Effectiveness of Organizational Interventions to Reduce Emergency Department Utilization: A Systematic Review
Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of...
Saved in:
| Published in | PloS one Vol. 7; no. 5; p. e35903 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Public Library of Science
02.05.2012
Public Library of Science (PLoS) |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1932-6203 1932-6203 |
| DOI | 10.1371/journal.pone.0035903 |
Cover
| Abstract | Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventions designed to reduce ED utilization.
We conducted electronic searches using free text and Medical Subject Headings on PubMed and The Cochrane Library to identify studies of ED visits, re-visits and mortality. We performed complementary searches of grey literature, manual searches and direct contacts with experts. We included studies that investigated the effectiveness of interventions designed to reduce ED visits and the following study designs: time series, cross-sectional, repeated cross-sectional, longitudinal, quasi-experimental studies, and randomized trial. We excluded studies on specific conditions, children and with no relevant outcomes (ED visits, re-visits or adverse events). From 2,348 potentially useful references, 48 satisfied the inclusion criteria. We classified the interventions in mutually exclusive categories: 1) Interventions addressing the supply and accessibility of services: 25 studies examined efforts to increase primary care physicians, centers, or hours of service; 2) Interventions addressing the demand for services: 6 studies examined educational interventions and 17 examined barrier interventions (gatekeeping or cost).
The evidence suggests that interventions aimed at increasing primary care accessibility and ED cost-sharing are effective in reducing ED use. However, the rest of the interventions aimed at decreasing ED utilization showed contradictory results. Changes in health care policies require rigorous evaluation before being implemented since these can have a high impact on individual health and use of health care resources. Systematic review registration: http://www.crd.york.ac.uk/PROSPERO. Identifier: CRD420111253. |
|---|---|
| AbstractList | Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventions designed to reduce ED utilization. We conducted electronic searches using free text and Medical Subject Headings on PubMed and The Cochrane Library to identify studies of ED visits, re-visits and mortality. We performed complementary searches of grey literature, manual searches and direct contacts with experts. We included studies that investigated the effectiveness of interventions designed to reduce ED visits and the following study designs: time series, cross-sectional, repeated cross-sectional, longitudinal, quasi-experimental studies, and randomized trial. We excluded studies on specific conditions, children and with no relevant outcomes (ED visits, re-visits or adverse events). From 2,348 potentially useful references, 48 satisfied the inclusion criteria. We classified the interventions in mutually exclusive categories: 1) Interventions addressing the supply and accessibility of services: 25 studies examined efforts to increase primary care physicians, centers, or hours of service; 2) Interventions addressing the demand for services: 6 studies examined educational interventions and 17 examined barrier interventions (gatekeeping or cost). The evidence suggests that interventions aimed at increasing primary care accessibility and ED cost-sharing are effective in reducing ED use. However, the rest of the interventions aimed at decreasing ED utilization showed contradictory results. Changes in health care policies require rigorous evaluation before being implemented since these can have a high impact on individual health and use of health care resources. Systematic review registration: http://www.crd.york.ac.uk/PROSPERO. Identifier: CRD420111253 Background Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventions designed to reduce ED utilization. Methodology/Principal Findings We conducted electronic searches using free text and Medical Subject Headings on PubMed and The Cochrane Library to identify studies of ED visits, re-visits and mortality. We performed complementary searches of grey literature, manual searches and direct contacts with experts. We included studies that investigated the effectiveness of interventions designed to reduce ED visits and the following study designs: time series, cross-sectional, repeated cross-sectional, longitudinal, quasi-experimental studies, and randomized trial. We excluded studies on specific conditions, children and with no relevant outcomes (ED visits, re-visits or adverse events). From 2,348 potentially useful references, 48 satisfied the inclusion criteria. We classified the interventions in mutually exclusive categories: 1) Interventions addressing the supply and accessibility of services: 25 studies examined efforts to increase primary care physicians, centers, or hours of service; 2) Interventions addressing the demand for services: 6 studies examined educational interventions and 17 examined barrier interventions (gatekeeping or cost). Conclusions/Significance The evidence suggests that interventions aimed at increasing primary care accessibility and ED cost-sharing are effective in reducing ED use. However, the rest of the interventions aimed at decreasing ED utilization showed contradictory results. Changes in health care policies require rigorous evaluation before being implemented since these can have a high impact on individual health and use of health care resources. Systematic review registration: Background Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventions designed to reduce ED utilization. Methodology/Principal Findings We conducted electronic searches using free text and Medical Subject Headings on PubMed and The Cochrane Library to identify studies of ED visits, re-visits and mortality. We performed complementary searches of grey literature, manual searches and direct contacts with experts. We included studies that investigated the effectiveness of interventions designed to reduce ED visits and the following study designs: time series, cross-sectional, repeated cross-sectional, longitudinal, quasi-experimental studies, and randomized trial. We excluded studies on specific conditions, children and with no relevant outcomes (ED visits, re-visits or adverse events). From 2,348 potentially useful references, 48 satisfied the inclusion criteria. We classified the interventions in mutually exclusive categories: 1) Interventions addressing the supply and accessibility of services: 25 studies examined efforts to increase primary care physicians, centers, or hours of service; 2) Interventions addressing the demand for services: 6 studies examined educational interventions and 17 examined barrier interventions (gatekeeping or cost). Conclusions/Significance The evidence suggests that interventions aimed at increasing primary care accessibility and ED cost-sharing are effective in reducing ED use. However, the rest of the interventions aimed at decreasing ED utilization showed contradictory results. Changes in health care policies require rigorous evaluation before being implemented since these can have a high impact on individual