General practice patients in the emergency department

FitzGerald, Gerard J; Toloo, Ghasem

doi:10.5694/mja13.10513

Topics

Mostly, it is more appropriate for patients to seek care in the emergency department rather than visit a general practitioner

One of the mysteries of public policy is that at times the public discourse settles on a perspective that is based on flimsy or even contradictory evidence. One such discussion relates to the factors that contribute to the congestion of hospital emergency departments (EDs) in Australia.

School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD.

Correspondence: gj.fitzgerald@qut.edu.au

Competing interests:

No relevant disclosures.

1. Toloo S, FitzGerald G, Aitken P, et al. Emergency Health Services: demand and service delivery models. Monograph 1: literature review and activity trends. Brisbane: Queensland University of Technology, 2011. http://eprints.qut.edu.au/46643 (accessed Apr 2013).
2. FitzGerald G, Toloo S, Rego J, et al. Demand for public hospital emergency department services in Australia: 2000–2001 to 2009–2010. Emerg Med Australas 2012; 24: 72-78.
3. Toloo S, Rego J, FitzGerald G, et al. Emergency Health Services (EHS): demand and service delivery models. Monograph 2: Queensland EHS users’ profile. Brisbane: Queensland University of Technology, 2012. http://eprints.qut.edu. au/55587 (accessed Apr 2013).
4. Nagree Y, Camarda VJ, Fatovich DM, et al. Quantifying the proportion of general practice and low-acuity patients in the emergency department. Med J Aust 2013; 198: 612-615.<eMJA full text>
5. Durand AC, Gentile S, Devictor B, et al. ED patients: how nonurgent are they? Systematic review of the emergency medicine literature. Am J Emerg Med 2011; 29: 333-345.
6. Durand AC, Palazzolo S, Tanti-Hardouin N, et al. Nonurgent patients in emergency departments: rational or irresponsible consumers? Perceptions of professionals and patients. BMC Res Notes 2012; 5: 525.
7. Agarwal S, Banerjee J, Baker R, et al. Potentially avoidable emergency department attendance: interview study of patients’ reasons for attendance. Emerg Med J 2012; 29: e3. doi: 10.1136/emergmed-2011-20585.
8. Toloo S, FitzGerald G, Aitken P, et al. Ambulance use is associated with higher self-rated illness seriousness: user attitudes and perceptions. Acad Emerg Med 2013. In press.
9. Australasian College for Emergency Medicine. Fact sheet: urban emergency services — ATS 4 and 5 patients. http://www.acem.org.au/media/ats_4_5_factsheet.pdf (accessed May 2013).
10. Schull M, Kiss A, Szalai JP. The effect of low-complexity patients on emergency department waiting times. Ann Emerg Med 2007; 49: 257-264.
11. Baggoley C. Primary care patients — what's the problem? Emerg Med Australas 1998; 10: 95-100.

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