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  • Urgent care in the community: an observational study

    Author(s)
    Adie, John
    Graham, Wayne
    Bromfield, Kerron
    Maiden, Bianca
    Klaer, Sam
    Wallis, Marianne
    Griffith University Author(s)
    Adie, John W.
    Year published
    2021
    Metadata
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    Abstract
    Purpose: This case study describes a community-based urgent care clinic in a general practitioner (GP) super clinic in South East Queensland. Design/methodology/approach: This retrospective chart audit describes patient demographic characteristics, types of presentations and management for Sundays in 2015. Findings: The majority of patients (97%) did not require admission to hospital or office investigations (95%) and presented with one condition (94%). Of the presentations, 66.5% were represented by 30 conditions. Most patients received a prescription (57%), some were referred to the pathology laboratory (15%) and some were ...
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    Purpose: This case study describes a community-based urgent care clinic in a general practitioner (GP) super clinic in South East Queensland. Design/methodology/approach: This retrospective chart audit describes patient demographic characteristics, types of presentations and management for Sundays in 2015. Findings: The majority of patients (97%) did not require admission to hospital or office investigations (95%) and presented with one condition (94%). Of the presentations, 66.5% were represented by 30 conditions. Most patients received a prescription (57%), some were referred to the pathology laboratory (15%) and some were referred to radiology (12%). A majority (54%) of patients presented in the first three hours. Approximately half (51%) of patients presenting were aged under 25. More females (53%) presented than males. A majority (53%) lived in the same postcode as the clinic. The three most common office tests ordered were urinalysis, electrocardiogram (ECG) and urine pregnancy test. Some patients (19%) needed procedures, and only 3% were referred to hospital. Research limitations/implications: The study offers analysis of the client group that can be served by an urgent care clinic in a GP super clinic on a Sunday. The study provides an option for emergency department avoidance. Originality/value: Despite calls for more research into community-based urgent care clinics, little is known in Australia about what constitutes an urgent care clinic. The study proposes a classification system for walk-in presentations to an urgent care clinic, which is comparable to emergency department presentations.
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    Journal Title
    Journal of Health Organization and Management
    DOI
    https://doi.org/10.1108/JHOM-09-2020-0364
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Biomedical and clinical sciences
    Health services and systems
    Public health
    Commerce, management, tourism and services
    Science & Technology
    Life Sciences & Biomedicine
    Health Policy & Services
    Health Care Sciences & Services
    Urgent care
    Publication URI
    http://hdl.handle.net/10072/404986
    Collection
    • Journal articles

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