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Cost effects of nurse led triage at an emergency department with the advice to consult the adjacent general practice cooperative for low-risk patients, a cluster randomised trial

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  • Morreel, Stefan
  • Homburg, Ines
  • Philips, Hilde
  • De Graeve, Diana
  • Monsieurs, Koenraad G.
  • Meysman, Jasmine
  • Lefevere, Eva
  • Verhoeven, Veronique

Abstract

During the TRIAGE trial, emergency nurses diverted 13.3% of patients with low-risk complaints from a Belgian emergency department (ED) to the adjacent general practitioner cooperative (GPC). We examined the effects of this diversion on the total cost, insurance costs and patient costs, as charged on the invoice. Changes in the cost composition and the direct impact on revenues of both locations were examined as a secondary objective.

Suggested Citation

  • Morreel, Stefan & Homburg, Ines & Philips, Hilde & De Graeve, Diana & Monsieurs, Koenraad G. & Meysman, Jasmine & Lefevere, Eva & Verhoeven, Veronique, 2022. "Cost effects of nurse led triage at an emergency department with the advice to consult the adjacent general practice cooperative for low-risk patients, a cluster randomised trial," Health Policy, Elsevier, vol. 126(10), pages 980-987.
    • Handle: RePEc:eee:hepoli:v:126:y:2022:i:10:p:980-987
    DOI: 10.1016/j.healthpol.2022.08.002
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    1. Léonard, Christian & Stordeur, Sabine & Roberfroid, Dominique, 2009. "Association between physician density and health care consumption: A systematic review of the evidence," Health Policy, Elsevier, vol. 91(2), pages 121-134, July.
    2. Brekke, Kurt R. & Holmås, Tor Helge & Monstad, Karin & Straume, Odd Rune, 2019. "Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certificates?," Journal of Health Economics, Elsevier, vol. 66(C), pages 117-135.
    3. Hong, Michael & Thind, Amardeep & Zaric, Gregory S. & Sarma, Sisira, 2020. "The impact of improved access to after-hours primary care on emergency department and primary care utilization: A systematic review," Health Policy, Elsevier, vol. 124(8), pages 812-818.
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