Conceptualising urgent care: taxonomy, terminology, and relationships with primary and emergency care.

IF 1.4
Nicole W Carter, Shelley Gower, Christopher Helms, Janie A Brown
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Abstract

Objective The aim of this study was to develop a taxonomy of urgent care service models and their relationships within healthcare systems through concept mapping, and by addressing inconsistent terminology and service classifications. Methods This descriptive study used an iterative mapping methodology to analyse and categorise urgent care services. Data collection involved literature describing urgent care models across international healthcare systems, focusing on terminology, operational characteristics, and integration points with primary and emergency care. This was complemented by an Australian urgent care model analysis, that is, a comparative review of publicly declared service characteristics and clinical scopes across Australian urgent care models, coded to ICD-10 (International Classification of Diseases, 10th Revision) and presented in tabular form. Results The concept map presents a taxonomy of healthcare services across three distinct care pathways based on condition acuity: primary care for non-urgent needs, urgent care for non-life-threatening conditions requiring prompt, non-scheduled treatment, and emergency care for acute emergencies. The map establishes standardised nomenclature, including intersectoral areas such as co-located facilities and nurse practitioner walk-in services. Supplementary analysis highlights scope variation between models, particularly differences in procedural capability, diagnostics access and mental health response. These findings inform current Australian policy directions, particularly the Medicare Urgent Care Clinics rollout. Conclusions This concept map provides a framework for examining urgent care services within the broader healthcare landscape. Alongside a comparative analysis of Australian models, it supports systematic investigation, highlights variation in service scope and design, and informs planning, integration and policy development across diverse urgent care settings.

急诊护理的概念:分类、术语以及与初级和急诊护理的关系。
本研究的目的是通过概念映射,并通过解决不一致的术语和服务分类,开发紧急护理服务模式的分类及其在医疗保健系统中的关系。方法本描述性研究采用迭代映射方法对紧急护理服务进行分析和分类。数据收集涉及描述国际卫生保健系统中紧急护理模式的文献,重点关注术语、操作特征以及初级和紧急护理的整合点。该研究还得到了澳大利亚紧急护理模式分析的补充,即对澳大利亚紧急护理模式公开宣布的服务特征和临床范围进行比较审查,编码为ICD-10(国际疾病分类,第十次修订),并以表格形式呈现。结果概念图根据病情的急性程度,呈现了三种不同护理途径的医疗保健服务分类:针对非紧急需求的初级护理,针对需要及时、非计划治疗的非危及生命疾病的紧急护理,以及针对急性紧急情况的紧急护理。该地图建立了标准化的命名法,包括部门间领域,如同一地点的设施和护士执业无预约服务。补充分析强调了模式之间的范围差异,特别是在程序能力、获得诊断和心理健康应对方面的差异。这些发现为当前澳大利亚的政策方向提供了信息,特别是医疗保险紧急护理诊所的推出。该概念图为在更广泛的医疗保健领域内检查紧急护理服务提供了一个框架。除了对澳大利亚模式的比较分析外,它还支持系统调查,突出服务范围和设计的变化,并为不同紧急护理环境的规划、整合和政策制定提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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