Johnstone Jack, Perry Chris, Rigby Ellice, Capps Lisa, Johnson Richard
Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.
Alice Springs Hospital, Alice Springs, Australia.
Emerg Med Australas. 2025 Oct;37(5):e70135. doi: 10.1111/1742-6723.70135.
This study aimed to identify presentations to the Alice Springs Emergency Department that could be managed in an Urgent Care Centre (UCC).
We reviewed 1 year of ED presentation data at Alice Springs Hospital (ASH) from August 2022 to August 2023 and used a sequence of exclusion criteria to identify patients most likely to be eligible for UCC management.
Our model indicated that 35.0% of ED presentations at ASH during this period could have been managed in a UCC. Only 41.5% of these presentations (14.5% of total presentations) occurred during UCC operating hours.
According to this model, a significant proportion of ED presentations could potentially be managed in a UCC, although a large proportion of these occurred outside of UCC opening hours. The impact of the introduction of a UCC into a remote community on ED presentations, patient experience, patient outcomes and the broader system requires further study.
本研究旨在确定可在紧急护理中心（UCC）进行管理的爱丽丝泉急诊科就诊病例。
我们回顾了2022年8月至2023年8月爱丽丝泉医院（ASH）急诊科一年的就诊数据，并使用一系列排除标准来确定最有可能符合UCC管理条件的患者。
我们的模型表明，在此期间ASH急诊科35.0%的就诊病例本可在UCC进行管理。这些就诊病例中只有41.5%（占总就诊病例的14.5%）发生在UCC的营业时间。
根据该模型，虽然急诊科很大一部分就诊病例发生在UCC营业时间之外，但仍有很大比例的病例可能在UCC进行管理。在偏远社区引入UCC对急诊科就诊、患者体验、患者结局及更广泛系统的影响需要进一步研究。
