[Quo vadis: Streaming in emergency and acute care? : Results of an online survey on current models of patient streaming and integrated care in emergency departments in Germany].

backgroundIn Germany, the alternative care of patients with ambulatory treatment needs has been discussed for years as a way to relieve emergency departments. This study provides insights into currently implemented models of patient streaming and integrated acute and emergency care.

methodsBetween July 2023 and July 2024 emergency department physicians were surveyed online. One section targeted management personnel and gathered information on care structures and case numbers. Based on this, the potential for relieving emergency departments was calculated. The analysis was descriptive.

resultsOf the 370 participants 28% (n = 105) held management positions in the emergency department and 50% (n = 45) of those with alternative structures reported collaborations with the Association of Statutory Health Insurance Physicians. Standardized patient streaming was implemented in 43% (n = 24), often based on triage. The median indicated relief potential was 21%. DISCUSSION: The findings reveal a heterogeneous care landscape with varying patient streaming approaches and relevant potential to relieve emergency departments. Due to the small number of cases and a convenience sample, the results should be interpreted as exploratory. Further research could support the evidence-based development of acute and emergency care.