The Impact on Emergency Department Utilization and Patient Flows after Integrating with a General Practitioner Cooperative: An Observational Study

Table 2

Effect of the closure of another city's ED on patient numbers and percentage on the researched ED.

		Patient	Origin			Follow-up
			Self-referral	GP referral	Ambulance	No/GP follow-up	Hosp. admissions	Outpatient clinic
*	ECAP	𝑁	%^†			%^†
2006	Before	4697	59.2	19.2	10.6	37.7	27.9	32.5
2007	Before	4902	59.8	18.4	9.8	42.9	25.3	29.5
2008	Before	6193	60.1	20.2	12.0	44.7	22.3	29.5
2009	After	4307	0.5	67.0	17.0	27.1	33.1	37.7
2010	After	4110	0.2	65.3	15.8	25.1	35.6	36.6
2011	After	4399	0.4	62.9	16.9	22.7	37.9	37.1

∗Each year contains a three-month period covering September, October, and November. In the before period, the ECAP had not been implemented, and the ED closure in 2008 is the only regional change in the emergency healthcare setting. In the after period, the ECAP is implemented as well. †Mean percentage.