Umc 24 hour urgent care7/22/2023 Factors that influence crowding across Europe are an ageing population, improved treatment modalities, limited human and physical hospital resources and delayed ancillary services. This manifests as delays in the EDs, adverse clinical outcomes and poor patient experience. Visible consequences of the increased demand on acute services are crowding and queuing: a situation wherein the need for emergency services exceeds available resources at the ED or in the hospital. In addition, medical patients presenting at the ED are often characterized by multimorbidity and polypharmacy leading to complex clinical presentations needing more diagnostics and multidisciplinary care. A direct association between an aging population and increased utilization of emergency services exists. Demographic changes and governmental policy changes play an important role in this increasing demand. The demand on Emergency Departments (ED) and acute medical services is increasing internationally, creating pressure on health systems and negatively influencing the quality of delivered care. Finally, to improve the organisation of health care, doctors need to be visible medical leaders and participate in the organisation of care. In both countries the changing case mix at the ED needs doctors who are superspecialists instead of subspecialists. The Netherlands may benefit from an acute ambulatory care system and the UK by optimizing the accessibility of GPs 24/7 and improving signposting for urgent care services. We believe that each system has strengths that the other can learn from. The acute and emergency care in the Netherlands and the UK face similar challenges. In both countries the ageing population leads to a changing case mix at the ED with an increased amount of multimorbid patients with polypharmacy, requiring generalistic and multidisciplinary care. Acute ambulatory care may relieve the pressure from EDs and Acute Medical Units. In the UK, the acute care system has a number of different access points and the accessibility of GPs seems to be suboptimal. GPs and so-called GP-posts serve 24/7 as gatekeepers in acute care, but EDs are heterogeneously organised. In the Netherlands, less patients are seen at the ED than in England and the admission rate is higher. Given the similarities in funding, this paper explores the similarities and differences in the organisational structure of acute care in the UK and the Netherlands. Overviewĭespite the similarities in the UK’s and Dutch health care systems, such as universal health coverage, there are differences in the number of patients presenting at the Emergency Departments and the burden of crowding between these countries. This manifests as delays in the Emergency Departments, adverse clinical outcomes and poor patient experience. Visible consequences of the increased demand on acute services is crowding and queuing. The demand on Emergency Departments and acute medical services is increasing internationally, creating pressure on health systems and negatively influencing the quality of delivered care.
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