Emergency medicine physician supervision and mortality among patients receiving care from non-physician clinicians in a task-sharing model of emergency care in rural Uganda: a retrospective analysis of a single-centre training programme.
Brian Travis RiceAshley E PickeringColleen LaurencePrisca Mary KizitoRebecca A LeffSteven Jonathan KisingiriCharles NdyamwijukaSerena NakatoLema Felix AdrikoMark Bisanzonull nullnull nullPublished in: BMJ open (2022)
Emergency medicine physician supervision of emergency care non-physician clinicians is independently associated with reduced overall mortality. This benefit appears restricted to the highest risk patients based on abnormal vitals. With over 80% of patients having equivalent mortality outcomes with independent non-physician clinician emergency care, a synergistic model providing variable levels of emergency medicine physician supervision or care based on patient acuity could safely address staffing shortages.
Keyphrases
- emergency medicine
- emergency department
- healthcare
- palliative care
- primary care
- end stage renal disease
- quality improvement
- public health
- ejection fraction
- newly diagnosed
- chronic kidney disease
- cardiovascular events
- affordable care act
- peritoneal dialysis
- metabolic syndrome
- chronic pain
- case report
- clinical trial
- social media
- drug delivery
- patient reported
- emergency medical