N Alaqil Nasser Abullah, Alanazi Bader Ghanem, Ali Alghamdi Saleh Abdullah, Alanazi Mohammed Ghanem, Abdullah Alghamdi Ahmed Abdulrahman, Oudah Almalki Ahmed Mayudh, Hassan Alamri Faisal Baalqasim
Family Medicine, Urgent Care Unit, Al Kharj Armed Forces Hospital, Al Kharj, SAU.
Family Medicine, Prince Sultan Military Medical City, Riyadh, SAU.
Cureus. 2025 Apr 8;17(4):e81919. doi: 10.7759/cureus.81919. eCollection 2025 Apr.
This systematic review evaluates the impact of standalone urgent care clinics (UCCs) on reducing emergency department (ED) congestion by assessing their influence on patient volumes, wait times, and length of stay. Additionally, it examines UCCs' role in improving patient satisfaction, optimizing healthcare resource utilization, and enhancing cost-effectiveness. A comprehensive literature search was conducted across five major databases (PubMed, ScienceDirect, Google Scholar, Semantic Scholar, and Directory of Open Access Journals {DOAJ}) using Medical Subject Headings (MeSH) and relevant keywords. Twelve peer-reviewed studies published between 2015 and 2024 met the inclusion criteria, focusing on the relationship between UCC implementation and ED performance metrics. The findings indicate that UCCs significantly reduce ED visits, particularly for non-urgent cases, leading to shorter wait times and improved resource allocation. UCCs also enhance healthcare accessibility for underserved populations and are associated with higher patient satisfaction. Cost-effectiveness analyses suggest that UCCs lower overall healthcare expenditures by reducing unnecessary ED visits. However, challenges such as workforce redistribution and regional disparities in UCC effectiveness remain. Integrating UCCs into healthcare systems reduces ED congestion, improves operational efficiency, lowers costs, and enhances patient satisfaction. Future research should explore long-term patient outcomes and strategies for better integration of UCCs within broader healthcare networks.
本系统评价通过评估独立的紧急护理诊所(UCC)对患者数量、等待时间和住院时间的影响,来评估其对减轻急诊科(ED)拥堵的作用。此外,还考察了UCC在提高患者满意度、优化医疗资源利用和增强成本效益方面的作用。使用医学主题词(MeSH)和相关关键词,在五个主要数据库(PubMed、ScienceDirect、谷歌学术、语义学者和开放获取期刊目录{DOAJ})中进行了全面的文献检索。2015年至2024年间发表的12篇同行评审研究符合纳入标准,重点关注UCC实施与ED绩效指标之间的关系。研究结果表明,UCC显著减少了ED就诊次数,尤其是非紧急情况的就诊次数,从而缩短了等待时间并改善了资源分配。UCC还提高了服务不足人群的医疗可及性,并与更高的患者满意度相关。成本效益分析表明,UCC通过减少不必要的ED就诊降低了总体医疗支出。然而,诸如劳动力重新分配和UCC有效性的地区差异等挑战仍然存在。将UCC纳入医疗系统可减轻ED拥堵、提高运营效率、降低成本并提高患者满意度。未来的研究应探索长期患者结局以及在更广泛的医疗网络中更好地整合UCC的策略。