health and use of health care resources. Systematic review registration: http://www.crd.york.ac.uk/PROSPERO. Identifier: CRD420111253 Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventions designed to reduce ED utilization. We conducted electronic searches using free text and Medical Subject Headings on PubMed and The Cochrane Library to identify studies of ED visits, re-visits and mortality. We performed complementary searches of grey literature, manual searches and direct contacts with experts. We included studies that investigated the effectiveness of interventions designed to reduce ED visits and the following study designs: time series, cross-sectional, repeated cross-sectional, longitudinal, quasi-experimental studies, and randomized trial. We excluded studies on specific conditions, children and with no relevant outcomes (ED visits, re-visits or adverse events). From 2,348 potentially useful references, 48 satisfied the inclusion criteria. We classified the interventions in mutually exclusive categories: 1) Interventions addressing the supply and accessibility of services: 25 studies examined efforts to increase primary care physicians, centers, or hours of service; 2) Interventions addressing the demand for services: 6 studies examined educational interventions and 17 examined barrier interventions (gatekeeping or cost). The evidence suggests that interventions aimed at increasing primary care accessibility and ED cost-sharing are effective in reducing ED use. However, the rest of the interventions aimed at decreasing ED utilization showed contradictory results. Changes in health care policies require rigorous evaluation before being implemented since these can have a high impact on individual health and use of health care resources. Systematic review registration: http://www.crd.york.ac.uk/PROSPERO. Identifier: CRD420111253. Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventions designed to reduce ED utilization.BACKGROUNDEmergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventions designed to reduce ED utilization.We conducted electronic searches using free text and Medical Subject Headings on PubMed and The Cochrane Library to identify studies of ED visits, re-visits and mortality. We performed complementary searches of grey literature, manual searches and direct contacts with experts. We included studies that investigated the effectiveness of interventions designed to reduce ED visits and the following study designs: time series, cross-sectional, repeated cross-sectional, longitudinal, quasi-experimental studies, and randomized trial. We excluded studies on specific conditions, children and with no relevant outcomes (ED visits, re-visits or adverse events). From 2,348 potentially useful references, 48 satisfied the inclusion criteria. We classified the interventions in mutually exclusive categories: 1) Interventions addressing the supply and accessibility of services: 25 studies examined efforts to increase primary care physicians, centers, or hours of service; 2) Interventions addressing the demand for services: 6 studies examined educational interventions and 17 examined barrier interventions (gatekeeping or cost).METHODOLOGY/PRINCIPAL FINDINGSWe conducted electronic searches using free text and Medical Subject Headings on PubMed and The Cochrane Library to identify studies of ED visits, re-visits and mortality. We performed complementary searches of grey literature, manual searches and direct contacts with experts. We included studies that investigated the effectiveness of interventions designed to reduce ED visits and the following study designs: time series, cross-sectional, repeated cross-sectional, longitudinal, quasi-experimental studies, and randomized trial. We excluded studies on specific conditions, children and with no relevant outcomes (ED visits, re-visits or adverse events). From 2,348 potentially useful references, 48 satisfied the inclusion criteria. We classified the interventions in mutually exclusive categories: 1) Interventions addressing the supply and accessibility of services: 25 studies examined efforts to increase primary care physicians, centers, or hours of service; 2) Interventions addressing the demand for services: 6 studies examined educational interventions and 17 examined barrier interventions (gatekeeping or cost).The evidence suggests that interventions aimed at increasing primary care accessibility and ED cost-sharing are effective in reducing ED use. However, the rest of the interventions aimed at decreasing ED utilization showed contradictory results. Changes in health care policies require rigorous evaluation before being implemented since these can have a high impact on individual health and use of health care resources. Systematic review registration: http://www.crd.york.ac.uk/PROSPERO. Identifier: CRD420111253.CONCLUSIONS/SIGNIFICANCEThe evidence suggests that interventions aimed at increasing primary care accessibility and ED cost-sharing are effective in reducing ED use. However, the rest of the interventions aimed at decreasing ED utilization showed contradictory results. Changes in health care policies require rigorous evaluation before being implemented since these can have a high impact on individual health and use of health care resources. Systematic review registration: http://www.crd.york.ac.uk/PROSPERO. Identifier: CRD420111253. BackgroundEmergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventions designed to reduce ED utilization.Methodology/principal findingsWe conducted electronic searches using free text and Medical Subject Headings on PubMed and The Cochrane Library to identify studies of ED visits, re-visits and mortality. We performed complementary searches of grey literature, manual searches and direct contacts with experts. We included studies that investigated the effectiveness of interventions designed to reduce ED visits and the following study designs: time series, cross-sectional, repeated cross-sectional, longitudinal, quasi-experimental studies, and randomized trial. We excluded studies on specific conditions, children and with no relevant outcomes (ED visits, re-visits or adverse events). From 2,348 potentially useful references, 48 satisfied the inclusion criteria. We classified the interventions in mutually exclusive categories: 1) Interventions addressing the supply and accessibility of services: 25 studies examined efforts to increase primary care physicians, centers, or hours of service; 2) Interventions addressing the demand for services: 6 studies examined educational interventions and 17 examined barrier interventions (gatekeeping or cost).Conclusions/significanceThe evidence suggests that interventions aimed at increasing primary care accessibility and ED cost-sharing are effective in reducing ED use. However, the rest of the interventions aimed at decreasing ED utilization showed contradictory results. Changes in health care policies require rigorous evaluation before being implemented since these can have a high impact on individual health and use of health care resources. Systematic review registration: http://www.crd.york.ac.uk/PROSPERO. Identifier: CRD420111253. Background Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventions designed to reduce ED utilization. Methodology/Principal Findings We conducted electronic searches using