Early senior decision-making in acute medicine: a critical review of health policy and implications for practice.
Acute Med
; 21(3): 126-130, 2022.
Article
in En
| MEDLINE
| ID: mdl-36427210
ABSTRACT
UK urgent care health policies advocate senior clinical decision-making at the point of referral into the system. The costs of employing senior clinicians in this role are substantial with little evidence of the value they bring over other strategies, particularly for patient outcomes. We sought to explore current remote and ambulatory emergency care decision-making in acute medical care in a large central healthcare system - NHS Scotland. We found that many sites use remote decision-making for some allocation decisions. However, involvement of clinical expertise varies, and available decision-aids are few. There is also variation in access to resources that facilitate non-admission. Research into the value that senior clinicians bring to this task over other strategies is required.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Decision Making
/
Health Policy
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Acute Med
Year:
2022
Document type:
Article