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. 2023 Aug 16;19(837):1452-1455.
doi: 10.53738/REVMED.2023.19.837.1452.

[Frequent users of the emergency department: current knowledge and future opportunities]

[Article in French]
Affiliations

[Frequent users of the emergency department: current knowledge and future opportunities]

[Article in French]
Dimitri Durr et al. Rev Med Suisse. .

Abstract

Frequent users of the emergency department (ED) who contribute to ED overcrowding are a well-known public health issue. An integrative and multidisciplinary approach through case management (CM) is the intervention of choice to reduce the number of ED visits. This strategy seems to work particularly well among patients with psychiatric comorbidities and could also be implemented in the prehospital setting in collaboration with emergency medical services and primary care physicians. The actual implementation of CM has however not yet progressed. Ongoing studies aimed at proving the economic and medical efficiency of CM could lead to a wider implementation in the future.

Les grands consommateurs des services d’urgences (GCSU) qui participent à l’engorgement de ces services sont un enjeu de santé publique bien connu. Une approche intégrative et pluridisciplinaire sous forme de case management (CM) est l’approche de prédilection afin de diminuer le nombre de consultations aux urgences. Cette stratégie semble particulièrement bien fonctionner chez des GCSU avec comorbidités psychiatriques et pourrait être également mise en place dès la phase préhospitalière par les services d’ambulances et les médecins généralistes. L’implémentation concrète du CM peine pourtant à progresser. Des études en cours visant à en prouver l’efficacité économique et médicale pourraient favoriser une mise en place plus large dans un futur proche.

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Conflict of interest statement

Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

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