Review article: Emergency department models of care in the context of care quality and cost: A systematic review

Wylie, Kate, Crilly, Julia, Toloo, Ghasem (Sam), Fitzgerald, Gerry, Burke, John, Williams, Ged and Bell, Anthony (2015) Review article: Emergency department models of care in the context of care quality and cost: A systematic review. EMA - Emergency Medicine Australasia, 27 2: 95-101. doi:10.1111/1742-6723.12367


Author Wylie, Kate
Crilly, Julia
Toloo, Ghasem (Sam)
Fitzgerald, Gerry
Burke, John
Williams, Ged
Bell, Anthony
Title Review article: Emergency department models of care in the context of care quality and cost: A systematic review
Journal name EMA - Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6723
1742-6731
Publication date 2015-04
Year available 2015
Sub-type Article (original research)
DOI 10.1111/1742-6723.12367
Volume 27
Issue 2
Start page 95
End page 101
Total pages 7
Place of publication Richmond, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2016
Language eng
Abstract To identify current ED models of care and their impact on care quality, care effectiveness, and cost. A systematic search of key health databases (Medline, CINAHL, Cochrane, EMbase) was conducted to identify literature on ED models of care. Additionally, a focused review of the contents of 11 international and national emergency medicine, nursing and health economic journals (published between 2010 and 2013) was undertaken with snowball identification of references of the most recent and relevant papers. Articles published between 1998 and 2013 in the English language were included for initial review by three of the authors. Studies in underdeveloped countries and not addressing the objectives of the present study were excluded. Relevant details were extracted from the retrieved literature, and analysed for relevance and impact. The literature was synthesised around the study's main themes. Models described within the literature mainly focused on addressing issues at the input, throughput or output stages of ED care delivery. Models often varied to account for site specific characteristics (e.g. onsite inpatient units) or to suit staffing profiles (e.g. extended scope physiotherapist), ED geographical location (e.g. metropolitan or rural site), and patient demographic profile (e.g. paediatrics, older persons, ethnicity). Only a few studies conducted cost-effectiveness analysis of service models. Although various models of delivering emergency healthcare exist, further research is required in order to make accurate and reliable assessments of their safety, clinical effectiveness and cost-effectiveness.
Keyword Cost
Emergency department
Models of care
Quality
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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