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  1. Comparison of out of hours care provided by patients'own general practitioners and commercial deputising services : a randomised controlled trial. I : The process of care.

    Article - En anglais

    Objective 

    To compare the process of out of hours care provided by general practitioners from patients'own practices and by commercial deputising services.

    Design 

    Randomised controlled trial.

    Setting 

    Four urban areas in Manchester, Salford, Stockport, and Leicester.

    Subjects 

    2152 patients who requested out of hours care, and 49 practice doctors and 183 deputising doctors (61% local principals) who responded to those requests.

    Main outcome measures 

    Response to call, time to visit, prescribing, and hospital admissions.

    Results 

    1046 calls were dealt with by practice doctors and 1106 by deputising doctors.

    Practice doctors were more likely to give telephone advice (20.2% v 0.72% of calls) and to visit more quickly than deputising doctors (median delay 35 minutes v 52 minutes).

    Practice doctors were less likely than deputising doctors to issue a prescription (56.1% v 63.2% of patients) or to prescribe an antibiotic (43.7% v 61.3% of prescriptions issued) and more likely to prescribe generic drugs (58.4% v 32.1% of drugs prescribed), cheaper drugs (mean cost per prescription £3.28 v £5.04), and drugs in a predefined out of hours formulary (49.8% v 41.1% of drugs prescribed).

    There was no significant difference in the number of hospital admissions. (...)

    Mots-clés Pascal : Qualité, Soin, Médecin généraliste, Prescription, Hospitalisation, Consultation, Etude comparative, Homme, Essai clinique

    Mots-clés Pascal anglais : Quality, Care, General practitioner, Prescription, Hospitalization, Consultation, Comparative study, Human, Clinical trial

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0156270

    Code Inist : 002B30A01A2. Création : 21/05/1997.