free text and Medical Subject Headings on PubMed and The Cochrane Library to identify studies of ED visits, re-visits and mortality. We performed complementary searches of grey literature, manual searches and direct contacts with experts. We included studies that investigated the effectiveness of interventions designed to reduce ED visits and the following study designs: time series, cross-sectional, repeated cross-sectional, longitudinal, quasi-experimental studies, and randomized trial. We excluded studies on specific conditions, children and with no relevant outcomes (ED visits, re-visits or adverse events). From 2,348 potentially useful references, 48 satisfied the inclusion criteria. We classified the interventions in mutually exclusive categories: 1) Interventions addressing the supply and accessibility of services: 25 studies examined efforts to increase primary care physicians, centers, or hours of service; 2) Interventions addressing the demand for services: 6 studies examined educational interventions and 17 examined barrier interventions (gatekeeping or cost). Conclusions/Significance The evidence suggests that interventions aimed at increasing primary care accessibility and ED cost-sharing are effective in reducing ED use. However, the rest of the interventions aimed at decreasing ED utilization showed contradictory results. Changes in health care policies require rigorous evaluation before being implemented since these can have a high impact on individual health and use of health care resources. Systematic review registration: http://www.crd.york.ac.uk/PROSPERO. Identifier: CRD420111253 |
| Audience | Academic |
| Author | Violan-Fors, Concepción Peiró, Salvador Argimon, Josep-Maria Carrillo-Santisteve, Paloma Flores-Mateo, Gemma |
| AuthorAffiliation | 3 Universitat Autònoma de Barcelona, Bellaterra, Spain 1 Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Barcelona, Spain 5 Centro Superior de Investigación en Salud Pública, Valencia, Spain 6 Divisió d'Avaluació, Servei Català de la Salut, Barcelona, Spain 4 Institut Català de la Salut, Catalunya, Spain 2 Universitat Rovira i Virgili, Tarragona, Spain Yale University School of Medicine, United States of America |
| AuthorAffiliation_xml | – name: 4 Institut Català de la Salut, Catalunya, Spain – name: 6 Divisió d'Avaluació, Servei Català de la Salut, Barcelona, Spain – name: 2 Universitat Rovira i Virgili, Tarragona, Spain – name: Yale University School of Medicine, United States of America – name: 5 Centro Superior de Investigación en Salud Pública, Valencia, Spain – name: 1 Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Barcelona, Spain – name: 3 Universitat Autònoma de Barcelona, Bellaterra, Spain |
| Author_xml | – sequence: 1 givenname: Gemma surname: Flores-Mateo fullname: Flores-Mateo, Gemma – sequence: 2 givenname: Concepción surname: Violan-Fors fullname: Violan-Fors, Concepción – sequence: 3 givenname: Paloma surname: Carrillo-Santisteve fullname: Carrillo-Santisteve, Paloma – sequence: 4 givenname: Salvador surname: Peiró fullname: Peiró, Salvador – sequence: 5 givenname: Josep-Maria surname: Argimon fullname: Argimon, Josep-Maria |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22567118$$D View this record in MEDLINE/PubMed |
| BookMark | eNqNk12L00AUhoOsuLvVfyAaEEQvWucrX3shlLVqYaGw63o7TCcn7ZQkUzOTav31nrapNMsikov5et535pyccxmc1baGIHhJyYjyhH5Y2bapVTla4_aIEB5lhD8JLmjG2TBmhJ-dzM-DS-dWhEQ8jeNnwTljUZxQml4E1aQoQHuzgRqcC20RzpqFqs1v5Y1F-3Bae2jwdLd0obfhLeSthnBSQbOAWm_DT7BWja8QCe-9KTvpVTgO77bOQ4VLjaqNgZ_Pg6eFKh286MZBcP958u366_Bm9mV6Pb4Z6jhjfpgCj3Ih1FwInVOaZGKeZSShac5xqlKcRiLXlBUEIpHhYZIWCaQiUzkHnvJB8Prguy6tk12mnKSciZhwRmIkpgcit2ol142pVLOVVhm537DNQmJQRpcgGZAYRKYjkgnBYq7UXOUFF0We6SRjAr0-dre18wpyjZloVNkz7Z_UZikXdiM5F4zT3WPedQaN_dGC87IyTkNZqhpsi-8m-K8Ep4wj-uYB-nh0HbVQGICpC4v36p2pHIskoZwIrI1BMHqEwi-Hymgsq8Lgfk_wvidAxsMvv1Ctc3J6d_v_7Ox7n317wi5BlX7pbNnua64PvjrN9N8UH-sZgasDoBvrXAOF1Mbv6xFDMyVmUu6a55g0uWse2TUPisUD8dH_n7I_x_QdpA |
| CitedBy_id | crossref_primary_10_1186_s12877_018_0792_5 crossref_primary_10_11622_smedj_2021157 crossref_primary_10_1017_cem_2020_4 crossref_primary_10_1097_WNO_0000000000002053 crossref_primary_10_2196_18456 crossref_primary_10_1111_phn_12238 crossref_primary_10_1016_j_jhealeco_2016_09_011 crossref_primary_10_1016_j_healthpol_2019_08_013 crossref_primary_10_1007_s12144_023_05198_5 crossref_primary_10_3390_math10152784 crossref_primary_10_1186_1471_2296_15_75 crossref_primary_10_3238_arztebl_m2023_0127 crossref_primary_10_1038_s43856_025_00793_y crossref_primary_10_1177_1077558719845722 crossref_primary_10_2139_ssrn_4056792 crossref_primary_10_11622_smedj_2019041 crossref_primary_10_1007_s10597_020_00702_8 crossref_primary_10_3390_ijerph19010048 crossref_primary_10_1016_j_hjdsi_2018_08_001 crossref_primary_10_1371_journal_pone_0220709 crossref_primary_10_1186_s12913_025_12409_1 crossref_primary_10_1515_pjph_2016_0034 crossref_primary_10_1016_j_healthpol_2015_01_001 crossref_primary_10_7759_cureus_13284 crossref_primary_10_1016_j_ajem_2021_04_076 crossref_primary_10_1111_dar_13410 crossref_primary_10_1136_bmjopen_2022_070054 crossref_primary_10_1186_s12911_021_01685_6 crossref_primary_10_1371_journal_pone_0096356 crossref_primary_10_1016_j_healthpol_2018_05_003 crossref_primary_10_1016_j_socscimed_2018_12_029 crossref_primary_10_2139_ssrn_4169541 crossref_primary_10_1080_19488300_2015_1095824 crossref_primary_10_1016_j_healthpol_2016_10_002 crossref_primary_10_1016_j_puhe_2018_12_014 crossref_primary_10_1016_j_ssmph_2025_101785 crossref_primary_10_1071_PY17047 crossref_primary_10_1186_s12913_020_05347_7 crossref_primary_10_1016_j_healthpol_2018_11_001 crossref_primary_10_1186_s12245_014_0030_7 crossref_primary_10_1111_acem_12219 crossref_primary_10_3390_ijerph19031507 crossref_primary_10_1111_hsc_12720 crossref_primary_10_2139_ssrn_2524268 crossref_primary_10_1016_j_annemergmed_2016_04_015 crossref_primary_10_1111_hsc_12724 crossref_primary_10_1111_aas_13174 crossref_primary_10_1186_s12873_024_00970_7 crossref_primary_10_1186_s12873_024_01056_0 crossref_primary_10_1186_s12939_015_0158_y crossref_primary_10_1016_j_pec_2013_06_001 crossref_primary_10_1007_s10198_021_01329_6 crossref_primary_10_7717_peerj_1544 crossref_primary_10_1111_1468_0009_12536 crossref_primary_10_1186_s12875_023_02082_w crossref_primary_10_1016_j_maturitas_2018_11_011 crossref_primary_10_1016_j_healthpol_2020_03_013 crossref_primary_10_1542_peds_2015_4163 crossref_primary_10_1016_j_healthpol_2016_07_018 crossref_primary_10_1542_hpeds_2022_006831 crossref_primary_10_1093_heapol_czz023 crossref_primary_10_1111_jgs_18101 crossref_primary_10_1257_aeri_20220126 crossref_primary_10_1177_2150131914551986 crossref_primary_10_1371_journal_pgph_0000009 crossref_primary_10_1136_bmjopen_2016_011526 crossref_primary_10_4235_agmr_21_0075 crossref_primary_10_1136_bmjopen_2017_021392 crossref_primary_10_1016_j_healthpol_2021_01_008 crossref_primary_10_3389_fpubh_2024_1444951 crossref_primary_10_2337_ds20_0039 crossref_primary_10_1136_bmjopen_2018_023464 crossref_primary_10_1136_bmjqs_2015_005008 crossref_primary_10_1016_j_jemermed_2017_08_075 crossref_primary_10_1371_journal_pone_0127793 crossref_primary_10_1016_j_ejim_2023_11_026 crossref_primary_10_1136_bmjopen_2013_004746 crossref_primary_10_1016_j_jemermed_2020_03_012 crossref_primary_10_1016_j_ajem_2014_11_006 crossref_primary_10_3310_hsdr03430 |
