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Variation in referral rates to emergency departments and inpatient services from a GP Out Of Hours service and the potential impact of alternative staffing models

Abstract:

Introduction: Out of hours (OOH) primary care is a critical component of the acute care system overnight and at weekends. Referrals from OOH services to hospital will add to the burden on hospital assessment in the Emergency Department (ED) and on call specialties.

Methods: We studied the variation in referral rates (to the emergency department and direct specialty admission) of individual clinicians working in the Oxfordshire, UK OOH service covering a population of 600,000 people. We calculated the referral probability for each clinician over a 13 month period of practice (1.12.14 – 31.12.2015), stratifying by clinician factors and location and timing of assessment. We used Simul8 software to determine the range of hospital referrals potentially due to variation in clinician referral propensity.

Results: Among the 119,835 contacts with the service, 5,261 (4.4%) were sent directly to the ED and 3,474 (3.7%) were admitted directly to specialties. More referrals were made to ED by primary care physicians if they didn’t work in the local practices (5.5% vs 3.5% P = 0.011). For clinicians with >1000 consultations, percentage of patients referred varied from 1% to 21% of consultations. Simulations where propensity to refer was made less extreme showed a difference in maximum referrals of 50 patients each week.

Conclusions: There is substantial variation in clinician referral rates from out of hours primary care to the acute hospital setting. The number of patients referred could be influenced by this variation in clinician behaviour. Referral propensity should be studied including casemix adjustment to determine if interventions targeting such behaviour are effective.

Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/emermed-2020-209527

Authors


More by this author
Division:
MSD
Oxford college:
Exeter College
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Sub department:
Primary Care Health Sciences
Oxford college:
Exeter College
Role:
Author


Publisher:
BMJ
Journal:
Emergency Medicine Journal More from this journal
Volume:
38
Issue:
10
Pages:
784-788
Publication date:
2021-03-23
Acceptance date:
2021-01-18
DOI:
EISSN:
1472-0213
ISSN:
1472-0205


Language:
English
Keywords:
Pubs id:
1159828
Local pid:
pubs:1159828
Deposit date:
2021-02-02

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