Beale Norman, Taylor Gordon, Gwynne Mark, Peart Carole
Northlands R&D General Practice, Calne.
Br J Gen Pract. 2006 Apr;56(525):283-5.
UK GPs are no longer responsible for the organisation of out-of-hours care for their patients, but resources remains capitation-based. This cross-sectional study tests whether council tax valuation bands can predict the demand for such services. All out-of-hours contacts made by patients in North Wiltshire over 4 months were classified by council tax band; frequencies compared with official population statistics. Council tax band predicts out-of-hours GP workload irrespective of age and sex: the more modest the home, the higher the GP contact rate. It may prove more difficult to sustain out-of-hours services in deprived parts of the UK.
英国全科医生不再负责为其患者安排非工作时间的护理,但资源分配仍基于人头税。这项横断面研究检验了市政税估值等级是否能够预测此类服务的需求。威尔特郡北部患者在4个月内进行的所有非工作时间就诊均按市政税等级分类;将就诊频率与官方人口统计数据进行比较。无论年龄和性别如何,市政税等级都能预测非工作时间全科医生的工作量:房屋越普通,全科医生的就诊率越高。在英国贫困地区维持非工作时间服务可能会更加困难。