Abstract:
OBJECTIVE:To study the effects of applying an emergency department (ED) triage system, combined with extensive publicity in local media about the "right" use of emergency services, on the division of work between ED nurses and general practitioners (GPs). DESIGN:An observational and quasi-experimental study based on before-after comparisons. SETTING:Implementation of the ABCDE triage system in a Finnish combined ED where secondary care is adjacent, and in a traditional primary care ED where secondary care is located elsewhere. SUBJECTS:GPs and nurses from two different primary care EDs. MAIN OUTCOME MEASURES:Numbers of monthly visits to different professional groups before and after intervention in the studied primary care EDs and numbers of monthly visits to doctors in the local secondary care ED. RESULTS:The beginning of the triage process increased temporarily the number of independent consultations and patient record entries by ED nurses in both types of studied primary care EDs and reduced the number of patient visits to a doctor compared with previous years but had no effect on doctor visits in the adjacent secondary care ED. No further decrease in the number of nurse or GP visits was observed by inhibiting the entrance of non-urgent patients. CONCLUSION:The ABCDE triage system combined with public guidance may reduce non-urgent patient visits to doctors in different kinds of primary care EDs without increasing visits in the secondary care ED. However, the additional work to implement the ABCDE system is mainly directed to nurses, which may pose a challenge for staffing.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Kantonen J,Lloyd R,Mattila J,Kauppila T,Menezes Rdoi
10.3109/02813432.2015.1041825subject
Has Abstractpub_date
2015-06-01 00:00:00pages
74-81issue
2eissn
0281-3432issn
1502-7724journal_volume
33pub_type
杂志文章abstract:OBJECTIVE:Low plasma (p)-albumin and p-calcium concentrations are associated with increased mortality in hospitalised patients. There are few studies addressing this in primary care. Low p-calcium has been associated with mortality, but it is not known whether this applies to p-albumin. Could p-albumin and p-calcium be...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2020.1843809
更新日期:2020-12-01 00:00:00
abstract::Freshly prepared quality control materials of different kinds were distributed by cars to all the public health centers, sanatoria and mother and child stations in Oslo. The recipients, who were unaware of the correct values, analysed each sample once without delay and reported the results back to our laboratory. A la...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438609014825
更新日期:1986-09-01 00:00:00
abstract::During the waiting time for upper gastrointestinal endoscopy 165 patients with dyspepsia completed a questionnaire and a diary for daily measurements of the symptoms pain, heartburn, and global complaints. 23 patients (14%) had peptic ulcer disease (PUD), 18 oesophagitis (11%), and the rest were labelled nonulcer dysp...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439308994902
更新日期:1993-03-01 00:00:00
abstract:OBJECTIVE:To study predicting value of pain symptoms in detecting depression among adolescents. DESIGN:A population-based classroom survey of 14-16-year-old adolescents. SETTING:Secondary schools in two regions of Finland (Vaasa and Pirkanmaa). SUBJECTS:Every secondary school in these two regions was asked to partic...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:To investigate associations between patients' family, leisure time, and work-related factors and physicians' measure as to whether or not to sickness certify the patient in connection with the consultation. DESIGN:Questionnaire survey to physicians in general practice and their patients. Setting. General pra...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813431003765265
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To compare the likelihood of being a frequent attender (FA) to general practice among native Norwegians and immigrants, and to study socioeconomic and morbidity factors associated with being a FA for natives and immigrants. DESIGN, SETTING AND SUBJECTS:Linked register data for all inhabitants in Norway with ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.982368
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the use of a small municipality acute bed unit (MAU) in rural Norway resulting from the Coordination reform regarding occupancy-rate, patient characteristics and healthcare provided during the first four years of operation. Further, to investigate whether implementation of the new municipal servic...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1523993
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To explore how well physicians and patients predict sick-listing duration and the correspondence between their respective predictions. To study possible gender differences concerning prediction accuracy. DESIGN:Prospective observational study. SETTING:Two medium-sized primary care centres (PCC) in western S...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.915132
更新日期:2014-06-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of the study was to investigate the relationship between morbidity in early childhood and gender, birth order, and social class. DESIGN:The study used data collected in the Nijmegen Continuous Morbidity Registration. All presented morbidity and a number of personal data were available. SETTING...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439209014047
更新日期:1992-06-01 00:00:00
abstract:OBJECTIVE:To determine how often patients with musculoskeletal (MSK) complaints prescribed a non-steroidal anti-inflammatory drug (NSAID) subsequently consult their general practitioner (GP) with a non-serious adverse drug reaction (ADR). DESIGN:Cohort study. SETTING:A healthcare database containing the electronic GP...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2015.1067513
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To analyse the outcome of exercise testing and myocardial perfusion scintigraphy (MPS) in primary care patients with chest pain of new onset. DESIGN:Prospective, observational. Patients aged 20-79 years, consulting due to chest pain of new onset, were enrolled consecutively. SETTING:Three primary care healt...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430601116249
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:To describe the occurrence of "health realists", "health pessimists" and "health optimists" in a non-patient population by identifying cases of concordance and discordance between doctor-evaluated health and self-evaluated health and to describe the distribution of selected life-style-related physiological ri...
