Emergency departments around the world are reporting increased activity and thus increased risk of crowding . As crowding is a high-risk situation for patients and staff with potentially detrimental outcomes , hospital owners and governmental bodies are trying to control patient influx [1, 3]. One way to limit emergency department access is to require prior mandatory referral from a primary healthcare provider. From 2011 to 2014, Denmark implemented nationwide mandatory referral for access to an emergency department, and a similar scheme was recently introduced in the UK . Danish citizens are now required to either contact a general practitioner, request emergency medical services, or call a hotline staffed by experienced emergency nurses. This letter describes the effect of such mandatory referral on the number of hospital attendances.
- Mikkel BrabrandStefan PosthMickael BechSören MöllerMarianne FløjstrupSøren Bie Bogh
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Published inInternal and Emergency Medicine