Managing chronic illness in the community
This is less about the community, GPs and EDs working together as opposed to the community, GPs and the specialsit teams who manage chronic illness.
The staff in the ED are less familiar with these patients then their GP and their specialist treating team and thus in many ways have very little to offer unless their acute deterioration / exacerbation requires resuscitation. ED's involvement may well invite unnecessary investigation and management as a result of this lack of familiarity.
Why the contribution is important
The growing number of patients with chronic illnesses as the community ages is becoming a signiifcant burden on the health system. Optimising the ability to manage these patients in the community with the support of GPs, specialist teams and case managers / nurse navigators is paramount.
A new approach to the role of the ED when such patients become unwell needs to be re-examined. The ED will always have a role when resuscitation is required. But many patients present to ED with acute exacerbations that could either be managed elsewhere in the community or if requiring admission could be managed by the specialist team within the ward environment; thus by-passing the ED.
by collierj on August 15, 2019 at 09:14AM