A total of 653 referrals from general practitioners to an acute surgical service were audited prospectively over a period of 4 months.
Middle-grade staff accepting these referrals were able to deal with 182 (27.9 per cent) of these calls without surgical admission.
A further 189 (28.9 per cent) referrals were seen on a surgical assessment unit and were not admitted to a surgical ward.
The resultant cost saving was approximately £10 000.
This confirms that the ready provision of an experienced surgical opinion in combination with early assessment can reduce the number of unnecessary acute surgical admissions referred from general practitioners.
Mots-clés Pascal : Centre orientation, Service hospitalier, Chirurgie, Evaluation performance, Critère décision, Admission hôpital, Analyse coût, Expérience professionnelle, Audit, Homme, Economie santé
Mots-clés Pascal anglais : Referral center, Hospital ward, Surgery, Performance evaluation, Decision criterion, Hospital admission, Cost analysis, Professional experience, Audit, Human, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0000544
Code Inist : 002B30A04D. Création : 21/05/1997.