Hansen Elisabeth Holm, Zakariassen Erik, Hunskaar Steinar
National Centre for Emergency Primary Health Care, Unifob Health, Kalfarveien 31, NO-5018 Bergen, Norway.
BMC Health Serv Res. 2009 Jul 22;9:123. doi: 10.1186/1472-6963-9-123.
In Norway, no valid activity statistics from the primary health care out-of-hours services or the pre-hospital emergency health care system have previously been available.
The National Centre for Emergency Primary Health Care has initiated an enterprise called "The Watchtowers" which consists of a representative sample of seven casualty clinics covering 18 Norwegian municipalities. The purpose of the project is to provide routine information over several years, which will enable monitoring, evaluation and comparison of the activities in the out-of-hours services. This paper presents data from 2007, the first full calendar year for the Watchtowers, analyzes some differences in user patterns for the seven casualty clinics involved, and estimates national figures for the use of casualty clinics and out-of-hours services in Norway.
A total of 85 288 contacts were recorded during 2007 [399 per 1,000 inhabitants] of which 64,846 contacts were considered non-urgent [76.6%]. There were 53 467 consultations by a doctor [250 per 1,000], 8,073 telephone consultations by doctor [38 per 1,000], 2,783 home visits and call-outs by doctor [13 per 1,000] and 20,502 contacts managed by nurses on their own [96 per 1000]. The most common mode of contact was by telephone. Women, young children and elderly had the highest rates of contact.
Norway has a high rate of contacts to the out-of-hours services compared with some other countries with available data. Valid national figures and future research of these services are important both for local services and policy makers.
在挪威，此前一直没有来自初级卫生保健非工作时间服务或院前紧急医疗系统的有效活动统计数据。
国家紧急初级卫生保健中心启动了一个名为“瞭望塔”的项目，该项目由覆盖挪威18个市镇的7家伤病诊所的代表性样本组成。该项目的目的是提供多年的常规信息，以便对非工作时间服务的活动进行监测、评估和比较。本文展示了2007年的数据，这是“瞭望塔”项目的第一个完整日历年，分析了所涉7家伤病诊所用户模式的一些差异，并估算了挪威伤病诊所和非工作时间服务使用情况的全国数据。
2007年共记录了85288次就诊[每1000名居民中有399次]，其中64846次就诊被认为不紧急[76.6%]。有53467次由医生进行的会诊[每1000人中有250次]，8073次医生电话会诊[每1000人中有38次]，2783次医生上门出诊和出诊[每1000人中有13次]，以及20502次由护士单独处理的就诊[每1000人中有96次]。最常见的联系方式是电话。女性、幼儿和老年人的就诊率最高。
与其他一些有可用数据的国家相比，挪威非工作时间服务的就诊率较高。这些服务的有效全国数据和未来研究对地方服务和政策制定者都很重要。
