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 />
overchargee<br />
of some areass<br />
in comparison to others. The pati<strong>en</strong>t,<br />
calling fromm<br />
a non-covered area, will be he elped by a GP oon<br />
duty,<br />
organized by the duty c<strong>en</strong>tree,<br />
whereas the GP<br />
in his street couuld<br />
also<br />
be on duty.<br />
• Protocols: the protocols useed<br />
by the dispatch her are g<strong>en</strong>eral prrotocols<br />
and are noot<br />
yet refined <strong>en</strong>ouugh<br />
to correspond to the needs of thhe<br />
GP.<br />
• Training off<br />
the dispatcher oon<br />
duty during nights:<br />
this person is less<br />
familiar witth<br />
the comp<strong>la</strong>ints treated by a GP.<br />
The <strong>la</strong>ck of knoowledge<br />
of the disppatcher<br />
can be rresolved<br />
by a sp pecified training oor<br />
by a<br />
system of redirecting the caalls<br />
directly to the GP in the duty ce<strong>en</strong>tre<br />
in<br />
case of dooubt.<br />
The use of pprotocols<br />
will <strong>en</strong>hance<br />
the quality of work<br />
Affter-Hours<br />
Primaary<br />
Care<br />
by the dispattcher<br />
and might faacilitate<br />
the commmunication<br />
towardds<br />
the<br />
GP on duty.<br />
• Employer-emmployee<br />
re<strong>la</strong>tionshhip<br />
betwe<strong>en</strong> the ddispatcher<br />
and thhe<br />
GP<br />
is not clear. Nowadays the dispatcher<br />
during night-time is depployed<br />
by the fire departm<strong>en</strong>t,<br />
whichh<br />
results in a restricted<br />
authority oof<br />
the<br />
GP. The GPss<br />
would like to c<strong>la</strong>arify<br />
this re<strong>la</strong>tionshhip<br />
and to be stated<br />
as<br />
an employer towards the dispaatchers.<br />
• Nowadays thhe<br />
GP cannot reefuse<br />
a home vvisit<br />
(obligation byy<br />
the<br />
Medical Order).<br />
The GPs woould<br />
like to modify<br />
this obligation to a<br />
possibility forr<br />
home visits. A s<strong>en</strong>sitization<br />
camppaign<br />
to discouragge<br />
the<br />
home visits ccould<br />
be solution tto<br />
promote the duuty<br />
c<strong>en</strong>tres.<br />
95
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