Salisbury C
Grovelands Medical Centre, Reading.
BMJ. 1993 Mar 20;306(6880):762-4. doi: 10.1136/bmj.306.6880.762.
To describe the time distribution of visits at night and to evaluate trends in night visits from 1982 to 1992.
Analysis of a sample of one in 12 claim forms for night visits submitted over one year beginning 1 July 1991, and estimation of the number of night visits in previous years from data on payment. Further information was obtained from performance indicators from the Department of Health.
General practices responsible to Berkshire family health services authority.
Times of night visits, proportion performed by deputies, and trend in number of night visits after adjusting for the increased hours during which visits are claimed.
The change in the hours for which payment may be claimed accounted for 33.8% (536/1584) of all night visits in the sample. After visits during these extra two hours were excluded, claims increased by 38.7% from 1989 to 1992 and more than doubled in the past 10 years. Use of deputies both in Berkshire and in England and Wales dropped by more than half since 1989. General practitioners in Berkshire claimed 31.5 night visits per 1000 population in 1992.
The increase in the number of night visits is only partly due to the change in hours during which visits may be claimed. It is also due to a long term and possibly accelerating rise in demand. This is despite a major reduction in the proportion of calls performed by deputising services, the use of which had been said to be the main factor increasing the numbers of night visits.
描述夜间就诊的时间分布，并评估1982年至1992年夜间就诊的趋势。
对1991年7月1日开始的一年中提交的十二分之一夜间就诊索赔表样本进行分析，并根据支付数据估算前几年的夜间就诊次数。从卫生部的绩效指标中获取了更多信息。
负责伯克郡家庭健康服务管理局的全科医疗诊所。
夜间就诊时间、由代理医生进行的就诊比例，以及在调整可索赔就诊时间增加后夜间就诊次数的趋势。
可索赔支付时间的变化占样本中所有夜间就诊的33.8%（536/1584）。在排除这额外两小时的就诊后，1989年至1992年索赔增加了38.7%，在过去10年中增加了一倍多。自1989年以来，伯克郡以及英格兰和威尔士代理医生的使用减少了一半以上。1992年，伯克郡的全科医生每1000人口中有31.5次夜间就诊索赔。
夜间就诊次数的增加仅部分归因于可索赔就诊时间的变化。这也是由于需求的长期且可能加速的增长。尽管代理服务进行的就诊比例大幅下降，而此前曾称代理服务的使用是夜间就诊次数增加的主要因素。
