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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Methods of Documentation VII: EMR01:30

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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
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Primary Healthcare Services01:30

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
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Models of Health Promotion and Illness Prevention I01:25

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A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
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Methods Of Healthcare Delivery System01:26

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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  11. Programme Theories To Describe How Different General Practitioner Service Models Work In Different Contexts In Or Alongside Emergency Departments (gp-ed): Realist Evaluation.
  1. Home
  3. Research Domains
  5. Education
  7. Curriculum And Pedagogy
  9. Economics, Business And Management Curriculum And Pedagogy
  11. Programme Theories To Describe How Different General Practitioner Service Models Work In Different Contexts In Or Alongside Emergency Departments (gp-ed): Realist Evaluation.

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Programme theories to describe how different general practitioner service models work in different contexts in or alongside emergency departments (GP-ED): realist evaluation.

Alison Cooper1, Michelle Edwards2, Freya Davies2

  • 1Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK CooperA8@cardiff.ac.uk.

Emergency Medicine Journal : EMJ
|April 22, 2024

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
emergency departmentsgeneral practitionersprimary care

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General practitioner (GP) services in emergency departments (EDs) show varied outcomes, with no overall improvement in patient flow or waiting times. Understanding local context is key to optimizing these complex GP-ED models.

Area of Science:

  • Health Services Research
  • Primary Care Medicine
  • Emergency Medicine

Background:

  • NHS England aims to improve patient demand and flow in Emergency Departments (EDs).
  • General Practitioner (GP) services integrated within or alongside EDs (GP-ED) were introduced in 2017 with significant funding.
  • Current evidence indicates no consistent improvement in demand management or waiting times, with notable variations in service model effectiveness.

Purpose of the Study:

  • To analyze the effectiveness and operational variations of different General Practitioner (GP) services integrated within or alongside Emergency Departments (EDs).
  • To develop programme theories explaining how and why various GP-ED service models function, considering context, mechanisms, and outcomes.

Main Methods:

  • Mixed-methods analysis combining qualitative (observations, interviews) and quantitative (time series) data.
  • Realist methodology employed to understand context-mechanism-outcome configurations.
  • Purposive sampling of 13 diverse GP-ED service models across England and Wales.

    • Main Results:

    • GP-ED models exhibit complexity and variability influenced by individual, departmental, and external factors.
    • Quantitative data quality was inconsistent; no overall reduction in attendances or waiting times observed.
    • Programme theories revealed distinct operational patterns for integrated, parallel, and external GP-ED models, highlighting varied GP roles and integration levels.

    Conclusions:

    • General Practitioner (GP) services in Emergency Departments (EDs) are complex interventions with context-dependent effectiveness.
    • Programme theories offer insights for modifying GP-ED services to meet local demands.
    • Consideration of alternative healthcare services may be necessary in some contexts.