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Background <p>In Germany, the alternative care of patients with ambulatory treatment needs has been discussed for years as a&#xa0;way to relieve emergency departments. This study provides insights into currently implemented models of patient streaming and integrated acute and emergency care.</p> Methods <p>Between July 2023 and July 2024 emergency department physicians were surveyed online. One section targeted management personnel and gathered information on care structures and case numbers. Based on this, the potential for relieving emergency departments was calculated. The analysis was descriptive.</p> Results <p>Of the 370 participants 28% (<i>n</i> = 105) held management positions in the emergency department and 50% (<i>n</i> = 45) of those with alternative structures reported collaborations with the Association of Statutory Health Insurance Physicians. Standardized patient streaming was implemented in 43% (<i>n</i> = 24), often based on triage. The median indicated relief potential was 21%.</p> Discussion <p>The findings reveal a&#xa0;heterogeneous care landscape with varying patient streaming approaches and relevant potential to relieve emergency departments. Due to the small number of cases and a&#xa0;convenience sample, the results should be interpreted as exploratory. Further research could support the evidence-based development of acute and emergency care.</p>

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Quo vadis: Steuerung in der Notfall- und Akutversorgung?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月18日

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  • Daniela Krüger,
  • Fereschta Möhring,
  • Eva-Maria Steppeler,
  • Sylwia Steinke,
  • Felix Holzinger,
  • Cornelia Wäscher,
  • Konrad Schmidt,
  • Anna Slagman

摘要

Background

In Germany, the alternative care of patients with ambulatory treatment needs has been discussed for years as a way to relieve emergency departments. This study provides insights into currently implemented models of patient streaming and integrated acute and emergency care.

Methods

Between July 2023 and July 2024 emergency department physicians were surveyed online. One section targeted management personnel and gathered information on care structures and case numbers. Based on this, the potential for relieving emergency departments was calculated. The analysis was descriptive.

Results

Of the 370 participants 28% (n = 105) held management positions in the emergency department and 50% (n = 45) of those with alternative structures reported collaborations with the Association of Statutory Health Insurance Physicians. Standardized patient streaming was implemented in 43% (n = 24), often based on triage. The median indicated relief potential was 21%.

Discussion

The findings reveal a heterogeneous care landscape with varying patient streaming approaches and relevant potential to relieve emergency departments. Due to the small number of cases and a convenience sample, the results should be interpreted as exploratory. Further research could support the evidence-based development of acute and emergency care.