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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126<br />
Items<br />
on to the familyy<br />
doctor. Their prescrip ptions are valid for a sshort<br />
period and requirre<br />
confirmation from thhe<br />
family doctor.<br />
Wh<strong>en</strong> a call commes<br />
in, they decide whether w to s<strong>en</strong>d the patti<strong>en</strong>t<br />
to the primary caare<br />
point (free of chargge),<br />
make a home visitt<br />
or provide telephone advice.<br />
Each after-hourrs<br />
primary care point in<br />
each of the 20 regioons<br />
has its own specifiic<br />
telephone number.<br />
Unlike emerg<strong>en</strong>ncy<br />
physicians, after-h hours doctors in Italy ddo<br />
not <strong>en</strong>joy a high soccial<br />
image and the possts<br />
are subject to heavvy<br />
turnover.<br />
Financer and<br />
Financer: regioon<br />
financing system Remuneration sspecifically<br />
designed for f after-hours care dooctors.<br />
The after-hourss<br />
service doctor is g<strong>en</strong> nerally paid in the formm<br />
of an hourly f<strong>la</strong>t ratee<br />
under a regional scheeme:<br />
the mean annuaal<br />
gross income is around<br />
30,000 to 50,000 euros,<br />
a re<strong>la</strong>tively low level compared to oth her g<strong>en</strong>eral practitioneers.<br />
Since 2007: a ffixed<br />
co-paym<strong>en</strong>t has be<strong>en</strong> levied for unwarrranted<br />
access to hosppital<br />
emerg<strong>en</strong>cy deparrtm<strong>en</strong>ts.<br />
Characteristics off<br />
Initiator: Districtt<br />
model most<br />
Number of docttors<br />
taking part in after-hours<br />
services: No ddata<br />
avai<strong>la</strong>ble<br />
frequ<strong>en</strong>tly used<br />
Number of conttact<br />
points for after-ho ours services/inhabitanns:<br />
No data avai<strong>la</strong>ble.<br />
Popu<strong>la</strong>tion: Theere<br />
is a physician/popu<strong>la</strong>tion<br />
ratio of one aftter-hours<br />
care doctor pper<br />
5,000 inhabitants.<br />
Critical success<br />
factors<br />
Guidelines<br />
Indicators<br />
Who does the<br />
measurem<strong>en</strong>t<br />
Outcomes<br />
Suggestions for<br />
improvem<strong>en</strong>t of<br />
after-hours care<br />
Distance: Distaances<br />
up to 20-30 kilom meter, varies by regionn.<br />
Indication: Int<strong>en</strong>nded<br />
for urg<strong>en</strong>t help re equests that cannot wwait<br />
until the next day.<br />
Avai<strong>la</strong>bility: Avaai<strong>la</strong>ble<br />
from 8 p.m. to 8 a.m. for nights from Monday to Friday andd<br />
from 8 p.m. to 8 a.m.<br />
on the following workking<br />
day on week<strong>en</strong>dss<br />
or public holidays.<br />
Time frame for answering to calls: No o data avai<strong>la</strong>ble.<br />
Time frame for urg<strong>en</strong>t and non-urg<strong>en</strong> nt visits: No data avai<strong>la</strong>able.<br />
Location: Not linked<br />
to a hospital.<br />
Access: With loocal<br />
phone number.<br />
Workload doctoors:<br />
12 hours duty.<br />
Services:<br />
Phone consultaations<br />
Home visits<br />
Consultations<br />
Logistic supporrt:<br />
No data avai<strong>la</strong>ble.<br />
Information andd<br />
communication technology:<br />
Not formally oorganized.<br />
No data avai<strong>la</strong>bble.<br />
No data avai<strong>la</strong>bble.<br />
No data avai<strong>la</strong>bble.<br />
No data avai<strong>la</strong>bble.<br />
No data avai<strong>la</strong>bble.<br />
Affter-Hours<br />
Primaary<br />
Care<br />
Results<br />
<strong>KCE</strong> Reportss<br />
171<br />
There are expeerim<strong>en</strong>ts<br />
in certain are eas with the setting upp<br />
of a single call c<strong>en</strong>trre<br />
for all after-hours caare<br />
doctors, aiming at scre<strong>en</strong>ing incoming ccalls<br />
and directing thee<br />
caller,<br />
as appropriate, to the nearest after-h hours care doctor.
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