Flarup Lone, Moth Grete, Christensen Morten Bondo, Vestergaard Mogens, Olesen Frede, Vedsted Peter
Institut for Folkesundhed, Forskningsenheden for Almen Praksis, Bartholins Allè 2, Aarhus Universitet, 8000 Aarhus C, Denmark.
Dan Med J. 2014 May;61(5):A4847.
The primary care out-of-hours (OOH) service is of considerable importance; it is the main provider of freely accessible medical advice outside daytime hours, and it covers 75% of the active time in the health-care system. Although the OOH handles three million contacts annually, only little is known about the reasons for encounter, the performed clinical work and the patient perspectives.
During a one-year period (2010-2011), data on patient contacts were collected using pop-up questionnaires integrated into the existing IT system. The questions explored the contents and characteristics of patient contacts. A paper-based questionnaire was sent to the included patients.
Of all 700 general practitioners (GP) on duty, 383 (54.7%) participated at least once, and the participating GPs were representative of all GPs. In total, 21,457 contacts were registered; and the distribution of patient, contact and GP characteristics in OOH contacts was similar to the background contacts. Telephone consultations were most often offered to children and home visits primarily to elderly patients. The patient response rate was 51.2%. Females comprised the majority of the included contacts and of the respondents in the patient survey.
The method was highly feasible for generating a representative sample of contacts to OOH services. The project has formed a substantial and valid basis for further studies and future research in the OOH service.
Financed by the Region of Central Jutland, the Danish National Research Foundation for Primary Care and the Health Foundation.
not relevant.
初级医疗非工作时间（OOH）服务非常重要；它是白天工作时间之外免费医疗建议的主要提供者，覆盖了医疗保健系统75%的运行时间。尽管OOH每年处理300万次医患接触，但对于接触原因、所开展的临床工作以及患者观点却知之甚少。
在一年期间（2010 - 2011年），通过整合到现有IT系统中的弹出式问卷收集患者接触数据。这些问题探究了患者接触的内容和特征。向纳入的患者发送了纸质问卷。
在所有700名值班全科医生（GP）中，383名（54.7%）至少参与了一次，参与的全科医生代表了所有全科医生。总共记录了21457次接触；OOH接触中患者、接触及全科医生特征的分布与背景接触相似。电话咨询最常提供给儿童，而家访主要针对老年患者。患者回复率为51.2%。女性在纳入的接触者及患者调查的受访者中占多数。
该方法对于生成具有代表性的OOH服务接触样本非常可行。该项目为OOH服务的进一步研究和未来调查奠定了坚实且有效的基础。
由日德兰半岛中部地区、丹麦国家初级医疗研究基金会和健康基金会资助。
不相关。
