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Identifying and quantifying general practice-type emergency department presentations.

Kalpani I Duwalage1,2,3, Ellen Burkett4,5, Gentry White1,2,3

  • 1School of Mathematical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia.

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Summary
This summary is machine-generated.

General practice-type presentations to emergency departments (EDs) vary significantly by location and time, with holidays impacting attendance. Understanding these patterns is crucial for improving primary care services and ED resource allocation.

Keywords:
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Area of Science:

  • Emergency Medicine
  • Primary Health Care
  • Health Services Research

Background:

  • General practice-type (GP-type) presentations to emergency departments (EDs) represent a significant proportion of patient visits.
  • Existing methods for identifying GP-type presentations have limitations.
  • Understanding the characteristics of GP-type presentations is essential for effective healthcare planning.

Purpose of the Study:

  • To identify and characterize general practice-type presentations to EDs in South-East Queensland.
  • To compare clinical, socio-demographic, and time-varying factors between GP-type and non-GP-type ED presentations.

Main Methods:

  • Utilized data from four EDs in Queensland between 2009 and 2014.
  • Applied a modified Australasian College for Emergency Medicine (ACEM) method to identify GP-type presentations.
  • Analyzed clinical, socio-demographic, and temporal variables.

Main Results:

  • GP-type presentations varied from 7% to 33% across the four EDs.
  • GP-type presentations increased in three EDs and decreased in one ED between 2009 and 2014.
  • Holidays, particularly Christmas/New Year, significantly impacted GP-type attendances, with over 50% of these patients aged 0-34 years.

Conclusions:

  • Modified methods are needed to accurately identify GP-type ED presentations.
  • Temporal factors, including holidays, are significantly associated with GP-type attendances.
  • Findings support strategic planning for primary care interventions to manage GP-type presentations outside of EDs.