Entry Points to the Health System: a review of the emerging community models for management of non-life threatening urgent conditions relevant to Australia

John Adie; Wayne A Graham; Marianne Wallis

doi:10.24083/apjhm.2017.08.0017

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Entry Points to the Health System: a review of the emerging community models for management of non-life threatening urgent conditions relevant to Australia

Journal article

Peer reviewed

Entry Points to the Health System: a review of the emerging community models for management of non-life threatening urgent conditions relevant to Australia

John Adie, Wayne A Graham and Marianne Wallis

Asia Pacific Journal of Health Management, Vol.12(1), pp.9-16

2017

DOI: https://doi.org/10.24083/apjhm.2017.08.0017

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Abstract

Public Health and Health Services

Policy and Administration

Business and Management

emergency departments

non-life threatening urgent conditions

Problem: The number of presentations to Emergency Departments (EDs) is increasing at levels above population growth rates and these increases are becoming unsustainable. Objective: To review evidence for emerging entry points to the health system for patients with non-life threatening urgent conditions (NLTUC) in order to consider more effective healthcare services in Australia. Methods: An in-depth review of the Emerald, Medline, CINAHL, Web of Science, Proquest Business and Medical databases from January 2005 to April 2016 matching 'acute care' or 'urgent care' with general practice and other health providers found thirteen entry point models with five currently relevant to Australia. Results: Studies examining five emerging entry points were found including urgent care community pharmacy, new prehospital practitioner community care, advanced nurse enhancement of primary care, designated urgent care clinics and integrated primary care centers. Evidence for these emerging models of community healthcare is presented including emerging initiatives, cost implications, subsequent admission to hospital, satisfaction, mortality, care, treatment time, subsequent referrals, testing and health outcomes. Conclusion: These emerging models of community healthcare need to be trialed and studied in the Australian context to evaluate whether they provide patients with NLTUC with a safe cost-effective option with similar outcomes to EDs. Implementation of these models can be examined further to determine their effectiveness in potentially reducing the increasing rate of presentation to EDs.

Details

Title: Entry Points to the Health System: a review of the emerging community models for management of non-life threatening urgent conditions relevant to Australia
Authors: John Adie (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Wayne A Graham (Author) - University of the Sunshine Coast - Faculty of Arts, Business and Law
Marianne Wallis (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Publication details: Asia Pacific Journal of Health Management, Vol.12(1), pp.9-16
Publisher: Australian College of Health Service Executives
Date published: 2017
DOI: 10.24083/apjhm.2017.08.0017
ISSN: 1833-3818
Organisation Unit: School of Business and Creative Industries; University of the Sunshine Coast, Queensland; USC Business School - Legacy; School of Nursing, Midwifery and Paramedicine - Legacy; School of Health - Paramedicine
Language: English
Record Identifier: 99451024402621
Output Type: Journal article

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