To evaluate an out of hours cooperative of general practitioners compared with a deputising service.
Observational study of two services in overlapping geographical areas.
A general practice cooperative in Kensington, Chelsea, and Westminster and a deputising service operating in that area and the neighbouring area of Brent and Harrow.
All patients contacting a doctor at either service in an eight week period beginning 1 September 1995.
Patients'age and sex ; rates of home visiting, telephone advice, and attendance at a primary centre ; hospital admission rates ; prescribing rates ; times of patient calls ; and response times.
Data were collected on 5812 patient contacts.
Doctors from the cooperative visited 32.0% (1253/3920) of patients, offered telephone advice to 57.8% (2267), and saw 7.1% (278) of patients at the primary care centre.
By contrast, the deputising service visited 76.3% (1444/1892) of patients and gave telephone advice to 19.3% (365).
Doctors from the cooperative prescribed drugs to fewer patients (37.6% ; 1473/3915) than did the deputising service (51.7% ; 941/1821) (odds ratio 0.56 (95% confidence interval 0.50 to 0.63) adjusted for age and sex) and admitted 8.7% (339/3888) of patients to hospital compared with 6.8% (128/1889) from the deputising service (odds ratio 1.30 (1.05 to 1.61) adjusted for age and sex). (...)
Mots-clés Pascal : Mesure, Activité, Médecin généraliste, Coopération, Etude comparative, Homme
Mots-clés Pascal anglais : Measurement, Activity, General practitioner, Cooperation, Comparative study, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0156556
Code Inist : 002B30A04D. Création : 21/05/1997.