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Erschienen in: Notfall +  Rettungsmedizin 5/2011

01.08.2011 | Leitthema

Emergency medicine in the UK

Development, current status, and perspectives

verfasst von: MD, MSc, PGCert, MRCS, MFSEM, DRCOG, DIMC RCSED, FCEM P.D. Dissmann

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 5/2011

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Abstract

Since its early beginnings in the 1950s, emergency medicine (EM) in the UK has come of age and has long been a recognized clinical specialty in its own right. The late 1990s and the early part of the millennium saw an expansion of the previously mainly surgical- and trauma-orientated workload of emergency departments (EDs) into a more and more acute medical and critical care case-mix with increasing levels of acuity and complexity. A recent national trainee survey conducted by the General Medical Council in 2010 revealed a trend towards above-average overall trainee satisfaction scores for core EM trainees. UK EDs operate with relatively fewer consultant whole-time equivalents than comparable EDs in North America and Australasia. As of April 2011 a revised Health Resource Group 4.0 tariff came into effect, and it is expected that most UK EDs will see an increase in income generation by up to 40% as a result of this. With the development of EM as a specialty, the primary care sector has progressively withdrawn from urgent and emergency care provision, although this trend has seen a slight reversal since the restructuring of general practice commissioning. Early data seem to suggest, however, that EDs are clinically safer, more effective and more cost-efficient when compared to primary care-run urgent care centres.
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Metadaten
Titel
Emergency medicine in the UK
Development, current status, and perspectives
verfasst von
MD, MSc, PGCert, MRCS, MFSEM, DRCOG, DIMC RCSED, FCEM P.D. Dissmann
Publikationsdatum
01.08.2011
Verlag
Springer-Verlag
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 5/2011
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-011-1457-5