| Cites_doi | 10.1136/bmj.325.7374.1214 10.1016/S0196-0644(00)70105-3 10.2337/diacare.24.4.695 10.1097/01.mlr.0000170416.68260.78 10.1016/S0196-0644(00)70079-5 10.1186/1472-6963-7-194 10.1136/emj.2006.042507 10.1097/01.mlr.0000170413.60054.54 10.1353/hpu.2006.0010 10.1136/bmj.320.7241.1053 10.1016/j.annemergmed.2007.07.015 10.2105/AJPH.79.12.1628 10.1097/MLR.0b013e3181dbddb1 10.1136/bmj.326.7388.530 10.1136/bmj.39198.722720.BE 10.1001/archfami.9.4.333 10.1056/NEJM199603073341006 10.1046/j.1525-1497.2000.07010.x 10.1016/j.annemergmed.2011.03.007 10.1136/bmj.317.7165.1054 10.1111/j.1553-2712.1997.tb03695.x 10.1136/bmj.326.7388.532 10.5694/j.1326-5377.2006.tb00203.x 10.1093/fampra/14.5.407 10.1071/AH070451 10.1097/01.mlr.0000114917.50457.52 10.1016/S0196-0644(97)70164-1 10.1097/MLR.0b013e3181734a77 10.1111/j.1553-2712.2005.tb01491.x 10.1542/peds.2006-3094 10.1056/NEJM198508223130806 10.1503/cmaj.061615 10.1016/j.jhealeco.2006.04.004 10.1146/annurev.publhealth.29.020907.090804 10.1136/bmj.324.7341.819 10.1097/00005650-199901000-00011 10.1016/j.annemergmed.2010.01.032 10.1111/j.1748-0361.2009.00193.x 10.1111/j.1532-5415.2004.52401.x 10.1097/00005650-200106000-00004 10.1097/00005650-198501000-00003 10.1186/1472-6963-10-222 10.1093/fampra/19.2.207 10.1056/NEJMsa010097 10.1001/jama.297.10.1093 10.1111/j.1475-6773.2010.01191.x 10.2105/AJPH.91.11.1889 10.1080/028134301750235303 10.1111/j.1475-6773.2006.00562.x 10.1001/jama.300.16.1914 10.1016/j.annemergmed.2008.03.014 10.1093/fampra/3.3.148 10.1001/jama.297.10.1126 10.1111/j.1532-5415.2004.52408.x 10.1016/S0168-8510(98)00021-9 10.1111/j.1525-1497.2005.0091.x |
| ContentType | Journal Article |
| Copyright | COPYRIGHT 2012 Public Library of Science 2012 Flores-Mateo et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Flores-Mateo et al. 2012 |
| Copyright_xml | – notice: COPYRIGHT 2012 Public Library of Science – notice: 2012 Flores-Mateo et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: Flores-Mateo et al. 2012 |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM IOV ISR 3V. 7QG 7QL 7QO 7RV 7SN 7SS 7T5 7TG 7TM 7U9 7X2 7X7 7XB 88E 8AO 8C1 8FD 8FE 8FG 8FH 8FI 8FJ 8FK ABJCF ABUWG AEUYN AFKRA ARAPS ATCPS AZQEC BBNVY BENPR BGLVJ BHPHI C1K CCPQU D1I DWQXO FR3 FYUFA GHDGH GNUQQ H94 HCIFZ K9. KB. KB0 KL. L6V LK8 M0K M0S M1P M7N M7P M7S NAPCQ P5Z P62 P64 PATMY PDBOC PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQGLB PQQKQ PQUKI PRINS PTHSS PYCSY RC3 7X8 5PM DOA |
| DOI | 10.1371/journal.pone.0035903 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed Gale In Context: Opposing Viewpoints Gale In Context: Science ProQuest Central (Corporate) Animal Behavior Abstracts Bacteriology Abstracts (Microbiology B) Biotechnology Research Abstracts Nursing & Allied Health Database Ecology Abstracts Entomology Abstracts (Full archive) Immunology Abstracts Meteorological & Geoastrophysical Abstracts Nucleic Acids Abstracts Virology and AIDS Abstracts Agricultural Science Collection ProQuest Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Pharma Collection Public Health Database Technology Research Database ProQuest SciTech Collection ProQuest Technology Collection ProQuest Natural Science Journals Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Materials Science & Engineering Collection ProQuest Central (Alumni) ProQuest One Sustainability ProQuest Central UK/Ireland Advanced Technologies & Aerospace Collection Agricultural & Environmental Science Collection ProQuest Central Essentials Biological Science Collection ProQuest Central Technology collection Natural Science Collection Environmental Sciences and Pollution Management ProQuest One ProQuest Materials Science Collection ProQuest Central Engineering Research Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student AIDS and Cancer Research Abstracts SciTech Premium Collection ProQuest Health & Medical Complete (Alumni) Materials Science Database Nursing & Allied Health Database (Alumni Edition) Meteorological & Geoastrophysical Abstracts - Academic ProQuest Engineering Collection Biological Sciences Agriculture Science Database ProQuest Health & Medical Collection Medical Database Algology Mycology and Protozoology Abstracts (Microbiology C) Biological Science Database Engineering Database ProQuest Nursing and Allied Health Premium Advanced Technologies & Aerospace Database ProQuest Advanced Technologies & Aerospace Collection Biotechnology and BioEngineering Abstracts Environmental Science Database Materials Science Collection ProQuest Central Premium ProQuest One Academic (New) Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Applied & Life Sciences ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China Engineering collection Environmental Science Collection Genetics Abstracts MEDLINE - Academic PubMed Central (Full Participant titles) Directory of Open Access Journals |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Agricultural Science Database Publicly Available Content Database ProQuest Central Student ProQuest Advanced Technologies & Aerospace Collection ProQuest Central Essentials Nucleic Acids Abstracts SciTech Premium Collection ProQuest Central China Environmental Sciences and Pollution Management ProQuest One Applied & Life Sciences ProQuest One Sustainability Health Research Premium Collection Meteorological & Geoastrophysical Abstracts Natural Science Collection Health & Medical Research Collection Biological Science Collection ProQuest Central (New) ProQuest Medical Library (Alumni) Engineering Collection Advanced Technologies & Aerospace Collection Engineering Database Virology and AIDS Abstracts ProQuest Biological Science Collection ProQuest One Academic Eastern Edition Agricultural Science Collection ProQuest Hospital Collection ProQuest Technology Collection Health Research Premium Collection (Alumni) Biological Science Database Ecology Abstracts ProQuest Hospital Collection (Alumni) Biotechnology and BioEngineering Abstracts Environmental Science Collection Entomology Abstracts Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition Environmental Science Database ProQuest Nursing & Allied Health Source (Alumni) Engineering Research Database ProQuest One Academic Meteorological & Geoastrophysical Abstracts - Academic ProQuest One Academic (New) Technology Collection Technology Research Database ProQuest One Academic Middle East (New) Materials Science Collection ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Natural Science Collection ProQuest Pharma Collection ProQuest Central ProQuest Health & Medical Research Collection Genetics Abstracts ProQuest Engineering Collection Biotechnology Research Abstracts Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Bacteriology Abstracts (Microbiology B) Algology Mycology and Protozoology Abstracts (Microbiology C) Agricultural & Environmental Science Collection AIDS and Cancer Research Abstracts Materials Science Database ProQuest Materials Science Collection ProQuest Public Health ProQuest Nursing & Allied Health Source ProQuest SciTech Collection Advanced Technologies & Aerospace Database ProQuest Medical Library Animal Behavior Abstracts Materials Science & Engineering Collection Immunology Abstracts ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic Agricultural Science Database |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Open Access Full Text url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 4 dbid: 8FG name: ProQuest Technology Collection url: https://search.proquest.com/technologycollection1 sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Sciences (General) Medicine |
