Skip to main content
Log in

The effect of a new general practice out-of-hours co-operative on a county hospital accident and emergency department

  • Original Article
  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Abstract

Background

The Southdoc GP co-operative was introduced to north County Cork in August 2005. The purpose of this study was to assess the impact of this co-op on the attenders at the A + E department in the local county hospital at Mallow.

Methods

All out-of-hours attenders during 3 months of the winter prior to the introduction of Southdoc were analysed and compared to the out-of-hours attenders for the corresponding period the following winter, after the co-op was introduced. The attenders were classed as necessary or unnecessary using the ‘process of care’ tool. The two groups were also analysed for the number of attenders who were fully discharged after having a normal X-ray as their only investigation, as well as the number of admissions and transfers to other hospitals, and also the number of non-surgical paediatric attenders.

Results

No statistically significant difference was found between the two groups for any parameters analysed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Murphy AW (1998) ‘Inappropriate’ attenders at accident and emergency departments I: definition, incidence and reasons for attendance. Fam Pract 15:23–32. doi:10.1093/fampra/15.1.23

    Article  PubMed  CAS  Google Scholar 

  2. Stoddart D, Ireland AJ, Crawford R, Kelly B (1999) Impact on an accident and emergency department of Glasgow’s new primary care emergency service. Health Bull (Edinb) 57(3):186–191

    CAS  Google Scholar 

  3. Van Uden CJT, Crebolder HFJM (2004) Does setting up out of hours primary care cooperatives outside a hospital reduce demand for primary care? Emerg Med J 21:722–723. doi:10.1136/emj.2004.016071

    Article  PubMed  Google Scholar 

  4. Van Uden CJT, Winkens RAG, Wesseling G, Fiolet HBFM, van Schayck OCP, Crebolder HFJM (2005) The impact of a primary care physician cooperative on the caseload of an emergency department: the Maastricht integrated out-of-hours service. J Gen Intern Med 20:612–617. doi:10.1111/j.1525-1497.2005.0091.x

    Article  PubMed  Google Scholar 

  5. Lowy A, Kohler B, Nicholl J (1994) Attendance at accident and emergency departments: unnecessary or inappropriate? J Public Health Med 16(2):134–140

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to N. O’Keeffe.

Rights and permissions

Reprints and permissions

About this article

Cite this article

O’Keeffe, N. The effect of a new general practice out-of-hours co-operative on a county hospital accident and emergency department. Ir J Med Sci 177, 367–370 (2008). https://doi.org/10.1007/s11845-008-0195-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11845-008-0195-2

Keywords

Navigation