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Primary care services located with EDs: a review of effectiveness
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  • Published on:
    The effectiveness of primary care services located within EDs - optimising streaming
    • Martin M McGrath, Doctor
    • Other Contributors:
      • Claire Blackmore, Amardeep Heer, Stuart Maitland-Knibb, Sam Stemp, Ben Wilczynski.

    The comprehensive review by Ramlakhan et al of the effectiveness of primary care services located within EDs draws mixed conclusions. Whilst initial efficiency savings were identified (both in terms of GP resource utilisation and overall cost) and subsequent hospital admission and referrals appeared reduced, other outcomes proved disappointing or at best equivocal including length of stay, waiting time and patient satisfa...

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    Conflict of Interest:
    None declared.
  • Published on:
    Designing urgent primary care centres located at hospital sites: the devil is in the details
    • Koen Van den Heede, Senior expert Health Services Research
    • Other Contributors:
      • Carine Van de Voorde

    We have read with great interest the review of Ramlakhan et al. (2016)1 on the effectiveness of co-locating emergency departments (ED) and primary care centres and the findings of the authors that the evidence is inconclusive. Yet, we are confident that there are more hints and clues in the available evidence for policy guidance than was done in the paper by Ramlakhan et al. (2016). We will illustrate this with a recent po...

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    Conflict of Interest:
    None declared.
  • Published on:
    Primary care services located with EDs: Effectiveness depends on matching patients to the right clinician
    • Tim Daniel, Consultant in Public Health Medicine/GP
    • Other Contributors:
      • Ursula Montgomery, Catherine Free

    We read with interest the paper by Ramlakhan et al (10.1136/emermed- 2015-204900) on the effectiveness of primary care services located in EDs. We have just completed a test cycle week of a GP led model for managing lower acuity patients who present to the Clinical Decisions Unit (CDU) at the Glenfield Hospital, Leicester; however, we reached different conclusions. The CDU is a cardiorespiratory unit that receives mixed...

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    Conflict of Interest:
    None declared.