scholarly journals Impact of Minimum Unit Pricing on Alcohol-Related Emergency Department Attendances in Scotland: A Natural Experiment Study

2020 ◽  
Author(s):  
Vivian So ◽  
Andrew D. Millard ◽  
Srinivasa Vittal Katikireddi ◽  
Paolo Deluca ◽  
Colin Drummond ◽  
...  
Keyword(s):  
Emergency Department ◽  
Natural Experiment ◽  
Experiment Study ◽  
Unit Pricing

scholarly journals Health impacts of UK Lone Parent Obligations: a natural experiment study using data from the UK household panel survey, Understanding Society

The Lancet ◽  
2017 ◽  
Vol 390 ◽  
pp. S2
Author(s):  
Ruth Dundas ◽  
Oarabile Molaodi ◽  
Marcia Gibson ◽  
S Vittal Katikireddi ◽  
Peter Craig
Keyword(s):  
Natural Experiment ◽  
Health Impacts ◽  
Panel Survey ◽  
Experiment Study ◽  
Lone Parent ◽  
Using Data ◽  
The Uk

scholarly journals Effects of restrictions to Income Support on health of lone mothers in the UK: a natural experiment study

2018 ◽  
Vol 3 (7) ◽  
pp. e333-e340 ◽  
Author(s):  
Srinivasa Vittal Katikireddi ◽  
Oarabile R Molaodi ◽  
Marcia Gibson ◽  
Ruth Dundas ◽  
Peter Craig
Keyword(s):  
Natural Experiment ◽  
Income Support ◽  
Experiment Study ◽  
Lone Mothers ◽  
The Uk

scholarly journals A natural experiment study of the effects of imprisonment on violence in the community

2019 ◽  
Vol 3 (7) ◽  
pp. 671-677 ◽  
Author(s):  
David J. Harding ◽  
Jeffrey D. Morenoff ◽  
Anh P. Nguyen ◽  
Shawn D. Bushway ◽  
Ingrid A. Binswanger
Keyword(s):  
Natural Experiment ◽  
Experiment Study

scholarly journals Author Correction: A natural experiment study of the effects of imprisonment on violence in the community

2020 ◽  
Vol 4 (9) ◽  
pp. 983-983
Author(s):  
David J. Harding ◽  
Jeffrey D. Morenoff ◽  
Anh P. Nguyen ◽  
Shawn D. Bushway ◽  
Ingrid A. Binswanger
Keyword(s):  
Natural Experiment ◽  
Experiment Study

scholarly journals To GP or not to GP: a natural experiment in children triaged to see a GP in a tertiary paediatric emergency department (ED)

2017 ◽  
Vol 27 (7) ◽  
pp. 521-528 ◽  
Author(s):  
Laurie Smith ◽  
Yajur Narang ◽  
Ana Belen Ibarz Pavon ◽  
Karl Edwardson ◽  
Simon Bowers ◽  
...  
Keyword(s):  
Emergency Department ◽  
Natural Experiment ◽  
Care Pathway ◽  
Waiting Times ◽  
Sensitivity Analyses ◽  
Antibiotic Prescribing ◽  
Paediatric Hospital ◽  
Paediatric Emergency Department ◽  
Paediatric Emergency ◽  
The Impact

ObjectiveTo evaluate the impact of integrating a general practitioner (GP) into a tertiary paediatric emergency department (ED) on admissions, waiting times and antibiotic prescriptions.DesignRetrospective cohort study.SettingAlder Hey Children’s NHS Foundation Trust, a tertiary paediatric hospital in Liverpool, UK.ParticipantsFrom October 2014, a GP was colocated within the ED, from 14:00 to 22:00 hours, 7 days a week. Children triaged green on the Manchester Triage System without any comorbidities were classed as ‘GP appropriate’. The natural experiment compared patients triaged as ‘GP appropriate’ and able to be seen by a GP between 14:00 and 22:00 hours (GP group) to patients triaged as ‘GP appropriate’ seen outside of the hours when a GP was available (ED group). Intention-to-treat (ITT) analysis was used to assess the main outcomes.Results5223 patients were designated as ‘GP appropriate’—18.2% of the total attendances to the ED over the study period. There were 2821 (54%) in the GP group and 2402 (46%) in the ED group. The median duration of stay in the ED was 94 min (IQR 63–141) for the GP group compared with 113 min (IQR 70–167) for the ED group (p<0.0005). Using the ITT analysis equivalent, we demonstrated that the GP group were less likely to: be admitted to hospital (2.2% vs 6.5%, OR 0.32, 95% CI 0.24 to 0.44), wait longer than 4 hours (2.3% vs 5.1%, OR 0.45, 95% CI 0.33 to 0.61) or leave before being seen (3.1% vs 5.7%, OR 0.53, 95% CI 0.41 to 0.70), but more likely to receive antibiotics (26.1% vs 20.5%, OR 1.37, 95% CI 1.10 to 1.56). Sensitivity analyses yielded similar results.ConclusionsIntroducing a GP to a paediatric ED service can significantly reduce waiting times and admissions, but may lead to more antibiotic prescribing. This study demonstrates a novel, potentially more efficient ED care pathway in the current context of rising demand for children’s emergency services.

scholarly journals Urgent care centres reduce emergency department and primary care same-day visits: a natural experiment

2019 ◽  
Vol 34 (3) ◽  
pp. 170-177
Author(s):  
Jorge Pacheco ◽  
Cristóbal Cuadrado ◽  
María Soledad Martínez-Gutiérrez
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Natural Experiment ◽  
Urgent Care
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