Quelles solutions pour la garde en médecine générale? - KCE

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8.3.4.11. Weeaknesses
of thee
system (e.g. legal)
This structure with a combinaation
of medical and non-medical
staff
requires a similar
management as a SME (KMO O). However, the GGPs
do
not have the rrequired
competeences
to manage e this kind of strructure,
therefore the innvolvement
of a manager is requ uired. This new type of
manager is speecific
for the duty ccentres.
8.3.5. ODC Oudenaarde: fuuture
integration of an ODC in thhe
hospittal
The region of thhe
Vlaamse Ardeennen
is covered by seven zones oof
after-
hours services,
but no duty centre
exists yet. Some S areas havee
a GP
shortage resulting
in work overlooad.
A project of ODC within a hosspital
is
planned for 20113.
8.3.5.1. Genneral
Organizatiion
8.3.5.2. Initiiators
The GP circle O.V.O (Oudenaaardse
Vereniging
voor Omnipracctici)
is
initiator. The hoospital,
AZ Oudennaarde
recently re enovated the emeergency
services and inccluded
a duty cenntre.
The NIHDI will w financially suppport
the
initiative.
8.3.5.3. Place
The area of thee
Vlaamse Ardennnen
is more rural area with a urbann
centre
(Oudenaarde) (333 km2 and cross
section of +/- + 25 km). One central
hospital is locatted
in the centre oof
Oudenaarde.
Several hospitaals
are located inn
neighbouring areas
(Ronse, Zotttegem,
Gent, Aalst, Waaregem,
Deinze).
8.3.5.4. Humman
resources
Physicians
75 GPs are meembers
of the GP circle, covering an a area of approxximately
84.000 inhabitaants.
First contact pperson:
backgrouund,
training, tas sks
The structure oof
the first contact
person is not yet elaborated. SSeveral
options are takken
into account i.e. a receptionis st in the duty cenntre,
an
external call centre,
the integratioon
into the 1733-p project.
Affter-Hours
Primaary
Care
KCE Reportss
171
Administration
A manager will coordinate the administrative functioning
of the duty
centre.
Other health proofessionals
The integration off
the duty centre iin
the emergency y service of the hoospital
has the advantagge
of the presencee
of nurses and otther
paramedical sstaff.
8.3.5.5. InfraSStructure
The duty centre will be integrateed
into the emergency
service oof
the
hospital in Oudennaarde.
The medical installation
will be similar
to a medicaal
office of a GP.
The
infrastructure of the hospital, suuch
as laboratorries,
will facilitatee
the
technical examinaations.
8.3.5.6. Functioning
: scheduule
The initiative is pllanned
for 2013.
During day-time oone
or two GPs wwill
be present in the duty centre aand
2
GPS for home vissits.
During the night
one GP will be
present in the ccentre
and one GP will ddo
the home visitss.
8.3.5.7. Netwwork
with other seervices
The duty centree
will be integratted
in the emerrgency
service oof
the
hospital.
8.3.5.8. Budgget
A planning has been draft: costss
linked to human
resources reprresent
about 75 % of thee
budget.
The mobile GPs might earn less inn
comparison to tthe
GPs in the ODDC.
A
system will be sett
up to compensate
this difference.
8.3.5.9. Possiible
strengths annd
weaknesses of the future sysstem
• Shared infrasstructure
and shaared
provision of sservices
(like techhnical
examinationss,
nurses,...);
• Visibility of ODC: combiningg
both services in one buildingg
will
encourage thhe
patients to usee
these facilities oon
the right way ( (visits
to the emergency
only for life-tthreatening
situattions);