Urgent Care Centres: A Scan of Models of Care and Literature on Their Effectiveness
Notice bibliographique
Résumé
What is the Issue? Urgent care centres (UCCs) are medical clinics that provide same-day urgent treatment for non-life-threatening illnesses or injuries. The level of services they can provide is more comprehensive than primary care walk-in clinics but less comprehensive than emergency departments (EDs). In Canada, many people do not have timely access to primary care services, and EDs face overcrowding, which results in long wait times and patients leaving without being seen. UCCs may fill a gap between primary care and emergency services; however, there is no single definition or specified model for these clinics. There is a need for detailed information about the range and scope of UCCs operating across Canada. What Did We Do? We surveyed health care and administrative professionals about the characteristics and their experiences of UCCs in Canadian jurisdictions. We searched key resources, including journal citation databases, and conducted a focused internet search for relevant evidence published since 2015, to examine the effectiveness of UCCs in Canada or countries with similar health care systems. What Did We Find? We received 17 complete survey responses from 7 jurisdictions in Canada. Based on the responses, we found that UCCs vary in their structural and operational components. UCCs typically offer services such as diagnosis and treatment, X-rays, stitches, and lab tests. They are staffed by emergency and family physicians, nurses, allied health care professionals, and administrative staff. Some UCCs operate 24 hours a day, while others have limited hours. The most commonly identified barriers to operating UCCs include staffing and funding. Benefits of these centres were reported to include better access to care and potential relief of some of the burden on EDs. We identified 6 articles that met our inclusion criteria. Two articles examined UCCs dedicated to cancer-related concerns, and 4 articles examined general UCCs. The authors’ conclusions about the effectiveness of UCCs were mixed. What Does This Mean? The findings of this report can be used as guidance to policy- and decision-makers across Canada who may be in the process of, or considering, implementing UCCs. The findings provide examples of structural and operational components that may suit the needs and contexts of their respective jurisdictions as well as considerations that may help inform implementation.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».