Hansen Elisabeth Holm, Hunskår Steinar
Nasjonalt kompetansesenter for legevaktmedisin, Kalfarveien 31, 5018 Bergen.
Tidsskr Nor Laegeforen. 2007 May 17;127(10):1344-6.
Out-of-hours services in Norway have not been systematically assessed and no national statistics exist. This article reports a pilot study of requests to three casualty clinics and the activities related to these requests.
All requests to the three clinics, day and night for four weeks in the spring of 2006, were recorded. Variables and definitions were discussed with all participating personnel before start. A coordinator at each casualty clinic was responsible for ensuring data quality and sending data to the study centre weekly.
5,041 requests were recorded. Contact rates per 1,000 inhabitants ranged from 29 to 84. In two casualty clinics a large majority of the contacts were given the priority grade "not urgent". In one casualty clinic the rate "acute" was more than twice the rate in the two others. The rate of consultation with GPs differed, but the rate of home visits and acute response by ambulance and GP was low in all the casualty clinics.
Large differences were identified regarding several factors affecting requests to casualty clinics in Norway. This pilot study supports the need for a larger and more representative study.
挪威非工作时间的医疗服务尚未得到系统评估，也没有全国性统计数据。本文报告了一项针对三家急诊诊所的请求及与这些请求相关活动的试点研究。
记录了2006年春季为期四周的日夜时段内所有向这三家诊所提出的请求。在研究开始前，与所有参与人员讨论了变量及定义。每家急诊诊所都有一名协调员负责确保数据质量，并每周将数据发送至研究中心。
共记录了5041条请求。每1000名居民的联系率在29至84之间。在两家急诊诊所，绝大多数联系被赋予“非紧急”优先级。在一家急诊诊所，“急性”病例的比例是另外两家诊所的两倍多。全科医生的会诊率有所不同，但所有急诊诊所的家访率以及救护车和全科医生的急性响应率都很低。
在影响挪威急诊诊所请求的几个因素方面发现了很大差异。这项试点研究支持开展规模更大、更具代表性研究的必要性。
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