Quelles solutions pour la garde en médecine générale? - KCE

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126 Items on to the familyy doctor. Their prescrip ptions are valid for a sshort period and requirre confirmation from thhe family doctor. When a call commes in, they decide whether w to send the pattient to the primary caare point (free of chargge), make a home visitt or provide telephone advice. Each after-hourrs primary care point in each of the 20 regioons has its own specifiic telephone number. Unlike emergenncy physicians, after-h hours doctors in Italy ddo not enjoy a high soccial image and the possts are subject to heavvy turnover. Financer and Financer: regioon financing system Remuneration sspecifically designed for f after-hours care dooctors. The after-hourss service doctor is gen nerally paid in the formm of an hourly flat ratee under a regional scheeme: the mean annuaal gross income is around 30,000 to 50,000 euros, a relatively low level compared to oth her general practitioneers. Since 2007: a ffixed co-payment has been levied for unwarrranted access to hosppital emergency deparrtments. Characteristics off Initiator: Districtt model most Number of docttors taking part in after-hours services: No ddata available frequently used Number of conttact points for after-ho ours services/inhabitanns: No data available. Population: Theere is a physician/population ratio of one aftter-hours care doctor pper 5,000 inhabitants. Critical success factors Guidelines Indicators Who does the measurement Outcomes Suggestions for improvement of after-hours care Distance: Distaances up to 20-30 kilom meter, varies by regionn. Indication: Intennded for urgent help re equests that cannot wwait until the next day. Availability: Avaailable from 8 p.m. to 8 a.m. for nights from Monday to Friday andd from 8 p.m. to 8 a.m. on the following workking day on weekendss or public holidays. Time frame for answering to calls: No o data available. Time frame for urgent and non-urgen nt visits: No data availaable. Location: Not linked to a hospital. Access: With loocal phone number. Workload doctoors: 12 hours duty. Services: Phone consultaations Home visits Consultations Logistic supporrt: No data available. Information andd communication technology: Not formally oorganized. No data availabble. No data availabble. No data availabble. No data availabble. No data availabble. Affter-Hours Primaary Care Results KCE Reportss 171 There are expeeriments in certain are eas with the setting upp of a single call centrre for all after-hours caare doctors, aiming at screening incoming ccalls and directing thee caller, as appropriate, to the nearest after-h hours care doctor.
KCE Reports 1771 8.4.5.1. Weebsites and referrences for Italy: http://www.statooregioni.it/ http://www.sisac.info/default.do 8.4.5.2. Refferences : 1. Hartmann Laurence, Philipppe Ulmann and d Lise Rochaix. GPs and access to out-of-hours serrvices in six Euro opean countries (Germany, Spain, France, Italy, the Uniited Kingdom and d Sweden), Revuee Française des Affairees Sociales, 2006/ /6 n° 6, p. 89-114. 2. Lo Scalzo A, Donatini A, OOrzella L, Cicche etti A, Profili S, MMaresso A. Italy: Healtth system review. Health Systems in Transition, 20009; 11(6)1- 216. Affter-Hours Primaary Care 127
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KCE REPORTS 2011 171B QUELLLES SOOL
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Contrôle Direction Contact Comm mi
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COLOPHOON Titre : Auteurs : Experts
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KCE Reports 1771B PRÉFFACE Il y a
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KCE Reports 1771B Obstacles liéés
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KCE Reports 1771B Autres alternnati
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KCE Reports 1771B Garddes en médec
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KCE Reports 1771B SYNTTHÈSE Garde
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KCE Reports 1771B 1.3.2. Chargees d
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KCE Reports 1771B La plupart des é
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KCE Reports 1771B n'est pas le cass
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KCE Reports 1771B PROCESSUS PROCÉD
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KCE Reports 1771 SCIENTIFIC RREPOR
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KCE Reports 171 Affter-Hours Primaa
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KCE Reports 171 Affter-Hours Primaa
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KCE Reports 1771 LIST OF FFIGURES L
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KCE Reports 1771 LIST OF AABBREVIAT
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KCE Reports 1771 Affter-Hours Prima
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KCE Reports 1771 1.1.3. Initial The
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KCE Reports 1771 below. 15 The eeva
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KCE Reports 1771 2.6. Uniquee call
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KCE Reports 1771 • Advising thhe
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KCE Reports 1771 regarding tthe org
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KCE Reports 1771 contacts and too s
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KCE Reports 1771 When looking at ag
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KCE Reports 1771 4.3.2. Type of are
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KCE Reports 1771 1.a.Use oof search
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KCE Reports 1771 Continuity of c as
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KCE Reports 1771 • The safetyy of
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KCE Reports 1771 5.4.4. Financial i
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KCE Reports 1771 the ambulance serv
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KCE Reports 1771 the patient’s ne
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KCE Reports 1771 6.1.1.1. Thee Neth
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KCE Reports 1771 between € 14 inn
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KCE Reports 1771 Table 16 : