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Same-day emergency care

Michael Houghton
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DOI: https://doi.org/10.7861/clinmed.Let.23.1.1
Clin Med January 2023
Michael Houghton
General practitioner (retired), Preston, UK, and GP with special interest in acute medicine (retired), University Hospital Coventry, Coventry, UK
Roles: chair of medicine
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Editor – I enjoyed the recent article ‘How do we identify acute medical admissions that are suitable for same-day emergency care’.1 From a secondary care perspective, it was both clear and comprehensive while acknowledging that there were unanswered questions.

A crucial issue not focused on was how to integrate these patients with primary care. Achieving this poses many challenges, not only because are there workforce issues but also because there has been a divergence away from shared decision making over many years now. One model, published in your journal, offered a partial solution.2

Algorithms and guidelines have allowed a huge amount of progress to be made. Significant challenges remain, however, if good communication, motivation and clinical judgement are not incorporated into the model. Future training of health professionals on both sides of the divide needs to focus on these qualities.

  • © Royal College of Physicians 2023. All rights reserved.

References

  1. ↵
    1. Atkin C
    , Riley B, Sapey E. How do we identify acute medical admissions that are suitable for same day emergency care. Clin Med 2022;22:131–9.
    OpenUrlAbstract/FREE Full Text
  2. ↵
    1. Houghton M
    . Acute Medicine – an alternative take. Clin Med 2011;11:26–7.
    OpenUrlAbstract/FREE Full Text
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Same-day emergency care
Michael Houghton
Clinical Medicine Jan 2023, 23 (1) 99; DOI: 10.7861/clinmed.Let.23.1.1

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Same-day emergency care
Michael Houghton
Clinical Medicine Jan 2023, 23 (1) 99; DOI: 10.7861/clinmed.Let.23.1.1
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