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Primary care in accident and emergency and general practice: A comparison

Author

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  • Green, Judith
  • Dale, Jeremy

Abstract

This paper reviews the way in which literature describing 'inappropriate' attenders at Accident and Emergency (A & E) departments in Britain has suggested that they could be provided for in General Practice and that their attendance at A & E departments therefore implies a 'failure' of general practice in urban areas. One problem with much previous research is that 'inappropriate' attenders have been retrospectively identified. The comparative survey of attenders at a London A & E department and patients visiting their GP in the same district reported here prospectively identified A & E attenders with primary care problems and examined the differences between them and the GP attenders. Patients attending the hospital A & E department were similar to the GP attenders in terms of socio-economic indicators, but had problems which were not typical of the general practice workload and were in different circumstances. The results suggest that there will be a continuing demand for hospital-provided primary care in urban areas, and that attempts to deflect such care to the community will meet with limited success.

Suggested Citation

  • Green, Judith & Dale, Jeremy, 1992. "Primary care in accident and emergency and general practice: A comparison," Social Science & Medicine, Elsevier, vol. 35(8), pages 987-995, October.
    • Handle: RePEc:eee:socmed:v:35:y:1992:i:8:p:987-995
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    Cited by:

    1. Lega, Federico & Mengoni, Alessandro, 2008. "Why non-urgent patients choose emergency over primary care services? Empirical evidence and managerial implications," Health Policy, Elsevier, vol. 88(2-3), pages 326-338, December.
    2. Corinne Blöchliger & Joseph Osterwalder & Christoph Hatz & Marcel Tanner & Thomas Junghanss, 1998. "Asylsuchende und Flüchtlinge in der Notfallstation," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 43(1), pages 39-48, January.
    3. Lee, Albert & Hazlett, Clarke B. & Chow, S. & Lau, Fei-lung & Kam, Chak-wah & Wong, Patrick & Wong, Tai-wai, 2003. "How to minimize inappropriate utilization of Accident and Emergency Departments: improve the validity of classifying the general practice cases amongst the A&E attendees," Health Policy, Elsevier, vol. 66(2), pages 159-168, November.

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