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  • Review article: Emergency department models of care in the context of care quality and cost: A systematic review

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    Accepted Manuscript (AM)
    Author(s)
    Wylie, Kate
    Crilly, Julia
    Toloo, Ghasem Sam
    Fitzgerald, Gerry
    Burke, John
    Williams, Ged
    Bell, Anthony
    Griffith University Author(s)
    Crilly, Julia
    Williams, Ged F.
    Year published
    2015
    Metadata
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    Abstract
    To identify current ED models of care and their impact on care quality, care effectiveness, and cost. A systematic search of key health databases (Medline, CINAHL, Cochrane, EMbase) was conducted to identify literature on ED models of care. Additionally, a focused review of the contents of 11 international and national emergency medicine, nursing and health economic journals (published between 2010 and 2013) was undertaken with snowball identification of references of the most recent and relevant papers. Articles published between 1998 and 2013 in the English language were included for initial review by three of the authors. ...
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    To identify current ED models of care and their impact on care quality, care effectiveness, and cost. A systematic search of key health databases (Medline, CINAHL, Cochrane, EMbase) was conducted to identify literature on ED models of care. Additionally, a focused review of the contents of 11 international and national emergency medicine, nursing and health economic journals (published between 2010 and 2013) was undertaken with snowball identification of references of the most recent and relevant papers. Articles published between 1998 and 2013 in the English language were included for initial review by three of the authors. Studies in underdeveloped countries and not addressing the objectives of the present study were excluded. Relevant details were extracted from the retrieved literature, and analysed for relevance and impact. The literature was synthesised around the study's main themes. Models described within the literature mainly focused on addressing issues at the input, throughput or output stages of ED care delivery. Models often varied to account for site specific characteristics (e.g. onsite inpatient units) or to suit staffing profiles (e.g. extended scope physiotherapist), ED geographical location (e.g. metropolitan or rural site), and patient demographic profile (e.g. paediatrics, older persons, ethnicity). Only a few studies conducted cost-effectiveness analysis of service models. Although various models of delivering emergency healthcare exist, further research is required in order to make accurate and reliable assessments of their safety, clinical effectiveness and cost-effectiveness.
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    Journal Title
    Emergency Medicine Australasia
    Volume
    27
    Issue
    2
    DOI
    https://doi.org/10.1111/1742-6723.12367
    Copyright Statement
    © 2015 ACEM and ASEM. This is the peer reviewed version of the following article: Review article: Emergency department models of care in the context of care quality and cost: A systematic review, Emergency Medicine Australasia, Volume 27, Issue 2, 2015, Pages 95-101, which has been published in final form at https://doi.org/10.1111/1742-6723.12367. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Subject
    Clinical sciences
    Publication URI
    http://hdl.handle.net/10072/140991
    Collection
    • Journal articles

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