| DocumentTitleAlternate | Reduce Emergency Department Visits: Review |
| EISSN | 1932-6203 |
| ExternalDocumentID | 1324603206 oai_doaj_org_article_2e06e49c50944263aabadf34fd9c7924 PMC3342316 2939424271 A477130419 22567118 10_1371_journal_pone_0035903 |
| Genre | Systematic Review Journal Article |
| GeographicLocations | United States--US California Spain |
| GeographicLocations_xml | – name: Spain – name: United States--US – name: California |
| GroupedDBID | --- 123 29O 2WC 53G 5VS 7RV 7X2 7X7 7XC 88E 8AO 8C1 8CJ 8FE 8FG 8FH 8FI 8FJ A8Z AAFWJ AAUCC AAWOE AAYXX ABDBF ABIVO ABJCF ABUWG ACGFO ACIHN ACIWK ACPRK ACUHS ADBBV ADRAZ AEAQA AENEX AEUYN AFKRA AFPKN AFRAH AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS APEBS ARAPS ATCPS BAWUL BBNVY BCNDV BENPR BGLVJ BHPHI BKEYQ BPHCQ BVXVI BWKFM CCPQU CITATION CS3 D1I D1J D1K DIK DU5 E3Z EAP EAS EBD EMOBN ESX EX3 F5P FPL FYUFA GROUPED_DOAJ GX1 HCIFZ HH5 HMCUK HYE IAO IEA IGS IHR IHW INH INR IOV IPNFZ IPY ISE ISR ITC K6- KB. KQ8 L6V LK5 LK8 M0K M1P M48 M7P M7R M7S M~E NAPCQ O5R O5S OK1 OVT P2P P62 PATMY PDBOC PHGZM PHGZT PIMPY PQQKQ PROAC PSQYO PTHSS PYCSY RIG RNS RPM SV3 TR2 UKHRP WOQ WOW ~02 ~KM CGR CUY CVF ECM EIF NPM PJZUB PPXIY PQGLB PV9 RZL BBORY PMFND 3V. 7QG 7QL 7QO 7SN 7SS 7T5 7TG 7TM 7U9 7XB 8FD 8FK AZQEC C1K DWQXO FR3 GNUQQ H94 K9. KL. M7N P64 PKEHL PQEST PQUKI PRINS RC3 7X8 ESTFP PUEGO 5PM AAPBV ABPTK N95 |
| ID | FETCH-LOGICAL-c692t-8e35d44ab44cd11794b990718d394ba807154dc12f0e549b9978f7e849ad3e383 |
| IEDL.DBID | M48 |
| ISSN | 1932-6203 |
| IngestDate | Sun Aug 06 00:16:17 EDT 2023 Wed Aug 27 01:18:26 EDT 2025 Thu Aug 21 17:22:40 EDT 2025 Mon Sep 08 17:23:26 EDT 2025 Fri Jul 25 11:49:40 EDT 2025 Tue Jun 17 20:36:41 EDT 2025 Tue Jun 10 20:41:09 EDT 2025 Fri Jun 27 04:40:59 EDT 2025 Fri Jun 27 04:58:12 EDT 2025 Thu May 22 21:22:07 EDT 2025 Mon Jul 21 05:31:45 EDT 2025 Thu Apr 24 23:05:34 EDT 2025 Tue Jul 01 00:56:38 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 5 |
| Language | English |
| License | This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. Creative Commons Attribution License |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c692t-8e35d44ab44cd11794b990718d394ba807154dc12f0e549b9978f7e849ad3e383 |
| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Article-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 ObjectType-Undefined-4 Conceived and designed the experiments: GFM PCS CV. Analyzed the data: GFM PCS CV JMA. Wrote the paper: GFM CV PCS SP JMA. |
| OpenAccessLink | http://journals.scholarsportal.info/openUrl.xqy?doi=10.1371/journal.pone.0035903 |
| PMID | 22567118 |
| PQID | 1324603206 |
| PQPubID | 1436336 |
| PageCount | e35903 |
| ParticipantIDs | plos_journals_1324603206 doaj_primary_oai_doaj_org_article_2e06e49c50944263aabadf34fd9c7924 pubmedcentral_primary_oai_pubmedcentral_nih_gov_3342316 proquest_miscellaneous_1011843123 proquest_journals_1324603206 gale_infotracmisc_A477130419 gale_infotracacademiconefile_A477130419 gale_incontextgauss_ISR_A477130419 gale_incontextgauss_IOV_A477130419 gale_healthsolutions_A477130419 pubmed_primary_22567118 crossref_citationtrail_10_1371_journal_pone_0035903 crossref_primary_10_1371_journal_pone_0035903 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2012-05-02 |
| PublicationDateYYYYMMDD | 2012-05-02 |
| PublicationDate_xml | – month: 05 year: 2012 text: 2012-05-02 day: 02 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: San Francisco – name: San Francisco, USA |
| PublicationTitle | PloS one |
| PublicationTitleAlternate | PLoS One |
| PublicationYear | 2012 |
| Publisher | Public Library of Science Public Library of Science (PLoS) |
| Publisher_xml | – name: Public Library of Science – name: Public Library of Science (PLoS) |
| References | DK Remler (ref20) 2009; 30 V Lattimer (ref44) 1998; 317 P Vedsted (ref41) 2001; 19 NR Hoot (ref11) 2008; 52 JC Scott (ref48) 2004; 52 CA Mustard (ref24) 1998; 158 AT Stein (ref27) 2002; 19 RA Lowe (ref37) 2005; 43 DM Hartung (ref60) 2008; 46 DA Pearson (ref68) 2007; 50 DF Ragin (ref6) 2005; 12 RT Hsu (ref38) 2003; 326 JC Darnell (ref39) 1985; 23 (ref1) 2012 E LaCalle (ref9) 2010; 56 S Peiro (ref15) 1999; 33 B McKinstry (ref42) 2002; 52 DP Martin (ref72) 1989; 79 E Roberts (ref14) 1998; 44 G Rust (ref29) 2009; 25 B Alberola V (ref32) 1994; 14 TG Ferris (ref73) 2001; 345 JM Gill (ref69) 2000; 9 TS Rector (ref45) 1999; 5 PC Sprivulis (ref3) 2006; 184 RW Derlet (ref4) 2000; 35 I Bolibar (ref23) 1996; 107 R Ionescu-Ittu (ref28) 2007; %20;177 H Philips (ref36) 2010; 10 W Michelen (ref50) 2006; 17 D Schillinger (ref66) 2000; 15 G Sjonell (ref21) 1986; 3 M Chalder (ref33) 2003; 326 JM Gill (ref22) 1996; 28 RE Hurley (ref67) 1989; 14 D Ogilvie (ref18) 2007; 334 M Falik (ref26) 2001; 39 RW Derlet (ref64) 1997; 30 EH Wagner (ref71) 2001; 24 M Laurant (ref13) 2005 PG Gibson (ref70) 2003 CJ van Uden (ref34) 2005; 20 C Salisbury (ref35) 2007; 24 GP Young (ref63) 1997; 4 MD Wong (ref54) 2001; 91 AR Wilson (ref59) 2008; 24 S Horrocks (ref12) 2002; 324 JF Wharam (ref58) 2007; 297 KM Viner (ref65) 2000; 35 AW Murphy (ref53) 1997; 14 V Lattimer (ref40) 2000; 320 DA Richards (ref43) 2002; 325 M Reed (ref56) 2005; 43 SG Federico (ref16) 2007; 120 CR Grudzen (ref74) 2007; 297 KF O'Grady (ref51) 1985; 313 TM Waters (ref62) 2011; 46 KD Bertakis (ref25) 1999; 37 J Hsu (ref55) 2004; 42 F Althaus (ref8) 2011; 58 KR Brekke (ref19) 2007; 26 FD Oterino de la (ref2) 2007; 81 MF Newton (ref7) 2008; 300 RA Lowe (ref61) 2010; 48 CP Valdres (ref31) 1993; 11 GA Caplan (ref47) 2004; 52 SR Bird (ref49) 2007; 31 SM Retchin (ref30) 2009; 15 JV Selby (ref52) 1996; 334 AC Skinner (ref17) 2007; 7 MI Pasarin (ref5) 2006; 20 A DeSalvo (ref46) 2000; 8 J Hsu (ref57) 2006; 41 F Bunn (ref10) 2004 |
| References_xml | – volume: 325 start-page: 1214 year: 2002 ident: ref43 article-title: Nurse telephone triage for same day appointments in general practice: multiple interrupted time series trial of effect on workload and costs. publication-title: BMJ doi: 10.1136/bmj.325.7374.1214 – volume: 35 start-page: 63 year: 2000 ident: ref4 article-title: Overcrowding in the nation's emergency departments: complex causes and disturbing effects. publication-title: Ann Emerg Med doi: 10.1016/S0196-0644(00)70105-3 – volume: 24 start-page: 695 year: 2001 ident: ref71 article-title: Chronic care clinics for diabetes in primary care: a system-wide randomized trial. publication-title: Diabetes Care doi: 10.2337/diacare.24.4.695 – volume: 43 start-page: 810 year: 2005 ident: ref56 article-title: Care-seeking behavior in response to emergency department copayments. publication-title: Med Care doi: 10.1097/01.mlr.0000170416.68260.78 – volume: 33 start-page: 3 year: 1999 ident: ref15 article-title: Efectividad de las intervenciones para reducir la utilización inapropiada de los servicios hospitalarios de urgencias. Revisando la literatura 10 años después del Informe del Defensor del Pueblo. publication-title: Economía y Salud – volume: 81 start-page: 191 year: 2007 ident: ref2 article-title: [Impact in Asturias of primary care emergencies on hospital emergencies for the 1994–2001 period. A time series cointegration