Observational studyScandinavian journal of primary health care2017
The effect on the patient flow in a local health care after implementing reverse triage in a primary care emergency department: a longitudinal follow-up study.
Observational study in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed.
- [Experience of Nursing Professionals with Advanced Practice competencies with triage implementation in Primary Care Emergency Services].Atencion primaria · 2026Article
- Change of primary health care service provider model in Vantaa: the impact on mortality and causes of death among older adults - a register-based follow-up study.BMC health services research · 2025Article
- The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position Paper.Interactive journal of medical research · 2023Article
- Development of office-hours use of primary health centers in the early years of the 21International journal of circumpolar health · 2022Observational
- Reducing Crowding in Emergency Departments With Early Prediction of Hospital Admission of Adult Patients Using Biomarkers Collected at Triage: Retrospective Cohort Study.JMIR bioinformatics and biotechnology · 2022Article
- Development of the use of primary health care emergency departments after interventions aimed at decreasing overcrowding: a longitudinal follow-up study.BMC emergency medicine · 2022Observational
- Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town.International journal of circumpolar health · 2021Article
- Models Predicting Hospital Admission of Adult Patients Utilizing Prehospital Data: Systematic Review Using PROBAST and CHARMS.JMIR medical informatics · 2021Review
- The influence of electronic reminders on recording diagnoses in a primary health care emergency department: a register-based study in a Finnish town.Scandinavian journal of primary health care · 2021Article
- Comparison of Reverse Triage with National Early Warning Score, Sequential Organ Failure Assessment and Charlson Comorbidity Index to classify medical inpatients of an Italian II level hospital according to their resource's need.Internal and emergency medicine · 2019Article
- The effect on the patient flow in local health care services after closing a suburban primary care emergency department: a controlled longitudinal follow-up study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Observational
- A Primary Care Emergency Service Reduction Did Not Increase Office-Hour Service Use: A Longitudinal Follow-up Study.Journal of primary care & community healthObservational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveReverse triage means that patients who are not considered to be in need of medical services are not placed on the doctor's list in an emergency department (ED) but are sent, after face-to-face evaluation by a triage nurse, to a more appropriate health care unit. It is not known how an abrupt application of such reverse triage in a combined primary care ED alters the demand for doctors' services in collaborative parts of the health care system.
designAn observational study.
settingRegister-based retrospective quasi-experimental longitudinal follow-up study based on a before-after setting in a Finnish city. SUBJECTS: Patients who consulted different doctors in a local health care unit.
main outcome measuresNumbers of monthly visits to different doctor groups in public and private primary care, and numbers of monthly referrals to secondary care ED from different sources of primary care were recorded before and after abrupt implementation of the reverse triage.
resultsThe beginning of reverse triage decreased the number of patient visits to a primary ED doctor without increasing mortality. Simultaneously, there was an increase in doctor visits in the adjacent secondary care ED and local private sector. The number of patients who came to secondary care ED without a referral or with a referral from the private sector increased.
conclusionsThe data suggested that the reverse triage causes redistribution of the use of doctors' services rather than a true decrease in the use of these services.
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