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Main Title: Emergency and urgent care systems in Australia, Denmark, England, France, Germany and the Netherlands – Analyzing organization, payment and reforms
Author(s): Baier, Natalie
Geissler, Alexander
Bech, Mickael
Bernstein, David
Cowling, Thomas E.
Jackson, Terri
Manen, Johan van
Rudkjøbing, Andreas
Quentin, Wilm
Type: Article
Abstract: Introduction: Increasing numbers of hospital emergency department (ED) visits pose a challenge to health systems in many countries. This paper aims to examine emergency and urgent care systems, in six countries and to identify reform trends in response to current challenges. Methods: Based on a literature review, six countries – Australia, Denmark, England, France, Germany and the Netherlands – were selected for analysis. Information was collected using a standardized questionnaire that was completed by national experts. These experts reviewed relevant policy documents and provided information on (1) the organization and planning of emergency and urgent care, (2) payment systems for EDs and urgent primary care providers, and (3) reform initiatives. Results: In the six countries four main reform approaches could be identified: (a) extending the availability of urgent primary care, (b) concentrating and centralizing the provision of urgent primary care, (c) improving coordination between urgent primary care and emergency care, and (d) concentrating emergency care provision at fewer institutions. The design of payment systems for urgent primary care and for emergency care is often aligned to support these reforms. Conclusion: Better guidance of patients and a reconfiguration of emergency and urgent care are the most important measures taken to address the current challenges. Nationwide planning of all emergency care providers, closely coordinated reforms and informing patients can support future reforms.
Subject(s): emergency services
ambulatory care
health care reforms
comparative research
Issue Date: 10-Nov-2018
Date Available: 10-Mar-2022
Is Part Of: 10.14279/depositonce-14981
Language Code: en
DDC Class: 330 Wirtschaft
610 Medizin und Gesundheit
Journal Title: Health policy
Publisher: Elsevier
Volume: 123
Issue: 1
Publisher DOI: 10.1016/j.healthpol.2018.11.001
Page Start: 1
Page End: 10
EISSN: 1872-6054
ISSN: 0168-8510
TU Affiliation(s): Fak. 7 Wirtschaft und Management » Inst. Technologie und Management (ITM) » FG Management im Gesundheitswesen
Appears in Collections:Technische Universität Berlin » Publications

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