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  2. School of Management and Law
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  4. Publikationen School of Management and Law
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dc.contributor.authorHuber, Carola A.-
dc.contributor.authorRosemann, Thomas-
dc.contributor.authorZoller, Marco-
dc.contributor.authorEichler, Klaus-
dc.contributor.authorSenn, Oliver-
dc.date.accessioned2018-11-16T14:56:06Z-
dc.date.available2018-11-16T14:56:06Z-
dc.date.issued2011-
dc.identifier.issn1356-1294de_CH
dc.identifier.issn1365-2753de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/12949-
dc.description.abstractRationale, 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.de_CH
dc.language.isoende_CH
dc.publisherWileyde_CH
dc.relation.ispartofJournal of Evaluation in Clinical Practicede_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectAdultde_CH
dc.subjectAfter-hours carede_CH
dc.subjectEmergency medical servicede_CH
dc.subjectFemalede_CH
dc.subjectGeneral practitionerde_CH
dc.subjectHumande_CH
dc.subjectMalede_CH
dc.subjectMiddle agedde_CH
dc.subjectSurvey and questionnairede_CH
dc.subjectSwitzerlandde_CH
dc.subjectHealth service need and demandde_CH
dc.subjectPrimary health carede_CH
dc.subject.ddc362: Gesundheits- und Sozialdienstede_CH
dc.titleOut-of-hours demand in primary care : frequency, mode of contact and reasons for encounter in Switzerlandde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
dc.identifier.doi10.1111/j.1365-2753.2010.01418.xde_CH
dc.identifier.pmid20831666de_CH
zhaw.funding.euNode_CH
zhaw.issue1de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end179de_CH
zhaw.pages.start174de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume17de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
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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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