Fundamental changes in the delivery of primary medical care outside normal surgery hours are under consideration in Great Britain.
Published research into the provision and utilisation of out of hours services shows long term trends towards decreasing personal commitment among general practitioners and rising demand from patients for primary and hospital accident and emergency department care.
Wide variations exist regionally, locally, and between practices.
Previous studies, however, have been limited in scope and provide an inadequate basis for assessing the potential impact of change.
The overall demand for care across all sources of provision cannot be measured: there is a lack of data on costs, and evaluative studies comparing alternative patterns of service delivery have rarely been undertaken.
Mots-clés Pascal : Organisation santé, Homme, Grande Bretagne, Soin santé primaire, Médecin généraliste, Hôpital, Secours première urgence, Accessibilité, Horaire travail, Enquête, Royaume Uni, Europe
Mots-clés Pascal anglais : Public health organization, Human, Great Britain, Primary health care, General practitioner, Hospital, First emergency care, Accessibility, Working time table, Inquiry, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0248190
Code Inist : 002B30B03. Création : 199406.