analysis]. publication-title: Rev Esp Salud Publica – volume: 35 start-page: 272 year: 2000 ident: ref65 article-title: Managed care organization authorization denials: lack of patient knowledge and timely alternative ambulatory care. publication-title: Ann Emerg Med doi: 10.1016/S0196-0644(00)70079-5 – volume: 7 start-page: 194 year: 2007 ident: ref17 article-title: Effects of insurance status on children's access to specialty care: a systematic review of the literature. publication-title: BMC Health Serv Res doi: 10.1186/1472-6963-7-194 – volume: 20 start-page: 91 year: 2006 ident: ref5 article-title: [Reasons for attending emergency departments. People speak out]. publication-title: Gac Sanit – start-page: CD001271 year: 2005 ident: ref13 article-title: Substitution of doctors by nurses in primary care. publication-title: Cochrane Database Syst Rev – volume: 158 start-page: 49 year: 1998 ident: ref24 article-title: Emergency department use as a component of total ambulatory care: a population perspective. publication-title: CMAJ – volume: 24 start-page: 265 year: 2007 ident: ref35 article-title: The impact of co-located NHS walk-in centres on emergency departments. publication-title: Emerg Med J doi: 10.1136/emj.2006.042507 – volume: 43 start-page: 792 year: 2005 ident: ref37 article-title: Association between primary care practice characteristics and emergency department use in a medicaid managed care organization. publication-title: Med Care doi: 10.1097/01.mlr.0000170413.60054.54 – volume: 17 start-page: 59 year: 2006 ident: ref50 article-title: Reducing frequent flyer emergency department visits. publication-title: J Health Care Poor Underserved doi: 10.1353/hpu.2006.0010 – volume: 320 start-page: 1053 year: 2000 ident: ref40 article-title: Cost analysis of nurse telephone consultation in out of hours primary care: evidence from a randomised controlled trial. publication-title: BMJ doi: 10.1136/bmj.320.7241.1053 – volume: 50 start-page: 646 year: 2007 ident: ref68 article-title: Out-of-hospital and emergency department utilization by adult homeless patients. publication-title: Ann Emerg Med doi: 10.1016/j.annemergmed.2007.07.015 – volume: 79 start-page: 1628 year: 1989 ident: ref72 article-title: Effect of a gatekeeper plan on health services use and charges: a randomized trial. publication-title: Am J Public Health doi: 10.2105/AJPH.79.12.1628 – volume: 48 start-page: 619 year: 2010 ident: ref61 article-title: Impact of policy changes on emergency department use by Medicaid enrollees in Oregon. publication-title: Med Care doi: 10.1097/MLR.0b013e3181dbddb1 – volume: 326 start-page: 530 year: 2003 ident: ref38 article-title: Effect of NHS walk-in centre on local primary healthcare services: before and after observational study. publication-title: BMJ doi: 10.1136/bmj.326.7388.530 – year: 2012 ident: ref1 article-title: Centers for Disease Control and Prevention. National Center for Health Statistics. Health Data Interactive. – volume: 334 start-page: 1204 year: 2007 ident: ref18 article-title: Interventions to promote walking: systematic review. publication-title: BMJ doi: 10.1136/bmj.39198.722720.BE – volume: 11 start-page: 178 year: 1993 ident: ref31 article-title: [The impact on hospital emergency care of the introduction of continuing care into the health centers of Logrono]. publication-title: Aten Primaria – volume: 9 start-page: 333 year: 2000 ident: ref69 article-title: The effect of continuity of care on emergency department use. publication-title: Arch Fam Med doi: 10.1001/archfami.9.4.333 – volume: 334 start-page: 635 year: 1996 ident: ref52 article-title: Effect of a copayment on use of the emergency department in a health maintenance organization. publication-title: N Engl J Med doi: 10.1056/NEJM199603073341006 – volume: 15 start-page: 329 year: 2000 ident: ref66 article-title: Effects of primary care coordination on public hospital patients. publication-title: J Gen Intern Med doi: 10.1046/j.1525-1497.2000.07010.x – volume: 58 start-page: 41 year: 2011 ident: ref8 article-title: Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. publication-title: Ann Emerg Med doi: 10.1016/j.annemergmed.2011.03.007 – volume: 317 start-page: 1054 year: 1998 ident: ref44 article-title: Safety and effectiveness of nurse telephone consultation in out of hours primary care: randomised controlled trial. The South Wiltshire Out of Hours Project (SWOOP) Group. publication-title: BMJ doi: 10.1136/bmj.317.7165.1054 – volume: 4 start-page: 1129 year: 1997 ident: ref63 article-title: Adverse outcomes of managed care gatekeeping. publication-title: Acad Emerg Med doi: 10.1111/j.1553-2712.1997.tb03695.x – volume: 326 start-page: 532 year: 2003 ident: ref33 article-title: Impact of NHS walk-in centres on the workload of other local healthcare providers: time series analysis. publication-title: BMJ doi: 10.1136/bmj.326.7388.532 – volume: 14 start-page: 63 year: 1989 ident: ref67 article-title: Gatekeeping the emergency department: impact of a Medicaid primary care case management program. publication-title: Health Care Manage Rev – volume: 184 start-page: 208 year: 2006 ident: ref3 article-title: The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. publication-title: Med J Aust doi: 10.5694/j.1326-5377.2006.tb00203.x – volume: 14 start-page: 407 year: 1997 ident: ref53 article-title: Effect of the introduction of a financial incentive for fee-paying A&E attenders to consult their general practitioner before attending the A&E department. publication-title: Fam Pract doi: 10.1093/fampra/14.5.407 – volume: 52 start-page: 306 year: 2002 ident: ref42 article-title: Telephone consultations to manage requests for same-day appointments: a randomised controlled trial in two practices. publication-title: Br J Gen Pract – volume: 31 start-page: 451 year: 2007 ident: ref49 article-title: Integrated care facilitation for older patients with complex health care needs reduces hospital demand. publication-title: Aust Health Rev doi: 10.1071/AH070451 – volume: 42 start-page: 290 year: 2004 ident: ref55 article-title: Cost-sharing: patient knowledge and effects on seeking emergency department care. publication-title: Med Care doi: 10.1097/01.mlr.0000114917.50457.52 – volume: 30 start-page: 292 year: 1997 ident: ref64 article-title: Managed care and emergency medicine: conflicts, federal law, and California legislation. publication-title: Ann Emerg Med doi: 10.1016/S0196-0644(97)70164-1 – volume: 107 start-page: 289 year: 1996 ident: ref23 article-title: [Impact of the primary health care reform on the use of the hospital emergency services]. publication-title: Med Clin (Barc ) – volume: 46 start-page: 565 year: 2008 ident: ref60 article-title: Impact of a Medicaid copayment policy on prescription drug and health services utilization in a fee-for-service Medicaid population. publication-title: Med Care doi: 10.1097/MLR.0b013e3181734a77 – volume: 12 start-page: 1158 year: 2005 ident: ref6 article-title: Reasons for using the emergency department: results of the EMPATH Study. publication-title: Acad Emerg Med doi: 10.1111/j.1553-2712.2005.tb01491.x – volume: 5 start-page: 1505 year: 1999 ident: ref45 article-title: Impact of mailing information about nonurgent care on emergency department visits by Medicaid beneficiaries enrolled in managed care. publication-title: Am J Manag