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102 Urgences KCE reports vol. 19B
AUTHOR, YEAR
COUNTRY
HANSAGI H, 2001
SWEDEN
HANSEN BL, 1998
DENMARK
KERNICK DP, 2000
UK
KOSSOVSKY,MP ET AL,
2002
SWITZERLAND
STUDY DESIGN
SAMPLE
SETTING
Cross-sectional Database covering all ambulatory visits and
hospital admissions at all care facilities in
Stockholm
Cohort 1 county
1991, 1992, 1995
national health service registry database
RESULT / CONCLUSION
Frequent ED patients were defined as those making 4 or more visits in a 12-month period
High ED use patients are also high users of other health care services, presumably because they are
sicker than average. A further indication of serious ill health is their higher than expected mortality.
Change of the out-of-hours service reduction of the number of GPs on call
Number of contact patients decreased
Twice as many telephone consultations a third as many home visit
Decrease in patient satisfaction
opinion Patient costs are an important, but often overlooked, part of an economic exercise and include
transport costs, loss of employment, and loss of leisure time.
Evaluation study 498 patients random sample Evaluation of appropriate hospital use
These costs are not inconsiderable when compared with the cost of a general practitioner
consultation.
Using Appropriateness Evaluation Protocol (AEP) reduced inappropriate hospital use due to the
process of non-urgent admissions