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  1. The use of out of hours health services : a cross sectional survey.

    Article - En anglais

    Objecfives : To determine the use and costs of the principal out of hours health services in Buckinghamshire.

    Design 

    Prospective cross sectional survey and cost description of patient contacts with out of hours services.

    Setting 

    Buckinghamshire during March and April 1995.

    Subjects 

    General practices, accident and emergency departments, ambulance services, and community nursing services.

    Main outcome measure 

    Contacts with patients and cost of out of hours services.

    Results 

    438 patient contacts/1000 population/year were recorded at an annual incremental cost of between £4.6l £7.2m (depending on the costing of general practitioner services), for a population of 660 000.

    Of these contacts, 21 649 (45%) were with general practitioners.

    Night time contacts with all services dimininished sharply after 10 pm.

    General practitioners considered that 40% of contacts were unnecessary or could have waited until morning.

    Over 70% of contacts were for upper respiratory tract infections, earache, gastroenteritis, and other minor ailments.

    Nursing care was predominantly for elderly people, and 33% of nursing contacts were to supervise medication.

    Accident and emergency care was predominately for young adults, especially men, and 4% of attendances were for medical conditions. (...)

    Mots-clés Pascal : Médecin généraliste, Urgence, Service hospitalier, Accident, Soin santé primaire, Economie santé, Nuit, Pratique professionnelle, Homme

    Mots-clés Pascal anglais : General practitioner, Emergency, Hospital ward, Accident, Primary health care, Health economy, Night, Professional practice, Human

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

    Cote : 98-0124362

    Code Inist : 002B27B14C. Création : 22/06/1998.