Quelles solutions pour la garde en médecine générale? - KCE
Quelles solutions pour la garde en médecine générale? - KCE
Quelles solutions pour la garde en médecine générale? - KCE
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<strong>KCE</strong> Reports 1771<br />
8.3.4.4. Othhers<br />
There is no other<br />
health professiional.<br />
Five drivers s and a cleaner coomplete<br />
the human resoources.<br />
8.3.4.5. Infrrastructure<br />
The duty c<strong>en</strong>tree<br />
is located in a r<strong>en</strong>ted building in n Deurne. It compprises<br />
a<br />
waiting room, thhree<br />
offices and a re<strong>la</strong>xation area. In the offices all mmedical<br />
supply is providded<br />
as in a regu<strong>la</strong>r<br />
office of a GP.<br />
A car with driveer<br />
is provided for hhome<br />
visits.<br />
8.3.4.6. Funnctioning:<br />
scheddule<br />
The WE after-hhours<br />
service starrts<br />
every Friday at a 7 pm till Mondaay<br />
7 am<br />
(also feast and bank holidays).<br />
8.3.4.7. Nettwork<br />
with other services<br />
Hospital: distaance,<br />
link,<br />
The duty c<strong>en</strong>tree<br />
has set up an informal agreeme <strong>en</strong>t with the two nearest<br />
hospitals, AZ MMonica<br />
and ZNAA<br />
Erasmus Borgerhout.<br />
Pati<strong>en</strong>ts wwho<br />
are<br />
s<strong>en</strong>t by the dutyy<br />
c<strong>en</strong>tre receive ppriority<br />
(re<strong>la</strong>ting to waiting time).<br />
Others<br />
The duty c<strong>en</strong>tree<br />
is one of the foour<br />
duty c<strong>en</strong>tres in n Antwerp: they ppool<br />
the<br />
non-medical sttaff<br />
and the IT infrastructure. The<br />
duty c<strong>en</strong>tre is also<br />
member of the coordinating orgaanization,<br />
Wachtpo ost<strong>en</strong> V<strong>la</strong>ander<strong>en</strong>n.<br />
8.3.4.8. Evaaluation<br />
Ongoing evaluuation<br />
?<br />
A yearly financial<br />
audit report is s<strong>en</strong>d to the NIHD DI (RIZIV/INAMI). Pati<strong>en</strong>t<br />
satisfaction is aalso<br />
assessed yeaarly<br />
as well as the<br />
functioning of the<br />
duty<br />
c<strong>en</strong>tre. The c<strong>en</strong>ntre<br />
manages alsoo<br />
all the comp<strong>la</strong>int ts about its servicces.<br />
8.3.4.9. Buddget<br />
Sources of funnding:<br />
structure / honoraria<br />
The financial grrants<br />
from the NIHHDI<br />
cover non-me edical costs (i.e. ssa<strong>la</strong>ries<br />
of the non-medical<br />
staff, functionning,<br />
infrastructure e).<br />
Affter-Hours<br />
Primaary<br />
Care<br />
Physicians: contribution<br />
/ payme<strong>en</strong>t<br />
The medical staff ff is directly paid using predefined fees. Overview oof<br />
the<br />
fees:<br />
• House visit dduring<br />
daytime: 51euros<br />
• House visit frrom<br />
21h: 78euross<br />
• Consultation during daytime: 334euros<br />
• Consultation from 21h: 45euroos<br />
8.3.4.10. Str<strong>en</strong>ngths<br />
of the systeem<br />
Overview of the sstr<strong>en</strong>gths<br />
of this kiind<br />
of after-hours service:<br />
• Less hours foor<br />
the GP<br />
• A clear distinnction<br />
betwe<strong>en</strong> wwork<br />
and private llife<br />
(GP has to sttay<br />
in<br />
the duty c<strong>en</strong>ttre<br />
during his afteer-hour<br />
service, soo<br />
no disturbance of his<br />
family life)<br />
• The GP can focus on the meedical<br />
aspect of thhe<br />
job, all non-meedical<br />
aspects are pperformed<br />
by otheer<br />
staff<br />
• The security of the GP is <strong>en</strong>suured<br />
(car with driver)<br />
• For the patie<strong>en</strong>ts<br />
is the organnizational<br />
structure<br />
much clearer, , with<br />
shorter waitinng<br />
times<br />
• High satisfacction<br />
in the pati<strong>en</strong>tts<br />
• The after-houurs<br />
services is delivered<br />
on a fixed location with a ce<strong>en</strong>tral<br />
phone numbeer<br />
for all duty c<strong>en</strong>tres<br />
in Antwerp (00900/510<br />
512)<br />
• The collegiality<br />
betwe<strong>en</strong> GPss<br />
increases, beccause<br />
they col<strong>la</strong>bborate<br />
during the aftter-hours<br />
servicess<br />
• The <strong>en</strong>countter<br />
with colleague-GP<br />
<strong>en</strong>forces thee<br />
self-evaluation bby<br />
the<br />
GP, which increases<br />
the qualitty<br />
of care<br />
• All medical aacts<br />
are <strong>en</strong>coded and logged in a ddatabase.<br />
The repport<br />
of<br />
the visit is se<strong>en</strong>t<br />
to the GP with the Global Mediccal<br />
file of the pati<strong>en</strong>t<br />
• Specific courrses<br />
in the light oof<br />
after-hours servvices<br />
are organizeed<br />
for<br />
all GPs<br />
87
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