Nyen Bjørnar, Lindbaek Morten
Stiftelsen GRUK (Gruppe for kvalitetsutvikling i sosial- og helsetjenesten), Nedre Hjellegt. 1, 3724 Skien.
Tidsskr Nor Laegeforen. 2004 Feb 19;124(4):508-9.
We wanted to analyse the frequency of list patient consultations in the off-hour emergency service in Skien.
Over one year, all emergency service consultations between 4 PM and 11 PM on workdays were registered according to the general practitioner (GP) patients used and divided by the number of patients on each list. We performed a multiple linear regression analysis with number of consultations adjusted for the total patient number on the list as the dependent variable.
We found great variation in the consultation rate among patients listed by various GPs. The consultation rate was significantly associated with the practice in which the GP worked. Quarterly feedback of the results to doctors did not change the consultation pattern.
The use of the off-hour emergency service is associated with certain practice characteristics. We assume that the variation results from differences in accessibility by telephone, in the capacity for taking in patients needing urgent attention, and in varying degree of attention to service in the practices.
我们想要分析斯基恩非工作时间急诊服务中列入名单患者的就诊频率。
在一年多的时间里，工作日下午4点至晚上11点之间的所有急诊服务就诊情况均根据所使用的全科医生（GP）患者名单进行登记，并除以每个名单上的患者数量。我们以名单上患者总数调整后的就诊次数作为因变量进行多元线性回归分析。
我们发现不同全科医生列出的患者就诊率差异很大。就诊率与全科医生所在的诊所显著相关。每季度向医生反馈结果并没有改变就诊模式。
非工作时间急诊服务的使用与某些诊所特征有关。我们认为这种差异是由于电话可及性、接收急需治疗患者的能力以及各诊所对服务的关注程度不同所致。