journal_title:Scandinavian journal of primary health care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/02813430410000941
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:The aim was to analyse differences between female and male general practitioners (GPs) in health status and lifestyle and compared with the general population in health-related quality of life. DESIGN:A simple random sample of 1004 GPs from the whole of Sweden (71.2%) participated in a survey in May 1996 abo...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134399750002692
更新日期:1999-06-01 00:00:00
abstract::In this report a review is given on research and development work in primary health care (PHC) in Sweden. PHC has by tradition been very weak in Sweden. As a result of the new Health Care Act of 1983, however, PHC has entered an era of rapid development. A brief historical description of primary health care research a...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013926
更新日期:1985-05-01 00:00:00
abstract:OBJECTIVE:To analyse which interventions are effective in influencing morbidity, quality of life, and healthcare utilization of frequently attending patients (FAs) in primary care. METHODS:A systematic literature search was performed for articles describing interventions on FAs in primary care (Medline, Embase, and Ps...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,评审
doi:10.1080/02813430802112997
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:On the basis of emerging research evidence, this review aims to discuss the importance of the context surrounding the doctor-patient encounter for the success of treatment. DESIGN AND SETTING:Discussion paper based on placebo-nocebo and pain studies conducted in the western world. MAIN OUTCOME MEASURES:Lite...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,评审
doi:10.1080/02813432.2016.1249065
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:A clinical communicative method designed to promote the doctor's understanding of women's "undefined" disorders is presented and discussed. The method is composed of key questions, which are problem-oriented speech acts, inviting the patient to share with the doctor her conception of illness. The questions a...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,评审
doi:10.3109/02813439409003686
更新日期:1994-06-01 00:00:00
abstract:UNLABELLED:OBJECTIVE--To compare general practitioners' routines regarding iron supplementation in pregnancy with national recommendations. DESIGN:Mailed questionnaire to general practitioners. SETTING:A county in western Norway. SUBJECTS:184 general practitioners. MAIN OUTCOME MEASURES:Descriptive registration of ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439308994841
更新日期:1993-12-01 00:00:00
abstract:OBJECTIVE:To explore experiences and consequences of the process of being diagnosed with fibromyalgia. DESIGN:Qualitative focus-group study. SETTING:Two local self-help groups. SUBJECTS:Eleven women diagnosed with fibromyalgia. MAIN OUTCOME MEASURES:Descriptions of experiences and consequences of the process of bei...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430701706568
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVE:To assess the incidence of whiplash associated disorders (WAD) after minor whiplash injuries in car accidents. DESIGN:A cohort defined by means of a health-care-based registration of traffic injuries and followed up by postal questionnaire after 12 months. SETTING:Primary and hospital care in a Swedish midd...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134300453359
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:To explore the associations between decreased pulse oximetry values (SpO2) and clinical, laboratory, and demographic variables in general practice patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD), including those with both COPD and asthma in combination. DESIGN/SETTING:A cross-s...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2015.1117283
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To investigate the rate of diagnostic evaluation of dementia for patients in whom a suspicion of dementia was raised, and to investigate reasons why a diagnostic evaluation was not always being performed. DESIGN:A prospective study among elderly patients aged 65+, and a follow-up study. SETTING:In all, 17 g...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430510031324
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:To analyse possible associations between men's likelihood of contacting a general practitioner (GP) for urological symptoms and the persistence of the symptoms, the influence on daily activities and the level of concern about the symptoms. DESIGN:Web-based nationwide cross-sectional questionnaire study. SET...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1487377
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To analyse the relation of ethnicity, social deprivation (Underprivileged area, UPA-score), social class V, unemployment and overcrowding on age- and sex-standardized mortality ratio (SMR). DESIGN:This ecological study used the SMR for people under the age of 65 years as dependent variable. Mortality data fo...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439608997075
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVE:To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre. DESIGN:Randomized controlled trial. SETTING:Patients who saw GPs at a primary health care centre in mid-Sweden and asked for a sickness certificate for psychiatric or musculoskeletal diagnoses were...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,随机对照试验
doi:10.3109/02813432.2013.811943
更新日期:2013-09-01 00:00:00
abstract::Descriptions of twenty different clinical situations, most of which included cancer related symptoms and signs, were assessed by 329 patients. The patients showed a satisfactory level of alertness in response to the clinical situations. Lumps and bumps and visible bleeding gave the quickest response. An inverse relati...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438709013987
更新日期:1987-05-01 00:00:00
abstract:OBJECTIVE:To explore the medically unexplained disorders by examining endpoints of irresolute diagnostic strategies. DESIGN:Qualitative observational study based on audio-taped general practice consultations, editing analysis style inspired by Giorgi's phenomenological approach. SETTING:Primary health care. SUBJECTS...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134302760234582
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:This study aimed at evaluating the diagnostic accuracy of a consumer model acoustic reflectometer in the hands of parents in the detection of middle-ear fluid among children. DESIGN:Prospective diagnostic study according to STARD guidelines. Acoustic reflectometry recorded by the parents was compared with ot...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430903072165
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To explore depression from a gender perspective, by capturing depressed women's and men's formulations of their experiences and understanding of their situation. DESIGN:Qualitative interview study. SETTING:A healthcare centre in northern Sweden. SUBJECTS:Eighteen patients who had been diagnosed with depres...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430510031315
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To describe medical and odontological aspects of patients who believed their illness was caused by mercury in dental fillings. DESIGN:Comparison of self-reported and assessed medical and odontological variables. SETTING:The School of Dentistry, Karolinska Institute. SUBJECTS:Sixty-seven patients, referred ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750003043
更新日期:1998-12-01 00:00:00