Publikationstyp: Beitrag in wissenschaftlicher Zeitschrift
Art der Begutachtung: Peer review (Publikation)
Titel: Out-of-hours demand in primary care : frequency, mode of contact and reasons for encounter in Switzerland
Autor/-in: Huber, Carola A.
Rosemann, Thomas
Zoller, Marco
Eichler, Klaus
Senn, Oliver
DOI: 10.1111/j.1365-2753.2010.01418.x
Erschienen in: Journal of Evaluation in Clinical Practice
Band(Heft): 17
Heft: 1
Seite(n): 174
Seiten bis: 179
Erscheinungsdatum: 2011
Verlag / Hrsg. Institution: Wiley
ISSN: 1356-1294
1365-2753
Sprache: Englisch
Schlagwörter: Adult; After-hours care; Emergency medical service; Female; General practitioner; Human; Male; Middle aged; Survey and questionnaire; Switzerland; Health service need and demand; Primary health care
Fachgebiet (DDC): 362: Gesundheits- und Sozialdienste
Zusammenfassung: Rationale, aims and objectives: To investigate the demand for traditional out-of-hours general practitioner (GP) emergency care in Switzerland including GPs’ satisfaction and reasons for encounter (RFE). Method: During a 2-month period (2009), a questionnaire-based, cross-sectional study was performed in GPs participating in the mandatory out-of-hours service in the city of Zurich, Switzerland. The number and mode of patient contacts were assessed to investigate the demand for GP care in traditional out-of-hours services. GPs and patient characteristics, including RFE according to the International Classification of Primary Care, were noted. Descriptive statistics and non-parametric tests were conducted. Results: Out of the 295 out-of-hours episodes during the study period, 148 (50%) duty periods were documented by a total of 93 GPs (75% men) with a mean (SD) age of 48.0 (6.2) years. The median (interquartile range) number of out-of-hours contacts was 5 (3–8) and the demand for home visits was significantly more common compared with practice and telephone consultations. A total of 112 different RFEs were responsible for the 382 documented patient contacts with fever accounting for the most common complaint (13.9%). Although 80% of GPs agreed to be satisfied overall with their profession as primary care provider, 57.6% among them were dissatisfied with the current out-of-hours service. Inappropriate payment and interference with their daily work in practice were most frequently reported. Conclusions: Our findings indicate that there is still strong patient demand for out-of-hours care with special need for home visits, suggesting that new organizational models such as integrating GPs into emergency care may not be an appropriate approach for all patients. Therefore, the ongoing reorganization of the out-of-hours-service in many health care systems has to be evaluated carefully in order not to miss important patient needs.
URI: https://digitalcollection.zhaw.ch/handle/11475/12949
Volltext Version: Publizierte Version
Lizenz (gemäss Verlagsvertrag): Lizenz gemäss Verlagsvertrag
Departement: School of Management and Law
Organisationseinheit: Winterthurer Institut für Gesundheitsökonomie (WIG)
Enthalten in den Sammlungen:Publikationen School of Management and Law

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Huber, C. A., Rosemann, T., Zoller, M., Eichler, K., & Senn, O. (2011). Out-of-hours demand in primary care : frequency, mode of contact and reasons for encounter in Switzerland. Journal of Evaluation in Clinical Practice, 17(1), 174–179. https://doi.org/10.1111/j.1365-2753.2010.01418.x
Huber, C.A. et al. (2011) ‘Out-of-hours demand in primary care : frequency, mode of contact and reasons for encounter in Switzerland’, Journal of Evaluation in Clinical Practice, 17(1), pp. 174–179. Available at: https://doi.org/10.1111/j.1365-2753.2010.01418.x.
C. A. Huber, T. Rosemann, M. Zoller, K. Eichler, and O. Senn, “Out-of-hours demand in primary care : frequency, mode of contact and reasons for encounter in Switzerland,” Journal of Evaluation in Clinical Practice, vol. 17, no. 1, pp. 174–179, 2011, doi: 10.1111/j.1365-2753.2010.01418.x.
HUBER, Carola A., Thomas ROSEMANN, Marco ZOLLER, Klaus EICHLER und Oliver SENN, 2011. Out-of-hours demand in primary care : frequency, mode of contact and reasons for encounter in Switzerland. Journal of Evaluation in Clinical Practice. 2011. Bd. 17, Nr. 1, S. 174–179. DOI 10.1111/j.1365-2753.2010.01418.x
Huber, Carola A., Thomas Rosemann, Marco Zoller, Klaus Eichler, and Oliver Senn. 2011. “Out-of-Hours Demand in Primary Care : Frequency, Mode of Contact and Reasons for Encounter in Switzerland.” Journal of Evaluation in Clinical Practice 17 (1): 174–79. https://doi.org/10.1111/j.1365-2753.2010.01418.x.
Huber, Carola A., et al. “Out-of-Hours Demand in Primary Care : Frequency, Mode of Contact and Reasons for Encounter in Switzerland.” Journal of Evaluation in Clinical Practice, vol. 17, no. 1, 2011, pp. 174–79, https://doi.org/10.1111/j.1365-2753.2010.01418.x.


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