Care – volume: 120 start-page: e1009 year: 2007 ident: ref16 article-title: Disruptions in insurance coverage: patterns and relationship to health care access, unmet need, and utilization before enrollment in the State Children's Health Insurance Program. publication-title: Pediatrics doi: 10.1542/peds.2006-3094 – start-page: CD004180 year: 2004 ident: ref10 article-title: Telephone consultation and triage: effects on health care use and patient satisfaction. publication-title: Cochrane Database Syst Rev – volume: 24 start-page: 46 year: 2008 ident: ref59 article-title: More preventive care, and fewer emergency room visits and prescription drugs–health care utilization in a consumer-driven health plan. publication-title: Benefits Q – volume: 313 start-page: 484 year: 1985 ident: ref51 article-title: The impact of cost sharing on emergency department use. publication-title: N Engl J Med doi: 10.1056/NEJM198508223130806 – volume: %20;177 start-page: 1362 year: 2007 ident: ref28 article-title: Continuity of primary care and emergency department utilization among elderly people. publication-title: CMAJ doi: 10.1503/cmaj.061615 – volume: 26 start-page: 149 year: 2007 ident: ref19 article-title: Gatekeeping in health care. publication-title: J Health Econ doi: 10.1016/j.jhealeco.2006.04.004 – volume: 30 start-page: 293 year: 2009 ident: ref20 article-title: Cost-sharing: a blunt instrument. publication-title: Annu Rev Public Health doi: 10.1146/annurev.publhealth.29.020907.090804 – volume: 324 start-page: 819 year: 2002 ident: ref12 article-title: Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. publication-title: BMJ doi: 10.1136/bmj.324.7341.819 – volume: 37 start-page: 78 year: 1999 ident: ref25 article-title: Differences between family physicians' and general internists' medical charges. publication-title: Med Care doi: 10.1097/00005650-199901000-00011 – volume: 56 start-page: 42 year: 2010 ident: ref9 article-title: Frequent users of emergency departments: the myths, the data, and the policy implications. publication-title: Ann Emerg Med doi: 10.1016/j.annemergmed.2010.01.032 – volume: 25 start-page: 8 year: 2009 ident: ref29 article-title: Presence of a community health center and uninsured emergency department visit rates in rural counties. publication-title: J Rural Health doi: 10.1111/j.1748-0361.2009.00193.x – volume: 52 start-page: 1417 year: 2004 ident: ref47 article-title: A randomized, controlled trial of comprehensive geriatric assessment and multidisciplinary intervention after discharge of elderly from the emergency department–the DEED II study. publication-title: J Am Geriatr Soc doi: 10.1111/j.1532-5415.2004.52401.x – volume: 8 start-page: 35 year: 2000 ident: ref46 article-title: Patient education and emergency room visits. publication-title: Clin Perform Qual Health Care – volume: 39 start-page: 551 year: 2001 ident: ref26 article-title: Ambulatory care sensitive hospitalizations and emergency visits: experiences of Medicaid patients using federally qualified health centers. publication-title: Med Care doi: 10.1097/00005650-200106000-00004 – volume: 23 start-page: 20 year: 1985 ident: ref39 article-title: After-hours telephone access to physicians with access to computerized medical records. Experience in an inner-city general medicine clinic. publication-title: Med Care doi: 10.1097/00005650-198501000-00003 – volume: 10 start-page: 222 year: 2010 ident: ref36 article-title: What's the effect of the implementation of general practitioner cooperatives on caseload? Prospective intervention study on primary and secondary care. publication-title: BMC Health Serv Res doi: 10.1186/1472-6963-10-222 – volume: 19 start-page: 207 year: 2002 ident: ref27 article-title: The relevance of continuity of care: a solution for the chaos in the emergency services. publication-title: Fam Pract doi: 10.1093/fampra/19.2.207 – volume: 345 start-page: 1312 year: 2001 ident: ref73 article-title: Leaving gatekeeping behind–effects of opening access to specialists for adults in a health maintenance organization. publication-title: N Engl J Med doi: 10.1056/NEJMsa010097 – volume: 297 start-page: 1093 year: 2007 ident: ref58 article-title: Emergency department use and subsequent hospitalizations among members of a high-deductible health plan. publication-title: JAMA doi: 10.1001/jama.297.10.1093 – volume: 46 start-page: 155 year: 2011 ident: ref62 article-title: Impact of high-deductible health plans on health care utilization and costs. publication-title: Health Serv Res doi: 10.1111/j.1475-6773.2010.01191.x – volume: 15 start-page: 245 year: 2009 ident: ref30 article-title: The transfer of uninsured patients from academic to community primary care settings. publication-title: Am J Manag Care – volume: 91 start-page: 1889 year: 2001 ident: ref54 article-title: Effects of cost sharing on care seeking and health status: results from the Medical Outcomes Study. publication-title: Am J Public Health doi: 10.2105/AJPH.91.11.1889 – volume: 14 start-page: 825 year: 1994 ident: ref32 article-title: [Primary care as a determinant of the utilization of hospital emergency services]. publication-title: Aten Primaria – volume: 19 start-page: 95 year: 2001 ident: ref41 article-title: The effect of an out-of-hours reform on attendance at casualty wards. The Danish example. publication-title: Scand J Prim Health Care doi: 10.1080/028134301750235303 – volume: 41 start-page: 1801 year: 2006 ident: ref57 article-title: Cost-sharing for emergency care and unfavorable clinical events: findings from the safety and financial ramifications of ED copayments study. publication-title: Health Serv Res doi: 10.1111/j.1475-6773.2006.00562.x – volume: 300 start-page: 1914 year: 2008 ident: ref7 article-title: Uninsured adults presenting to US emergency departments: assumptions vs data. publication-title: JAMA doi: 10.1001/jama.300.16.1914 – volume: 52 start-page: 126 year: 2008 ident: ref11 article-title: Systematic review of emergency department crowding: causes, effects, and solutions. publication-title: Ann Emerg Med doi: 10.1016/j.annemergmed.2008.03.014 – volume: 3 start-page: 148 year: 1986 ident: ref21 article-title: Effect of establishing a primary health care centre on the utilization of primary health care and other out-patient care in a Swedish urban area. publication-title: Fam Pract doi: 10.1093/fampra/3.3.148 – volume: 28 start-page: 178 year: 1996 ident: ref22 article-title: Effect of primary care referral on emergency department use: evaluation of a statewide Medicaid program. publication-title: Fam Med – start-page: CD001117 year: 2003 ident: ref70 article-title: Self-management education and regular practitioner review for adults with asthma. publication-title: Cochrane Database Syst Rev – volume: 297 start-page: 1126 year: 2007 ident: ref74 article-title: High-deductible health plans and emergency department use. publication-title: JAMA doi: 10.1001/jama.297.10.1126 – volume: 52 start-page: 1463 year: 2004 ident: ref48 article-title: Effectiveness of a group outpatient visit model for chronically ill older health maintenance organization members: a 2-year randomized trial of the cooperative health care clinic. publication-title: J Am Geriatr Soc doi: 10.1111/j.1532-5415.2004.52408.x – volume: 44 start-page: 191 year: 1998 ident: ref14 article-title: Can primary care and community-based models of emergency care substitute for the hospital accident and emergency (A & E) department? publication-title: Health Policy doi: 10.1016/S0168-8510(98)00021-9 – volume: 20 start-page: 612 year: 2005 ident: ref34 article-title: The impact of a primary care physician cooperative on the caseload of an emergency department: the Maastricht integrated out-of-hours service. publication-title: J Gen Intern Med doi: 10.1111/j.1525-1497.2005.0091.x |
