Table 2.

Treatment groups managed in primary care or in the alternative hospital model (2019)

Group	Clinical features	No. of patients	Content of management in primary care, including X-ray	Alternative hospital-based management, without X-ray in primary care
A	No fracture on X-ray and no further treatment.	273	Consultation, including X-ray (20–35 min)	Consultation in primary care (20–35 min), contact hospital, referral notes for X-ray and outpatient clinic, order transport. In hospital: Consultation, including assessment of X-ray by physician at orthopaedic outpatient clinic.
B	Confirmed fracture on X-ray, but no need for repositioning, treatment with cast.	80	Consultation, including X-ray and treatment with cast (35–50 min)	Consultation in primary care (20–35 min), contact hospital, referral notes for X-ray and outpatient clinic, order transport. In hospital: Consultation, including assessment of X-ray by physician at orthopaedic outpatient clinic, treatment with cast.
C	Confirmed fracture on X-ray, need for repositioning, treatment with cast.	29	Consultation, including X-ray and X-ray control after cast (50–65 min)	Consultation in primary care (20–35 min), contact hospital, referral notes for X-ray and outpatient clinic, order transport. In hospital: Consultation, including assessment of X-rays by physician at orthopaedic outpatient clinic, repositioning and treatment with cast.
D	Confirmed fracture on X-ray, referral to hospital without further treatment in primary care.	9	Consultation, including X-ray (20–35 min)	Consultation in primary care (20–35 min), contact hospital, referral notes for X-ray and outpatient clinic, order transport. In hospital: Consultation, including assessment of X-rays by physician at orthopaedic outpatient clinic, treatment with cast, surgery or other.
E	Clinical fracture with or without other complicating traumas, sent directly to hospital by ambulance without consultation in primary care.	12	No consultation, with or without communication with ambulance paramedics.	No consultation in primary care. In hospital: Consultation, including assessment of X-rays by physician at orthopaedic outpatient clinic, treatment with cast, surgery or other.