Imperial College London
Alternate

Dr Aisha Newth

Faculty of Medicine, School of Public Health

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 7594 0807a.newth

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Morton:2017:10.1080/17571472.2017.1280893,
author = {Morton, S and Hames, R and Kelso, I and Newth, A and Gnani, S},
doi = {10.1080/17571472.2017.1280893},
journal = {London Journal of Primary Care},
pages = {28--32},
title = {Does attending general practice prior to the emergency department change patient outcomes? A descriptive, observational study of one central London general practice},
url = {http://dx.doi.org/10.1080/17571472.2017.1280893},
volume = {9},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: The challenge of keeping Emergency Department (ED) attendances down continues and timely access to general practice (GP) is often portrayed as a potential solution.Setting: One London general practice (registered population = 4900)Question: Does seeing a GP before attending the ED affect the outcome of a patient’s ED care?Methods: Routine clinical data were extracted using SystmOne primary care computer system for all registered patients with an ED attendance between 1 October 2014 and 31 September 2015. The scanned discharge summaries from the ED and GP notes were reviewed and outcome measures extracted.Results: 227 patients (121 female; 104 male) attended the ED. The most common presentation was abdominal pain (n = 11). 25% of patients had seen (n = 50), or contacted by phone (n = 6), a GP about the same presenting complaint before attending the ED. Of those, 73% (n = 41/56) were referred to the ED and 49% (n = 20/41) were admitted versus 33% (n = 60/184) who self-presented (statistically significant, p = 0.05). An additional 32% of those who saw the GP first (n = 13/41) received specialist ED treatment.Discussion/Conclusion: Only 25% of patients see their GP prior to attending the ED. The majority of patients who were referred by their GP required admission or specialised ED treatment. It remains unclear why the majority of patients did not choose to contact their GP prior to attending the ED, despite urgent appointments being offered; research into patients’ health beliefs in this group is required for greater understanding.
AU  - Morton,S
AU  - Hames,R
AU  - Kelso,I
AU  - Newth,A
AU  - Gnani,S
DO  - 10.1080/17571472.2017.1280893
EP  - 32
PY  - 2017///
SN  - 1757-1480
SP  - 28
TI  - Does attending general practice prior to the emergency department change patient outcomes? A descriptive, observational study of one central London general practice
T2  - London Journal of Primary Care
UR  - http://dx.doi.org/10.1080/17571472.2017.1280893
UR  - http://hdl.handle.net/10044/1/44239
VL  - 9
ER  -
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