PHP64 Reorganisation of Hospital Emergency Services: A Business Case for Quality Improvement

In Switzerland, emergency care has no gatekeeping system and emergency wards are increasingly overcrowded by walk-in patients. This leads to inefficient use of spezialised resources. Treatment costs are paid by public sources and, beyond some co-payment, reimbursed by health care insurances via tariffs. Given the problems above, a public hospital (Stadtspital Waid; Zurich; catchment population 180'000 people) reorganised its emergency service in 2008. A nurse led triage system and a General Practitioner-led emergency service was implemented beside the conventional emergency ward