Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper

Cooper, Alison, Edwards, Michelle, Brandling, Janet, Carson-Stevens, Andrew, Cooke, Matthew, Davies, Freya, Hughes, Thomas, Morton, Katherine, Siriwardena, Aloysius Niroshan, Voss, Sarah, Benger, Jonathan and Edwards, Adrian (2019) Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper. Emergency Medicine Journal, 36 . pp. 625-630. ISSN 1472-0205

Full content URL: http://doi.org/10.1136/emermed-2018-208305

Documents
Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper

Request a copy
Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper
Published PDF
[img]
[Download]
[img] PDF
Cooper Taxonomy of GPs in EDS EMJ 2019.pdf - Whole Document
Restricted to Repository staff only

1MB
[img] PDF
625.full.pdf - Whole Document
Available under License Creative Commons Attribution 4.0 International.

1MB
Item Type:Article
Item Status:Live Archive

Abstract

Primary care services in or alongside emergency departments look and function differently and are described using inconsistent terminology. Research to determine effectiveness of these models is hampered by outdated classification systems, limiting the opportunity for data synthesis to draw conclusions and inform decision-making and policy. We used findings from a literature review, a national survey of Type 1 emergency departments in England and Wales, staff interviews, other routine data sources and discussions from two stakeholder events to inform the taxonomy. We categorised the forms inside or outside the emergency department: inside primary care services may be integrated with emergency department patient flow or may run parallel to that activity; outside services may be offered on site or off site. We then describe a conceptual spectrum of integration: identifying constructs that influence how the services function—from being closer to an emergency medicine service or to usual primary care. This taxonomy provides a basis for future evaluation
of service models that will comprise the evidence base to inform policy-making in this domain. Commissioners and service providers can consider these constructs in characterising and designing services depending on local circumstances and context.

Keywords:GP, general practitioner, primary care, emergency department, taxonomy
Subjects:A Medicine and Dentistry > A300 Clinical Medicine
Divisions:College of Social Science > School of Health & Social Care
ID Code:37121
Deposited On:24 Sep 2019 08:28

Repository Staff Only: item control page