Abstract:
A systematic review examined the barriers and facilitators influencing the success and sustainability of after hours care models on acute care utilisation. Extensive research had been undertaken in many countries, particularly in the United Kingdom, The United States of America, Ireland, Canada, Denmark, Sweden, and to a lesser degree Australia. The literature covered the period from 1970¿2008. The evidence demonstrated a positive impact on acute service utilisation patterns. There were few relevant randomised control trials. The evidence was largely based on quasi experimental (time series), before and after or comparative studies. Study results often noted barriers and facilitators for model success and sustainability. The relevant literature was largely international, so results may need to be interpreted in a considered way given geographical, cultural and social differences. This said the findings are relevant to the Australian context.
