患者在非工作时间就诊后由其自己的全科医生进行的后续护理。一项描述性研究。
Follow-up care by patient's own general practitioner after contact with out-of-hours care. A descriptive study.
作者信息
van Uden Caro J T, Zwietering Paul J, Hobma Sjoerd O, Ament Andre J H A, Wesseling Geertjan, van Schayck Onno C P, Crebolder Harry F J M
机构信息
Department of Integrated Care, Research Institute Caphri, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands.
出版信息
BMC Fam Pract. 2005 Jun 9;6(1):23. doi: 10.1186/1471-2296-6-23.
BACKGROUND
Little is known about the care process after patients have contacted a GP cooperative for out-of-hours care. The objective of this study was to determine the proportion of patients who seek follow-up care after contact with a GP cooperative for out-of-hours care, and to gain insight into factors that are related to this follow-up care.
METHODS
A total of 2805 patients who contacted a GP cooperative for out-of-hours care were sent a questionnaire. They were asked whether they had attended their own GP within a week after their contact with the cooperative, and for what reason. To investigate whether other variables are related to follow-up care, a logistic regression analysis was applied. Variables that entered in this analysis were patient characteristics (age, gender, etc.) and patient opinion on correctness of diagnosis, urgency and severity of the medical complaint.
RESULTS
The response rate was 42%. In total, 48% of the patients received follow-up care from their own GP. Only 20% were referred or advised to attend their own GP. Others attended because their medical condition worsened or because they were concerned about their complaint. Variables that predicted follow-up care were the patient's opinion on the correctness of the diagnosis, patient's health insurance, and severity of the medical problem.
CONCLUSION
Almost half of all patients in this study who contacted the GP cooperative for out-of-hours care attended their own GP during office hours within a week, for the same medical complaint. The most important factor that predicted follow-up care from the patient's own GP after an out-of-hours contact was the patient's degree of confidence in the diagnosis established at the GP cooperative. Despite the limited generalisability, this study is a first step in providing insight into the dimension of follow-up care after a patient has contacted the GP cooperative for out-of-hours primary care.
背景
患者联系全科医生合作机构寻求非工作时间医疗服务后的护理过程鲜为人知。本研究的目的是确定在联系全科医生合作机构寻求非工作时间医疗服务后寻求后续护理的患者比例，并深入了解与这种后续护理相关的因素。
方法
总共向2805名联系全科医生合作机构寻求非工作时间医疗服务的患者发送了问卷。询问他们在与合作机构联系后的一周内是否去看了自己的全科医生以及原因。为了调查其他变量是否与后续护理相关，应用了逻辑回归分析。纳入该分析的变量包括患者特征（年龄、性别等）以及患者对诊断正确性、医疗投诉的紧迫性和严重性的看法。
结果
回复率为42%。总体而言，48%的患者接受了自己全科医生的后续护理。只有20%的患者被转诊或建议去看自己的全科医生。其他患者就诊是因为病情恶化或担心自己的投诉。预测后续护理的变量包括患者对诊断正确性的看法、患者的健康保险以及医疗问题的严重性。
结论
在本研究中，几乎一半联系全科医生合作机构寻求非工作时间医疗服务的患者，因同样的医疗投诉在一周内的办公时间去看了自己的全科医生。非工作时间联系后预测患者会接受自己全科医生后续护理的最重要因素是患者对全科医生合作机构做出的诊断的信任程度。尽管普遍性有限，但本研究是深入了解患者联系全科医生合作机构寻求非工作时间初级护理后的后续护理情况的第一步。
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