ArticleBMC health services research2008
Towards integration of general practitioner posts and accident and emergency departments: a case study of two integrated emergency posts in the Netherlands.
Article in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- What is the impact of integrated care on the job satisfaction of primary healthcare providers: a systematic review.Human resources for health · 2023Pooled it
- Pooled it
- Shortening emergency department length of stay: Fast track, short-stay unit and acute medical unit.Exploratory research in clinical and social pharmacy · 2025Review
- Article
- Interventions and strategies involving primary healthcare professionals to manage emergency department overcrowding: a scoping review.BMJ open · 2021Article
- Co-location of out of hours primary care and emergency department in Belgium: patients' and physicians' view.BMC health services research · 2021Article
- The impact of general practitioners working in or alongside emergency departments: a rapid realist review.BMJ open · 2019Review
- To GP or not to GP: a natural experiment in children triaged to see a GP in a tertiary paediatric emergency department (ED).BMJ quality & safety · 2018Article
- Do employees benefit from collaborations between out of hours general practitioners and emergency departments?BMC health services research · 2018Article
- Does X-ray imaging by GPC at emergency care access points in the Netherlands change patient flow and reduce ED crowding? A cohort study.Health science reports · 2018Article
- Treatment of ambulant patients by a general practitioner within a university hospital's emergency department - follow-up study of patients' behaviour shortly afterwards.German medical science : GMS e-journal · 2018Article
- Impact of a well-developed primary care system on the length of stay in emergency departments in the Netherlands: a multicenter study.BMC health services research · 2016Observational
- Article
- Article
- The impact on emergency department utilization and patient flows after integrating with a general practitioner cooperative: an observational study.Emergency medicine international · 2013Article
- Integrating community children's nursing in urgent and emergency care: a qualitative comparison of two teams in North West England.BMC pediatrics · 2012Article
- How Norwegian casualty clinics handle contacts related to mental illness: A prospective observational study.International journal of mental health systems · 2012Article
- Adjacent Primary Care May Reduce Less Urgent Pediatric Emergency Department Visits.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccident and emergency (A&E) departments and general practitioner (GP) posts are often used inappropriately, leading to overcrowding. In the Netherlands, increasingly more integrated emergency posts (IEPs) are being created, integrating the care provided by GP posts and A&E departments, in order to improve the provision of the emergency care.
methodsThis explorative study compares the efficiency and patient and employee satisfaction in IEPs with those in two GP posts and two A&E departments. To this end, information was retrieved from hospital and GP patient records for the first quarter of the year before and of the year after the creation of IEPs. Patients and employees were sent a questionnaire to measure their satisfaction. Lastly, groups of hospital doctors, GPs, GP assistants, and nurses were interviewed.
resultsAfter the creation of IEPs, there was a shift of more than fifteen percent from secondary care to primary care for emergency consultations and waiting/consultation times were shortened by more than ten percent. Compared with the control settings, patients were more satisfied about telephone contact with an IEP, but professionals working at the IEP were less satisfied with several aspects of their work.
conclusionIEPs could be a promising innovation to organize emergency care more efficiently; however, it might take time to convince professionals of the possible advantages. Studies involving more IEPs and longer follow-up times are needed to determine whether such integration should be stimulated.
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