ArticleEuropean journal of public health2019
Ambulatory care-sensitive emergency department cases: a mixed methods approach to systemize and analyze cases in Germany.
Article in European journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Algorithms identifying low-acuity emergency department visits: A review and validation study.Health services research · 2022Pooled it
- Article
- Rehospitalizations for ambulatory care sensitive conditions in sepsis survivors- a nationwide cohort study using health claims data 2016-2019.Infection · 2025Article
- Utilization of acute medical services in general practice: a retrospective routine data analysis.International journal of emergency medicine · 2025Article
- Data-driven segmentation of type 2 diabetes mellitus patients: an observational study on health care utilisation prior to an emergency department visit in Germany.Frontiers in medicine · 2025Article
- Identifying low acuity Emergency Department visits with a machine learning approach: The low acuity visit algorithms (LAVA).Health services research · 2024Article
- Identification of low-acuity attendances in routine clinical information documented in German Emergency Departments.BMC emergency medicine · 2023Article
- The Contribution of Intersectoral Healthcare Centres with an Extended Outpatient Care Model to Improve Regional Care-Structures-A Qualitative Study.International journal of environmental research and public health · 2023Article
- Apart from the Medical Complaints, Why do Patients Use Emergency Medical Services? Results of a Patient Survey.Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2022Article
- Observational
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Authors and funding
2 authors.
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Abstract
backgroundInternationally, emergency departments (ED) are treating increasing numbers of patients with conditions that could have been managed appropriately in ambulatory care (AC) settings. The aim of our study was to develop the first consensus-based list of AC-sensitive conditions commonly seen in German EDs and explore predictors of these visits.
methodsOur study used a Delphi survey of 30 physicians to compile a list of conditions they agreed were amenable to AC treatment. The group identified reasons why patients visit EDs instead of AC. We used the results to inform spatial regression models analysing the association of patient characteristics and attributes of AC with AC-sensitive ED visits based on 2015 district-level data.
resultsOur study provides a list of AC-sensitive conditions based on the German ED context. Results suggest that, up to the age of 70 years, the older the patients, the less likely they seek EDs for these conditions. Results of our regression analyses suggest that AC-sensitive ED rates were significantly higher in districts with lower physician density. Patients' urgency perception and preferences were identified as main drivers of AC-sensitive ED visits.
conclusionFuture policy measures should aim to help guide patients through the healthcare system so that they receive the best care in place that is most appropriate in terms of quality, safety and continuity of care. A list of AC-sensitive ED conditions can be used as a monitoring instrument and for further analyses of routine data to inform policy makers seeking to improve resource use and allocation.
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