OBJECTIVES To investigate the relation between out of hours activity of general practice and accident and emergency services with deprivation and distance from accident and emergency department. DESIGN Six month longitudinal study. SETTING Six general practices and the sole accident and emergency department in Nottingham. SUBJECTS 4745 out of hours contacts generated by 45,182 patients fr...

RATIONALE, AIMS AND OBJECTIVES The inappropriate use and overcrowding of emergency departments (EDs) by walk-in patients are well-known problems in many countries. The current study aimed to determine whether ambulatory walk-in patients could be treated more efficiently in a new hospital-integrated general practice (HGP) for emergency care services compared to a traditional ED. METHODS We con...

BACKGROUND Family physicians provide care in emergency departments, especially in rural areas; however, no published data describe how they perceive their preparation for emergency practice. We surveyed graduates of Colorado family practice residencies concerning their emergency medicine practice, their comfort working in emergency departments, and their perceived preparation for practicing eme...

BACKGROUND Some emergency admissions can be avoided if acute exacerbations of health problems are managed by the range of health services providing emergency and urgent care. AIM To identify system-wide factors explaining variation in age sex adjusted admission rates for conditions rich in avoidable admissions. DESIGN National ecological study. SETTING 152 emergency and urgent care system...

was born and raised in Jeannette, Pennsylvania. He attended the University of Pittsburgh in 1943 and 1944 before being drafted into the army. While in the army, Dr. Gross served in Japan the year after World War II ended. Thereafter, he returned to his studies for a year at the University of Pittsburgh before entering the Chicago Medical School in 1947. During his college years he played on the...