2013. Hospital-integrated general practice : a promising way to manage walk-in patients in emergency departments. Journal of Evaluation in Clinical Practice. 2013. Bd. 20, Nr. 1, S. 20–26. DOI 10.1111/jep.12074
Wang, Mathyas, Stefanie Wild, Gabriela Hilfiker, Corinne Chmiel, Patrick Sidler, Klaus Eichler, Thomas Rosemann, and Oliver Senn. 2013. “Hospital-Integrated General Practice : A Promising Way to Manage Walk-in Patients in Emergency Departments.” Journal of Evaluation in Clinical Practice 20 (1): 20–26. https://doi.org/10.1111/jep.12074.
Wang, Mathyas, et al. “Hospital-Integrated General Practice : A Promising Way to Manage Walk-in Patients in Emergency Departments.” Journal of Evaluation in Clinical Practice, vol. 20, no. 1, 2013, pp. 20–26, https://doi.org/10.1111/jep.12074.


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