Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Using out-of-hours services: general practice or A&E?

C Shipman1, S Longhurst, F Hollenbach

  • 1Department of General Practice and Primary Care, King's College School of Medicine and Dentistry, London, UK.

Family Practice
|February 26, 1998
PubMed
Summary

General medical and accident & emergency (A&E) services see different patient demographics and complaints out-of-hours. Understanding these differences is key to managing demand effectively.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Does the format matter? A cross-sectional analysis of suspected injuries and game events across the different versions of field hockey.

Frontiers in sports and active living·2025
Same author

Evaluation of the UK's COVID-19 public health policy "Shielding: Results of a linked data matched cohort study.

Public health·2025
Same author

Corrigendum to "Did the UK's public health shielding policy protect the clinically extremely vulnerable during the COVID-19 pandemic in wales? Results of EVITE immunity, a linked data retrospective study" [Public Health 218 (2023) 12-20].

Public health·2023
Same author

Age-dependent early complications of hypospadias repair: a single institutional experience.

Pediatric surgery international·2023
Same author

Bovine TB infection status in cattle in Great Britain in 2020.

The Veterinary record·2022
Same author

Realist analysis of whether emergency departments with primary care services generate 'provider-induced demand'.

BMC emergency medicine·2022

Area of Science:

  • Health Services Research
  • Public Health
  • Emergency Medicine

Background:

  • General medical services and accident & emergency (A&E) departments are primary providers of out-of-hours care.
  • Rising non-urgent demand on both services is a significant concern.

Purpose of the Study:

  • To examine the differential utilization of general medical services and A&E for out-of-hours care.
  • To analyze demand patterns, including patient demographics, complaint types, and decision-making processes.

Main Methods:

  • A comparative audit and research study was conducted across two A&E departments and 21 general practices in South London.
  • Data collection included analysis of demand aspects (time, age, complaints) and qualitative interviews with 82 A&E patients.

Related Experiment Videos

Main Results:

  • Significant differences exist in A&E and general medical service usage based on age and complaint nature.
  • Families with young children predominantly used general medical services, while A&E saw more musculoskeletal issues.
  • Service availability influenced help-seeking behavior, suggesting some interchangeability.

Conclusions:

  • A collaborative, multi-method approach is necessary to effectively manage and influence patient demand for out-of-hours care.
  • Further research into patient decision-making and service accessibility is warranted.