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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
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. |
format | Online Article Text |
id | pubmed-5868242 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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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