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Emerg Med J. 2010 Oct;27(10):770-3. doi: 10.1136/emj.2009.072686. Epub 2010 Apr 8.

Impact of a GP cooperative on lower acuity emergency department attendances.

Author information

1
Department of Public Health and Primary Care, Trinity College Dublin, Dublin, Ireland. feokelly@tcd.ie

Abstract

BACKGROUND:

In 1998 'Dubdoc', Ireland's first out-of-hours general practice emergency service, opened in an outpatient suite in St James's Hospital with a separate entrance 300 m from the emergency department (ED). Dubdoc was established with the aim of providing an easy access out-of-hours service for ambulatory patients of those doctors supplying the service.

AIM:

To determine whether ED attendances for patients in the lower acuity triage categories 4 and 5 have changed since the establishment of 'Dubdoc'.

METHODS:

A retrospective review of all attendances at the 'Dubdoc' service was compared with attendances at the ED for triage categories 4 and 5 of the same hospital over a 9-year period (1999-2007 inclusive) for equivalent times of day.

RESULTS:

ED attendances during 'Dubdoc' hours have decreased as a proportion of all attendances for triage categories 4 and 5. ED attendances for triage categories 4 and 5 fell substantially during the study period.

CONCLUSIONS:

Although the presence of the 'Dubdoc' service has resulted in a decrease in ED attendances for triage categories 4 and 5, this is a minor proportion of the overall decrease in attendances in this group of patients.

PMID:
20378743
DOI:
10.1136/emj.2009.072686
[Indexed for MEDLINE]
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