Evaluation of demand in a rural English hospital emergency department

Turner, Paul and Kane, Ros and Jackson, Christine (2015) Evaluation of demand in a rural English hospital emergency department. British Journal of Healthcare Management, 21 (6). pp. 282-288. ISSN 1358-0574

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17767 BJHCM Turner_Em_V_ with amendments.pdf
This document is the final proof, but the minor amendments in it were erroneously omitted from the published version. This therefore reflects the text that the authors intended to be definitive.
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Abstract

The purpose of this article is to analyse the patient demand placed on a rural district general
hospital (DGH) emergency department within the context of the Purpose, Process, People (PPP)
framework used in the private sector. This analysis was undertaken to inform wider evaluation
of the implementation of the enterprise culture—the NHS policy to adopt private sector best
practice to produce resource use, quality and efficiency improvements. The article concludes with
a view that the PPP framework provides methods of calculating the level of discharge necessary
to meet the four-hour wait target. Data describing the characteristics and patterns of attending
patients can be used to develop an emergency department’s processes and people to achieve its
time-based target.

Keywords:Emergency care, Health service need, Demand for services, bmjgoldcheck, NotOAChecked
Subjects:B Subjects allied to Medicine > B990 Subjects Allied to Medicine not elsewhere classified
Divisions:College of Social Science > School of Health & Social Care
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http://purl.org/dc/terms/isPartOfhttp://eprints.lincoln.ac.uk/19484/
ID Code:17767
Deposited On:30 Jun 2015 10:53

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