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General practitioners and emergency departments (GPED) - Efficient models of care: A mixed-methods study protocol

Morton, Katherine; Brandling, Janet; Benger, Jonathan; Gibson, Andy; Voss, Sarah

Authors

Katherine Morton

Janet Brandling

Jonathan Benger

Andy Gibson Andy.Gibson@uwe.ac.uk
Associate Professor in Patient and Public Involve

Sarah Voss Sarah.Voss@uwe.ac.uk
Professor of Emergency and Critical Care



Abstract

© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ. Introduction Pressure continues to grow on emergency departments in the UK and throughout the world, with declining performance and adverse effects on patient outcome, safety and experience. One proposed solution is to locate general practitioners to work in or alongside the emergency department (GPED). Several GPED models have been introduced, however, evidence of effectiveness is weak. This study aims to evaluate the impact of GPED on patient care, the primary care and acute hospital team and the wider urgent care system. Methods and analysis The study will be divided into three work packages (WPs). WP-A; Mapping and Taxonomy: Mapping, description and classification of current models of GPED in all emergency departments in England and interviews with key informants to examine the hypotheses that underpin GPED. WP-B; Quantitative Analysis of National Data: Measurement of the effectiveness, costs and consequences of the GPED models identified in WP-A, compared with a no-GPED model, using retrospective analysis of Hospital Episode Statistics Data. WP-C; Case Studies: Detailed case studies of different GPED models using a mixture of qualitative and quantitative methods including: non-participant observation of clinical care, semistructured interviews with staff, patients and carers; workforce surveys with emergency department staff and analysis of available local routinely collected hospital data. Prospective case study sites will be identified by completing telephone interviews with sites awarded capital funding by the UK government to implement GPED initiatives. The study has a strong patient and public involvement group that has contributed to study design and materials, and which will be closely involved in data interpretation and dissemination. Ethics and dissemination The study has been approved by the National Health Service East Midlands - Leicester South Research Ethics Committee: 17/EM/0312. The results of the study will be disseminated through peer-reviewed journals, conferences and a planned programme of knowledge mobilisation.

Citation

Morton, K., Brandling, J., Benger, J., Gibson, A., & Voss, S. (2018). General practitioners and emergency departments (GPED) - Efficient models of care: A mixed-methods study protocol. BMJ Open, 8(10), e024012. https://doi.org/10.1136/bmjopen-2018-024012

Journal Article Type Article
Acceptance Date Jul 16, 2018
Publication Date Oct 1, 2018
Deposit Date Oct 22, 2018
Publicly Available Date Oct 22, 2018
Journal BMJ Open
Electronic ISSN 2044-6055
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 8
Issue 10
Pages e024012
DOI https://doi.org/10.1136/bmjopen-2018-024012
Keywords emergency care, primary care streaming, mixed methods, urgent care, general practitioners, protocol
Public URL https://uwe-repository.worktribe.com/output/859149
Publisher URL https://bmjopen.bmj.com/content/8/10/e024012.info

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