Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden?

Acute alcohol intoxication (AAI) has a long history of burdening emergency care services. Healthcare systems around the world have explored a variety of different services that divert AAI away from EDs to better manage their condition. Little formal evaluation has been undertaken, particularly in th...

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Autores principales: Irving, Andy, Goodacre, Steve, Blake, Joanne, Allen, Davina, Moore, Simon C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Concepts
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868242/
https://www.ncbi.nlm.nih.gov/pubmed/29183919
http://dx.doi.org/10.1136/emermed-2016-206451
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author Irving, Andy
Goodacre, Steve
Blake, Joanne
Allen, Davina
Moore, Simon C
author_facet Irving, Andy
Goodacre, Steve
Blake, Joanne
Allen, Davina
Moore, Simon C
author_sort Irving, Andy
collection PubMed
description Acute alcohol intoxication (AAI) has a long history of burdening emergency care services. Healthcare systems around the world have explored a variety of different services that divert AAI away from EDs to better manage their condition. Little formal evaluation has been undertaken, particularly in the UK where alcohol misuse is one of the highest in the world. In this article, we outline a brief history of diversionary services, introduce the concept of Alcohol Intoxication Management Services (AIMS) and describe examples of AIMS in the UK. We then describe Evaluating the Diversion of Alcohol-Related Attendances, a natural experiment including six cities with AIMS compared with six cities without, that involves an ethnographic study, records patient experiences in both AIMS and EDs, assesses impact on key performance indicators in healthcare and evaluates the cost-effectiveness of AIMS.
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spelling pubmed-58682422018-03-27 Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden? Irving, Andy Goodacre, Steve Blake, Joanne Allen, Davina Moore, Simon C Emerg Med J Concepts Acute alcohol intoxication (AAI) has a long history of burdening emergency care services. Healthcare systems around the world have explored a variety of different services that divert AAI away from EDs to better manage their condition. Little formal evaluation has been undertaken, particularly in the UK where alcohol misuse is one of the highest in the world. In this article, we outline a brief history of diversionary services, introduce the concept of Alcohol Intoxication Management Services (AIMS) and describe examples of AIMS in the UK. We then describe Evaluating the Diversion of Alcohol-Related Attendances, a natural experiment including six cities with AIMS compared with six cities without, that involves an ethnographic study, records patient experiences in both AIMS and EDs, assesses impact on key performance indicators in healthcare and evaluates the cost-effectiveness of AIMS. BMJ Publishing Group 2018-02 2017-11-28 /pmc/articles/PMC5868242/ /pubmed/29183919 http://dx.doi.org/10.1136/emermed-2016-206451 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Concepts
Irving, Andy
Goodacre, Steve
Blake, Joanne
Allen, Davina
Moore, Simon C
Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden?
title Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden?
title_full Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden?
title_fullStr Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden?
title_full_unstemmed Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden?
title_short Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden?
title_sort managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden?
topic Concepts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868242/
https://www.ncbi.nlm.nih.gov/pubmed/29183919
http://dx.doi.org/10.1136/emermed-2016-206451
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