Legevaktaktivitet för og etter innföring av interkommunal legevakt og fastlegeordning
Engelsk titel: Activities performed by general practitioners before and after the introduction of the intermunicipal emergency service and list patient system
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Författare:
Jösendal O
;
Aase S
Email: ola.josendal@psyhp.uib.no
Språk: Nor
Antal referenser: 8
Dokumenttyp:
Artikel
UI-nummer: 04031623
Sammanfattning
INTERPRETATION : The combination of a regional off-hour service and a list patient system gives an efficient organisation. The total work-load for doctors is significantly reduced and the quality of medical services improve; financial considerations also support a shift in off-hour emergency service towards regional organisation.
RESULTS : Simultaneously with shift from a local to a regional system, the proportion of home calls fell from 18% to less than 1%. The implementation of a list patient system combined with a regional system reduced the total number of contacts by 30%. Public expenditure was reduced by 66%.
MATERIAL AND METHODS : All contacts from patients as well as activities performed by general practitioners on off-hour emergency duty were registered in four separate periods, from 1999 to 2002.
BACKGROUND : Over a span of four years we studied the number and type of patient contacts with the off-hour emergency service in a municipality in Western Norway. At the start of the period, the service was organised by each municipality, later more municipalities formed a regional service. At the end of the period, a list patient system was introduced.