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Possible futures of acute medical care in the NHS : a multispecialty approach
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Dean, John, Jones, Mike, Dyer, Philip, Moulton, Chris, Price, Vicky and Lasserson, Daniel (2022) Possible futures of acute medical care in the NHS : a multispecialty approach. Future Healthcare Journal, 9 (2). pp. 125-132. doi:10.7861/fhj.2022-0050 ISSN 2514-6645.
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Official URL: http://dx.doi.org/10.7861/fhj.2022-0050
Abstract
Changing population demographics and needs are resulting in a continual rise in acute medical admissions. This review draws on the observations of the NHS GIRFT programme across England. Fundamental aspects of acute medical care are not universally provided, resulting in preventable hospitalisation and over-use of emergency departments. Such aspects include care outside hospitals; appropriately sized, staffed, located and configured acute medical units; multispeciality same-day emergency care (SDEC) pathways; multidisciplinary care on wards; and readmission prevention. ‘Hospital at home’ services are developing, and require local evaluation. SDEC is expanding. Digital technologies make it possible to provide acute care in and across more settings. Addressing the fundamentals of acute medical care, evaluating new service opportunities, strong clinical and managerial partnerships, better data for analytics, and a multispeciality, multiprofessional approach will enable a better level of care to be achieved.
Item Type: | Journal Article | ||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Future Healthcare Journal | ||||||
Publisher: | Royal College of Physicians | ||||||
ISSN: | 2514-6645 | ||||||
Official Date: | 18 July 2022 | ||||||
Dates: |
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Volume: | 9 | ||||||
Number: | 2 | ||||||
Page Range: | pp. 125-132 | ||||||
DOI: | 10.7861/fhj.2022-0050 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 2 September 2022 |
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