Healthcare Access
Conditions
Brief summary
Emergency departments are facing increasing overload, exacerbated by difficulties in accessing primary care. This saturation impacts the fluidity of care pathways and the quality of care. A major challenge is the high rate of short-term repeat visits, which increases the workload. These early returns may be due to an unexpected change in the patient's condition, but also to the difficulty of obtaining a quick appointment with a general practitioner, due to a shortage of practitioners or a lack of available slots within a few days.
Detailed description
In this context, the implementation of a Post-Emergency Consultation by an Advanced Practice Nurse could be a solution to improve patient follow-up and limit these avoidable return visits. Main objective: Identify the profiles of patients who return for a second consultation within 15 days of their first visit to the emergency department. Secondary objectives: * Describe the characteristics of these patients (age, gender, medical history, pathologies, reasons for the initial consultation, reasons for the repeat consultation). * Analyze medical records to assess whether a post-emergency consultation by an APN could have prevented this repeat consultation.
Interventions
None listed
Sponsors
Centre Hospitalier Régional Metz-Thionville
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients who visited the emergency department at 15-day intervals during the study period
Exclusion criteria
* Patients hospitalized at the time of the first consultation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage patients who return for a second consultation | 15 days | Percentage of patients who return for a second consultation within 15 days of their first visit to the emergency department and prifile of patients |
Countries
France
Outcome results
None listed