Implementation of a standardized initial assessment as a basis for demand management in outpatient emergency care

Conditions

Patients with subjectively felt urgent need for medical advice and/or treatment

Ingmar Schäfer, Agata Menzel, Tobias Herrmann, Gerald Willms, Jan Hendrik Oltrogge et al. (7 authors)

BMJ Open2023-05-018 citations

10.1136/bmjopen-2022-070475

Patient satisfaction with computer-assisted structured initial assessment facilitating patient streaming to emergency departments and primary care practices: results from a cross-sectional observational study accompanying the DEMAND intervention in Germany.

Schäfer I, Menzel A, Herrmann T, Oltrogge JH, Lühmann D, Scherer M.

2022-08-234 citations

10.1186/s12875-022-01825-5

Enhancing implementation of a standardized initial assessment for demand management in outpatient emergency care in Germany: a quantitative process evaluation.

Breckner A, Roth C, Szecsenyi J, Wensing M.

2021-11-163 citations

10.1186/s12911-021-01685-6

Implementation of a Standardized Initial Assessment for Demand Management in Outpatient Emergency Care in Germany: Early Qualitative Process Evaluation

Catharina Roth, Amanda Breckner, Jan Paulus, Michel Wensing

JMIR Formative Research2020-05-147 citations

10.2196/18456

Interventions

Group 1: Initial assessment by telephone at the initial telephone contact points of the outpatient sector (116117) Group 2: Initial assessment at central contact points of the outpatient sector / emer

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: All patients with an acute need for medical advice and/or treatment who visit/contact the initial contact points at the model sites.

Exclusion criteria

Exclusion criteria: No application of software-based initial assessment necessary (other needs) or possible (e.g. language barriers)

Design outcomes

Secondary

Measure	Time frame
a) Reducing the burden on emergency resources (on-call duty/emergency admission) through standardised initial telephone assessment b) Increase in patient satisfaction c) Increase of employee satisfaction (employees in emergency rooms)	—

Primary

Measure	Time frame
Reduction of outpatient use of hospital emergency rooms (in the model regions)	—

Countries

Germany

Contacts

Public ContactTobias Herrmann

aQua-Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH

demand@aqua-institut.de055178952-0

Outcome results

None listed