| SSID | ssj0053866 |
| Score | 2.3797455 |
| SecondaryResourceType | review_article |
| Snippet | Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse... Background Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated... BackgroundEmergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated... Background Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated... |
| SourceID | plos doaj pubmedcentral proquest gale pubmed crossref |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source |
| StartPage | e35903 |
| SubjectTerms | Accessibility Adults Ambulatory care Asthma Case management Children Continuity of care Developed countries Diabetes Emergency medical care Emergency medical services Emergency Service, Hospital - statistics & numerical data Emergency services Health aspects Health care Health policy Health services Health Services - statistics & numerical data Hospital emergency services Hospitals Humans Intervention Medical care utilization Medical personnel Medicine Mortality Online searching Patients Physicians Policies Primary care Researchers Reviews Searching Studies Utilization |
| SummonAdditionalLinks | – databaseName: Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELbQnrggyquBAgYhAYe0ie3YMbeCqAoSIAFFvUW245RKS7La7P5_ZhwnbFClcuAW7Yyj3ZnxPLQz3xDywrMcwrpp0pI7nwrmilR7blNfyLIxznqjcFD402d5eiY-nhfnO6u-sCdsgAceBHfEfCa90A6B3hBc3Bhr6oaLptZOQfGA3jfT2VhMDT4YbrGUcVCOq_wo6uVw1bX-MKDWjUuyYiAKeP2TV16sll1_Vcr5d-fkTig6uU1uxRySHg_ffY_c8O0dshdvaU9fRSjp13fJrwGcOHo02jW025m9hHdc7rQ89nTT0TVCuXrqx6lMWkO8WodWdAo2uoxH31BD_4BA02EA5h45O3n__d1pGhcspE5qtklLz4taCGOFcHXAirMQnCBa1RweTQmPhahdzprMQx0JRFU2ypdCm5p7qG3vk0ULIt0nlGe6sVIbXbpcMG-09dzYUmmrMmtckRA-SrtyEX0cl2Asq_CXmoIqZBBehTqqoo4Skk6nVgP6xjX8b1GREy9iZ4cPQLhVtKjqOotKyFM0g2oYRJ08QHUsFFT0mch1Qp4HDsTPaLFB58Js-7768OXHPzB9-zpjehmZmg7E4UwcioDfhLhcM86DGSd4ATcj76PRjlLpQUZMyIyzTMLJ0ZCvJj-byPhSbLprfbftsfsPtwFBbpOQB4PdT5KFMCAVkBOiZjdiJvo5pb38GeDLOYJO5vLh_9DVI3ITMlgWOlDZAVls1lv_GLLEjX0SHMJvyMtofA priority: 102 providerName: Directory of Open Access Journals – databaseName: ProQuest Central dbid: BENPR link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3db9MwELdG98ILYnwtMMAgJOAhWxI7doKEUAedNiQK6ijaW-Q4zphUktK0_z93jhMaNAFvUe8ctef78NV3vyPkhYlCCOuq9BOmjc8jHfupYblvYpGUSudGSWwU_jQVp3P-8SK-2CHTrhcGyyo7n2gddVFr_I_8CLImLnDat3i3_Onj1Ci8Xe1GaCg3WqF4ayHGbpBdcMlxMCK7x5Ppl1nnm8G6hXANdEyGR26_Dpd1ZQ4tml03PMsFKIvj33vr0XJRN9cdRf-sqNwKUSe3yS13tqTjVhn2yI6p7pA9Z70NfeUgpl_fJT9a0GLn6Whd0u2eTHjH2VYpZEPXNZ0hxKuhk65bk36AOLayJep0vr5auKVv6Jie9-DQtL15uEfmJ5Ov7099N3jB1yKN1n5iWFxwrnLOdWEx5HIIWhDFCgaPKoHHmBc6jMrAQH4JRJmU0iQ8VQUzkPPeJ6MKRLpPKAvSMhepShMd8sioNDdM5YlMcxnkSsceYZ20M-1QyXE4xiKzV20SspNWeBnuUeb2yCN-v2rZonL8g_8YN7LnRUxt-0G9usyciWaRCYThqUZIQYSxVypXRcl4WaRaQprqkaeoBlnboNp7hmzMJWT6AQ9Tjzy3HIirUWHhzqXaNE129vnbfzCdzwZMLx1TWYM4tHLNEvCbEK9rwHkw4ATvoAfkfVTaTipN9tuOYGWnyNeTn_VkfCkW41Wm3jRYFYhTguDM45EHrd73koXwICSQPSIHFjEQ_ZBSXX23sOYMwShD8fDvX-sRuQln1sjWnEYHZLRebcxjOBeu8yfO2H8BViJlLQ priority: 102 providerName: ProQuest |
| Title | Effectiveness of Organizational Interventions to Reduce Emergency Department Utilization: A Systematic Review |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/22567118 https://www.proquest.com/docview/1324603206 https://www.proquest.com/docview/1011843123 https://pubmed.ncbi.nlm.nih.gov/PMC3342316 https://doaj.org/article/2e06e49c50944263aabadf34fd9c7924 http://dx.doi.org/10.1371/journal.pone.0035903 |
| Volume | 7 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3db9MwELdGJyFeEBsfCxvFICTgIVU-nDhBQqgbLRvSBuoo6lvkOM6Y1CWlaSX477lznKhBRSBeoii-i5Szz3cX3_2OkBfKc8Gsi9yOfKls5snAjpWf2ioIo1zIVAmOhcLnF-HplH2cBbMd0vRsNQKstoZ22E9qupwPfnz_-Q4U_q3u2sDdhmmwKAs10Jh0CP-5q0-MMJmPtecKoN1haAro_sSJ8MDgB3AX-4Bs2CoN6d9u3L3FvKy2eaW_J1duWKvxPXLXuJl0WK-LPbKjin1y-9wcpO-TPaPTFX1lgKdf3yc3NZSx2f9omdPNSk143dlGgmRFVyWdIPCroqOmhpO-B-u21InrdLq6nhvWN3RIL1vIaFqfRzwg0_Hoy8mpbdox2DKMvZUdKT_IGBMpYzLTyHIpmDKwbZkPtyKC24Bl0vVyR0HUCYM8yrmKWCwyX0Ek_JD0ChD0AaG-E-dpGIs4ki7zlIhT5Ys04nHKnVTIwCJ-I_hEGqxybJkxT_QBHIeYpZZjgjOXmJmziN1yLWqsjr_QH-OctrSItK0flMurxChu4iknVCyWCDSI4PZCpCLLfZZnseQQvFrkKa6IpC5bbfeLZMg4xP8Oc2OLPNcUiLZRYDrPlVhXVXL26es_EF1OOkQvDVFegjikMCUU8E2I4tWhPOpQwp4hO8MHuH4bqVQgI4-Fju85IXA2a3r78LN2GF-KKXqFKtcV5gpi7yDwhCzyqFaBVrKNQlmEd5SjI_ruSHH9TYOd-whR6YaP_5vzkNwBJ9fTSareEemtlmv1BBzJVdont_iMwzU6cfE6_tAnu8eji8-Tvv4109d7xy_SxXoy |
| linkProvider | Scholars Portal |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3db9MwELdG9wAviPG1wGAGgYCHbE3ixDHShDrWqWVbQds67S04jjMmlaQ0rRD_HH8bd4kTGjQBL3uL6rPVnM_3Ed_9jpAX2nXArMvUDj2lbeYq3xbai23tB2EqVawlx0Lho1EwGLMP5_75CvlZ18JgWmWtE0tFneQKv5FvQ9TEAuz2HbybfrOxaxTertYtNKRprZDslBBjprDjQP_4DiFcsTPcg_1-6br7_dP3A9t0GbBVINy5HWrPTxiTMWMqKQHTYtDQoLITDx5lCI8-S5Tjpl0NwRQM8jDlOmRCJp6GAA_WvUFWGX5A6ZDV3f7o03FtC0CbBIEp2PO4s23kY2uaZ3qrRM-rm3UZg1j2DWisQ2c6yYurXN8_MziXTOL-HXLb-LK0VwnfGlnR2V2yZrRFQV8bSOs398jXCiTZaFaap3S5BhTWGC6lXhZ0ntNjhJTVtF9Xh9I9sJuzMiWejueXEzP1Le3RkwaMmlY3HffJ-Fq24AHpZMDSdUK9rkjjQEgRKoe5WopYezIOuYh5N5bKt4hXcztSBgUdm3FMovJqj0M0VDEvwj2KzB5ZxG5mTSsUkH_Q7-JGNrSI4V3-kM8uIqMSIld3A82EQghDhM2XMpZJ6rE0EYpDWGyRTRSDqCqIbTRR1GOcg-fBHGGR5yUF4nhkmCh0IRdFEQ0_nv0H0clxi-iVIUpzYIeSpjgD3gnxwVqUGy1K0EaqNbyOQltzpYh-n1uYWQvy1cPPmmFcFJP_Mp0vCsxCxK5E4GNZ5GEl9w1nwRwFHIYtwlsnosX69kh2-aWEUfcQ_NIJHv39b22Sm4PTo8PocDg6eExugb_slvmu7gbpzGcL_QR80nn81Bx8Sj5ft675BWfnoKg |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3db9MwELdGJyFeEONrgcEMAgEPWZvEiROkCXW01cqgTN2K9hYcxxmTSlKaVIh_kb-Ku8QJDZqAl71FvXPUns_3Ud_9jpBnyrbArYvE9B2pTGZL1wyUE5nK9fxEyEgJjo3CHybe4Yy9O3PPNsjPuhcGyyprm1ga6jiT-B95F7Im5uG0b6-b6LKI48HozeKbiROk8Ka1Hqch9JiFeL-EG9NNHkfqx3dI5_L98QD2_rltj4anbw9NPXHAlF5gF6avHDdmTESMybgET4vAWoP5jh14FD48uiyWlp30FCRWQOR-wpXPAhE7CpI9eO81ssnB60MiuHkwnBxPa78AlsXzdPOew62u1pW9RZaqvRJJrx7cpZ1jOUOg8RSdxTzLLwuD_6zmXHOPo1vkpo5rab9SxC2yodLbZEtbjpy-1PDWr-6QrxVgsrayNEvoej8ovGO8VoaZ0yKjU4SXVXRYd4rSAfjQZVkeT2fFxVwvfU379KQBpqbVrcddMruSLbhHOimIdJtQpxckkReIwJcWs5UIIuWIyOdBxHuRkK5BnFraodSI6DiYYx6W13wcMqNKeCHuUaj3yCBms2pRIYL8g_8AN7LhRTzv8oNseR5q8xDaqucpFkiEM0QIfSEiEScOS-JAckiRDbKLahBWzbGNVQr7jHOIQpgVGORpyYGYHimejnOxyvNw_PHTfzCdTFtMLzRTkoE4pNCNGvCbECusxbnT4gTLJFvkbVTaWip5-PsMw8pakS8nP2nI-FIsBExVtsqxIhEnFEG8ZZD7ld43kgXX5HEgG4S3TkRL9G1KevGlhFR3EAjT8h78_Wvtkutgc8L348nRQ3IDQme7LH21d0inWK7UIwhPi-ixPveUfL5qU_MLOz2k7A |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Effectiveness+of+Organizational+Interventions+to+Reduce+Emergency+Department+Utilization%3A+A+Systematic+Review&rft.jtitle=PloS+one&rft.au=Flores-Mateo%2C+Gemma&rft.au=Violan-Fors%2C+Concepci%C3%B3n&rft.au=Carrillo-Santisteve%2C+Paloma&rft.au=Peir%C3%B3%2C+Salvador&rft.date=2012-05-02&rft.pub=Public+Library+of+Science&rft.eissn=1932-6203&rft.volume=7&rft.issue=5&rft_id=info:doi/10.1371%2Fjournal.pone.0035903&rft_id=info%3Apmid%2F22567118&rft.externalDocID=PMC3342316 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1932-6203&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1932-6203&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1932-6203&client=summon |