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Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper

Cooper, Alison ORCID:, Edwards, Michelle ORCID:, Brandling, Janet, Carson-Stevens, Andrew ORCID:, Cooke, Matthew, Davies, Freya ORCID:, Hughes, Thomas, Morton, Katherine, Voss, Sarah, Benger, Jonathan and Edwards, Adrian ORCID: 2019. Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper. Emergency Medicine Journal 36 (10) , pp. 625-630. 10.1136/emermed-2018-208305

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Primary care services in or alongside emergency departments look and function differently and are described using inconsistent terminology. Research to determine effectiveness of these models is hampered by outdated classification systems, limiting the opportunity for data synthesis to draw conclusions and inform decision-making and policy. We used findings from a literature review, a national survey of Type 1 emergency departments in England and Wales, staff interviews, other routine data sources and discussions from two stakeholder events to inform the taxonomy. We categorised the forms inside or outside the emergency department: inside primary care services may be integrated with emergency department patient flow or may run parallel to that activity; outside services may be offered on site or off site. We then describe a conceptual spectrum of integration: identifying constructs that influence how the services function—from being closer to an emergency medicine service or to usual primary care. This taxonomy provides a basis for future evaluation of service models that will comprise the evidence base to inform policy-making in this domain. Commissioners and service providers can consider these constructs in characterising and designing services depending on local circumstances and context.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: BMJ Publishing Group
ISSN: 1472-0205
Funders: NIHR HS&DR
Date of First Compliant Deposit: 1 August 2019
Date of Acceptance: 26 June 2019
Last Modified: 09 Nov 2023 22:40

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