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全科医生夜间出诊率的差异:医疗组织与消费者需求

Variations in GP night visiting rates: medical organisation and consumer demand.

作者信息

Buxton M J, Klein R E, Sayers J

出版信息

Br Med J. 1977 Mar 26;1(6064):827-30. doi: 10.1136/bmj.1.6064.827.

DOI:10.1136/bmj.1.6064.827
PMID:856389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1606132/
Abstract

Specially obtained data for night visiting fees show a considerable increase in the number of claims made per general practitioner and per 1000 patients. There were also considerable variations between the 116 executive councils: in 1973-4 the range was from 3-8 to 17-0 per 1000 patients. To explain these variations, their relations with the local characteristics of family practice and of the population was explored using regression analysis. The factors most strongly associated with variations in implied visiting rates were found to be deputising services and the proportion of social class V in the population.

摘要

专门获取的夜间出诊费用数据显示,每位全科医生和每千名患者提出的索赔数量有显著增加。116个执行委员会之间也存在很大差异:在1973 - 1974年期间,每千名患者的索赔范围从3 - 8到17 - 0不等。为了解释这些差异,我们使用回归分析探讨了它们与家庭医疗的当地特征以及人口特征之间的关系。结果发现,与隐含出诊率变化最密切相关的因素是代理服务以及社会阶层V在人口中的比例。

相似文献

1
Variations in GP night visiting rates: medical organisation and consumer demand.全科医生夜间出诊率的差异:医疗组织与消费者需求
Br Med J. 1977 Mar 26;1(6064):827-30. doi: 10.1136/bmj.1.6064.827.
2
Annual night visiting rates in 129 general practices in one family health services authority: association with patient and general practice characteristics.某家庭健康服务机构中129家普通诊所的年度夜间出诊率:与患者及普通诊所特征的关联
Br J Gen Pract. 1995 Oct;45(399):531-5.
3
Use of deputising services and night visit rates in general practice.全科医疗中代理服务的使用及夜间出诊率
Br Med J (Clin Res Ed). 1984 Aug 25;289(6443):474-6. doi: 10.1136/bmj.289.6443.474.
4
Impact of the 1990 contract for general practitioners on night visiting.1990年全科医生合同对夜间出诊的影响。
Br J Gen Pract. 1994 Feb;44(379):68-71.
5
Explaining outputs of primary health care: population and practice factors.解读初级卫生保健的产出:人口与实践因素
BMJ. 1991 Jul 27;303(6796):225-9. doi: 10.1136/bmj.303.6796.225.
6
Explaining variations in the frequency of night visits in general practice.解释全科医疗中夜间就诊频率的差异。
Fam Pract. 1996 Apr;13(2):174-8. doi: 10.1093/fampra/13.2.174.
7
Home visiting by general practitioners in England and Wales.英格兰和威尔士全科医生的家访。
BMJ. 1996 Jul 27;313(7051):207-10. doi: 10.1136/bmj.313.7051.207.
8
Night calls: an Irish dimension.夜间出诊:爱尔兰的情况
J R Coll Gen Pract. 1984 Jul;34(264):386-9.
9
Observational study of a general practice out of hours cooperative: measures of activity.非工作时间全科医疗合作的观察性研究:活动量度
BMJ. 1997 Jan 18;314(7075):182-6. doi: 10.1136/bmj.314.7075.182.
10
[Night calls for general practitioners].[全科医生夜间出诊]
Tidsskr Nor Laegeforen. 1994 Sep 20;114(22):2629-32.

引用本文的文献

1
Social variation in reasons for contacting general practice out-of-hours: implications for daytime service provision?非工作时间联系全科医疗服务的原因中的社会差异:对日间服务提供有何影响?
Br J Gen Pract. 2000 Jun;50(455):460-4.
2
Patients' accounts of calling the doctor out of hours: qualitative study in one general practice.患者关于非工作时间呼叫医生的叙述:一项全科医疗实践的定性研究
BMJ. 1996 Oct 19;313(7063):991-4. doi: 10.1136/bmj.313.7063.991.
3
Relation between night visit rates and deprivation measures in one general practice.一家普通诊所的夜间就诊率与贫困程度衡量指标之间的关系。
BMJ. 1993 May 22;306(6889):1383-5. doi: 10.1136/bmj.306.6889.1383.
4
Visiting through the night.夜间探视。
BMJ. 1993 Mar 20;306(6880):762-4. doi: 10.1136/bmj.306.6880.762.
5
Primary medical care outside normal working hours: review of published work.非工作时间的基层医疗服务:已发表文献综述
BMJ. 1994 Jan 22;308(6923):249-53. doi: 10.1136/bmj.308.6923.249.
6
Out of hours.非工作时间
BMJ. 1994 Dec 17;309(6969):1593-4. doi: 10.1136/bmj.309.6969.1593.
7
Annual night visiting rates in 129 general practices in one family health services authority: association with patient and general practice characteristics.某家庭健康服务机构中129家普通诊所的年度夜间出诊率:与患者及普通诊所特征的关联
Br J Gen Pract. 1995 Oct;45(399):531-5.
8
Deputising services.代理服务。
Br Med J (Clin Res Ed). 1984 Aug 25;289(6443):451-2. doi: 10.1136/bmj.289.6443.451.
9
Wide variations in the night visiting rate.夜间出诊率差异很大。
J R Coll Gen Pract. 1985 Aug;35(277):395.
10
Telephone advice for out of hours calls in general practice.全科医疗非工作时间电话咨询服务。
Br J Gen Pract. 1990 Jan;40(330):19-21.

本文引用的文献

1
NIGHT CALLS IN GENERAL PRACTICE.全科医疗中的夜间出诊
Br Med J. 1965 May 22;1(5446):1369-71. doi: 10.1136/bmj.1.5446.1369.
2
THE PERSONAL CHARACTERISTICS OF PEOPLE WHO REQUIRE LATE CALLS.需要晚些时候打电话的人的个人特征。
J Coll Gen Pract. 1963 Aug;6(3):436-47.
3
Night calls: their frequency and nature in one general practice.夜间出诊:某普通诊所的出诊频率及性质
Br Med J. 1959 Nov 28;2(5160):1169-72. doi: 10.1136/bmj.2.5160.1169.
4
Practice orientations among general medical practitioners in England and Wales.英格兰和威尔士全科医生的执业取向
Med Care. 1970 Jan-Feb;8(1):15-25. doi: 10.1097/00005650-197001000-00003.
5
Survey of home visiting by general practitioners in North-east England.英格兰东北部全科医生家访调查。
Br Med J. 1972 Feb 19;1(5798):487-92. doi: 10.1136/bmj.1.5798.487.
6
Baclofen in the treatment of spasticity.巴氯芬治疗痉挛
Br Med J. 1971 Oct 2;4(5778):15-7. doi: 10.1136/bmj.4.5778.15.
7
Myelomeningocele and hydrocephalus. The impact of modern treatment.
Lancet. 1966 Apr 16;1(7442):842-5. doi: 10.1016/s0140-6736(66)90184-x.
8
Out-of-hours calls in a Leicestershire practice.莱斯特郡一家诊所的非工作时间来电。
Br Med J. 1976 Jun 26;1(6025):1582-4. doi: 10.1136/bmj.1.6025.1582.
9
Emergency medical care.紧急医疗护理。
Br Med J. 1976 Aug 28;2(6034):511-3. doi: 10.1136/bmj.2.6034.511.