Steen Knut, Mjeldheim Marta, Hunskår Steinar
Bergen legevakt, Vestre Strømkaien 19, 5008 Bergen, Norway.
Tidsskr Nor Laegeforen. 2009 Nov 5;129(21):2223-5. doi: 10.4045/tidsskr.08.0065.
Effectivization of the Norwegian out-of-hours primary care medical services has probably rendered the services less available to residents in nursing homes in many places. In Bergen, an out-of-hours medical service especially dedicated to residents in retirement and nursing homes and people with special needs living at home, was established in March 2006. We wanted to assess this medical service after its first year of activity.
Data were prospectively recorded on when the services were used and characteristics of the users . Information about the institutions was also recorded.
926 patients used the services during the first year; more than half of them received sick calls. Pneumonias and urinary tract infections were the most common diagnoses. A high level of doctor staffing at the nursing homes did not lead to decreased use. Neither the total number of beds nor the number of short - time beds in the nursing homes had a significant influence on the use of this service.
This targeted out-of-hours service was used less than expected during its first year. The nursing homes' use of this service is determined by factors other than the number of beds and doctor staffing.
挪威非工作时间基层医疗服务的有效性可能导致许多地方养老院的居民难以获得这些服务。在卑尔根，2006年3月设立了一项专门为养老院居民以及居家的退休人员和有特殊需求的人提供的非工作时间医疗服务。我们想在这项医疗服务开展的第一年对其进行评估。
前瞻性记录服务使用时间和用户特征的数据。还记录了有关机构的信息。
第一年有926名患者使用了该服务；其中一半以上接到了病假通知。肺炎和尿路感染是最常见的诊断。养老院医生配备水平高并未导致使用量减少。养老院的床位总数和短期床位数量对这项服务的使用均无显著影响。
这项针对性的非工作时间服务在第一年的使用量低于预期。养老院对这项服务的使用取决于床位数量和医生配备以外的因素。
