Evidence map›Paper›PMID 42382608›Full record

ArticleFuture healthcare journal2026

Acute medicine and the urgent care crisis: From pressure point to system solution.

Anika Wijewardane, Mark Holland

Abstract read
In one paragraph

Article in Future healthcare journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Anika WijewardaneFrimley Health Foundation Trust, Surrey, UK.
Mark HollandSchool of Health, Science and Society, University of Greater Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute medicine was established to deliver early specialist assessment and management for patients requiring urgent medical care, typically within the first 72 h of admission. Evidence demonstrates that structured acute medical units (AMUs) and same-day emergency care (SDEC) services are associated with reduced length of stay and improved patient flow. However, inconsistent early access to AMU and suboptimal SDEC utilisation have diluted this model within increasingly pressured urgent and emergency care systems. This article reviews the intended role of acute medicine and examines contemporary challenges in service configuration and delivery. Published evidence and national benchmarking data are considered, alongside a case study describing restoration of a structured AMU model in a large district general hospital. Interventions focused on strengthened clinical leadership, defined admission pathways, multidisciplinary team integration and explicit performance metrics aligned to early discharge. These changes were associated with reduced length of stay, increased direct discharge rates and improved patient flow from the emergency department into AMU. Re-establishing acute medicine's core function offers a practical and scalable approach to improving urgent care performance.

Indexed as

4 h standardAcute Medical UnitAcute medicineLength of staySame Day Emergency Care

Identifiers

PMID42382608
PMCPMC13316471

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.