|Title:||Satisfaction of health professionals after implementation of a primary care hospital emergency centre in Switzerland : a prospective before–after study|
|Authors :||Hess, Sascha|
|Published in :||International Emergency Nursing|
|Publisher / Ed. Institution :||Elsevier|
|License (according to publishing contract) :||Licence according to publishing contract|
|Type of review:||Peer review (Publication)|
|Subjects :||Emergency department; Emergency medical service; Health service research; Hospital medical staff; Job satisfaction; Primary health care|
|Subject (DDC) :||362: Health and social services|
|Abstract:||Background and aim: The increasing number of patients requiring emergency care is a challenge and leads to decreased satisfaction of health professionals at emergency departments (EDs). Thus, a Swiss hospital implemented a hospital-associated primary care centre at the ED. The study aim was to investigate changes in job satisfaction of ED staff before and after the implementation of this new service model and to measure hospital GPs’ (HGPs) satisfaction at the hospitalassociated primary care centre. Method: This study was embedded in a large prospective before–after study over two years. We examined changes in job satisfaction with a questionnaire followed by selected interviews approaching all of the involved 25 ED staff members and 38 HGPs. Results: The new emergency care model increased job satisfaction of ED staff and HGPs in all measured dimensions. The overall job satisfaction of ED employees improved from 76.5 to 83.9 points (visual analogue scale 0–100; difference 7.4 points [95% CI: 1.3 to 13.5, p = 0.02]). 86% of 29 HGPs preferred to provide their out-of-hours service at the new hospital-associated primary care centre. Conclusions: The hospital-associated primary care centre is a promising option to improve job satisfaction of different health professionals in emergency care.|
|Departement:||School of Management and Law|
|Publication type:||Article in scientific Journal|
|Appears in Collections:||Publikationen School of Management and Law|
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