Primary care features that affect unscheduled secondary care use
Citation: Huntley A, Lasserson D, Wye L, et al. Which features of primary care affect unscheduled secondary care use? A systematic review. BMJ open. 2014 May 1;4(5):e004746.
What is this? The COVID-19 pandemic is placing a strain on healthcare services. Existing research on features of primary care that influence unscheduled secondary care use might provide useful information to policy makers.
In this systematic review, the author searched for observational studies about factors and interventions in primary care that impact on unscheduled secondary care visits. They did not restrict their search by language of publication but limited to studies published between 2000 and October 2012. They included 48 studies.
What was found: Patient factors associated with emergency department visits and emergency admissions were increased age, reduced socioeconomic status, lower educational attainment, chronic disease and multimorbidity.
Being able to see the same healthcare professional in primary care reduced unscheduled secondary care.
Generally, better access to primary care was associated with reduced unscheduled secondary care in the USA.
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