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After-hours information given by telephone by family physicians in ontario.安大略省家庭医生通过电话提供的非工作时间信息。
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Low-acuity emergency department use among patients in different primary care models in Hamilton and Ontario.在汉密尔顿和安大略省不同初级保健模式下的患者中，低 acuity 急诊部门的使用情况。
Healthc Manage Forum. 2021 Jul;34(4):234-239. doi: 10.1177/08404704211012027. Epub 2021 May 10.
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Emergency Department Use and Enrollment in a Medical Home Providing After-Hours Care.急诊科使用和在提供夜间医疗服务的医疗之家注册。
Ann Fam Med. 2018 Sep;16(5):419-427. doi: 10.1370/afm.2291.
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Primary health care in Canada: systems in motion.加拿大的初级卫生保健：运转中的系统。
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5
After-hours services in capitation-funded primary care practice: use and satisfaction.按人头付费的初级保健实践中的非工作时间服务：使用情况和满意度。
Can Fam Physician. 2009 Oct;55(10):1008-9.e1-6.

本文引用的文献

1
After-hours services in capitation-funded primary care practice: use and satisfaction.按人头付费的初级保健实践中的非工作时间服务：使用情况和满意度。
Can Fam Physician. 2009 Oct;55(10):1008-9.e1-6.
2
Patient satisfaction with care for urgent health problems: a survey of family practice patients.患者对紧急健康问题护理的满意度：一项针对家庭医疗患者的调查。
Ann Fam Med. 2007 Sep-Oct;5(5):419-24. doi: 10.1370/afm.704.
3
Typology of after-hours care instructions for patients: telephone survey and multivariate analysis.患者非工作时间护理指导的类型学：电话调查与多变量分析
Can Fam Physician. 2007 Mar;53(3):451-6, 450.
4
Re-utilization outcomes and costs of minor acute illness treated at family physician offices, walk-in clinics, and emergency departments.在家庭医生诊所、随诊诊所和急诊科治疗的轻度急性疾病的再利用结果和成本。
Can Fam Physician. 2005 Jan;51(1):82-3.
5
After-hours care in Canada: analysis of the 2001 National Family Physician Workforce Survey.加拿大的非工作时间医疗服务：对2001年国家家庭医生劳动力调查的分析。
Can Fam Physician. 2005 Nov;51(11):1504-5.
6
Association of lower continuity of care with greater risk of emergency department use and hospitalization in children.儿童护理连续性较低与急诊就诊和住院风险较高之间的关联。
Pediatrics. 2001 Mar;107(3):524-9. doi: 10.1542/peds.107.3.524.
7
The effect of continuity of care on emergency department use.连续性护理对急诊科使用情况的影响。
Arch Fam Med. 2000 Apr;9(4):333-8. doi: 10.1001/archfami.9.4.333.

安大略省家庭医生通过电话提供的非工作时间信息。

After-hours information given by telephone by family physicians in ontario.

作者信息

Howard Michelle, Randall Glen E

机构信息

Department of Family Medicine, McMaster University, Hamilton, ON.

出版信息

Healthc Policy. 2009 Nov;5(2):106-15.

PMID:21037829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2805143/
Abstract

This study describes instructions for after-hours care offered by family physicians' offices when patients telephone the practice. Randomly selected (n=1,680) Ontario family physicians and general practitioners were telephoned after hours from October 2007 to February 2008.Instructions among the 1,102 eligible offices suggested emergency services (58.6%; 646/1,102), the toll-free, nurse-staffed Telephone Health Advisory Service (THAS) with on-call physician back-up (45.0%; 496/1,102), the practice's own after-hours clinic (27.9%; 307/1,102), an on-call physician (8.0%; 88/1,102) or a walk-in clinic (6.9%; 76/1,102). Some messages (13.9%; 153/1,102) provided no instructions. Physicians in a reformed model with obligations to provide some after-hours care were more likely to advise an after-hours clinic (32.0%; 285/891) than other physicians (10.4%; 22/211) (p<0.001).Many family physician telephone messages in Ontario suggest emergency services only or do not provide any instructions. Only slightly more than half suggest use of the government-funded THAS. Patients may be unaware of many after-hours care options.

摘要

本研究描述了患者下班后致电家庭医生诊所时，诊所提供的夜间护理指导。2007年10月至2008年2月下班后，随机抽取了安大略省的家庭医生和全科医生（n = 1680）进行电话访问。在1102个符合条件的诊所中，提供的指导包括紧急服务（58.6%；646/1102）、免费的护士值班电话健康咨询服务（THAS）及随叫随到的医生后备支持（45.0%；496/1102）、诊所自己的夜间诊所（27.9%；307/1102）、随叫随到的医生（8.0%；88/1102）或无需预约的诊所（6.9%；76/1102）。有些信息（13.9%；153/1102）未提供任何指导。在改革模式下有义务提供一些夜间护理的医生，比其他医生更有可能建议患者前往夜间诊所（32.0%；285/891 vs 10.4%；22/211）（p<0.001）。安大略省许多家庭医生的电话留言仅建议紧急服务或未提供任何指导。只有略超过一半的留言建议使用政府资助的THAS。患者可能并不知晓许多夜间护理选项。