A systematic review of the impact of afterhours care models on emergency departments, ambulance and general practice services

Fry, MM

A systematic review of the impact of afterhours care models on emergency departments, ambulance and general practice services

Fry, MM

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Publication Type:: Journal Article
Citation:: Australasian Emergency Nursing Journal, 2011, 14 (4), pp. 217 - 225
Issue Date:: 2011-11-01

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Field	Value	Language
dc.contributor.author	Fry, MM https://orcid.org/0000-0003-1265-7096	en_US
dc.date.issued	2011-11-01	en_US
dc.identifier.citation	Australasian Emergency Nursing Journal, 2011, 14 (4), pp. 217 - 225	en_US
dc.identifier.issn	1574-6267	en_US
dc.identifier.uri	http://hdl.handle.net/10453/29490
dc.description.abstract	Introduction: The aim of the systematic review was to examine (i) the impact of afterhours primary care models on ED, ambulance services and or general practitioners and (ii) the effectiveness of these services (afterhours) on nurse practitioners and/or the medical doctors delivery of care. Method: Articles were assessed using the Critical Appraisal Skills Programme (CASP) making sense of evidence tools and covered the period from 1970 to 2011. The data sources searched were: Cumulative Index to Nursing and Allied Health literature, Medline, EMBASE, The Cochrane Database of Systematic Reviews, PubMed, Science Direct and Proquest. Results: A total of 2268 were retrieved and 419 studies were identified. Eighty-seven studies were found to be relevant. Nine countries are represented in the data. There were few relevant Randomised Controlled Trials (n=5). The evidence was largely based on quasi experimental (time series), before and after or comparative studies. Studies were usually set within a single hospital or community setting with heterogeneous samples, short sample periods, and or measured a single outcome such as patient satisfaction. Conclusions: Six models were identified from the review which highlighted evidence that afterhour care models can reduce GP workload and to a lesser extent ED and ambulance services. Potentially these models could ease acute care work load, improve access across the vast geographical distances of Australia. © 2011 College of Emergency Nursing Australasia Ltd.	en_US
dc.relation.ispartof	Australasian Emergency Nursing Journal	en_US
dc.relation.isbasedon	10.1016/j.aenj.2011.09.001	en_US
dc.subject.classification	Nursing	en_US
dc.title	A systematic review of the impact of afterhours care models on emergency departments, ambulance and general practice services	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	14	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	14	en_US

Abstract:

Introduction: The aim of the systematic review was to examine (i) the impact of afterhours primary care models on ED, ambulance services and or general practitioners and (ii) the effectiveness of these services (afterhours) on nurse practitioners and/or the medical doctors delivery of care. Method: Articles were assessed using the Critical Appraisal Skills Programme (CASP) making sense of evidence tools and covered the period from 1970 to 2011. The data sources searched were: Cumulative Index to Nursing and Allied Health literature, Medline, EMBASE, The Cochrane Database of Systematic Reviews, PubMed, Science Direct and Proquest. Results: A total of 2268 were retrieved and 419 studies were identified. Eighty-seven studies were found to be relevant. Nine countries are represented in the data. There were few relevant Randomised Controlled Trials (n=5). The evidence was largely based on quasi experimental (time series), before and after or comparative studies. Studies were usually set within a single hospital or community setting with heterogeneous samples, short sample periods, and or measured a single outcome such as patient satisfaction. Conclusions: Six models were identified from the review which highlighted evidence that afterhour care models can reduce GP workload and to a lesser extent ED and ambulance services. Potentially these models could ease acute care work load, improve access across the vast geographical distances of Australia. © 2011 College of Emergency Nursing Australasia Ltd.

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http://hdl.handle.net/10453/29490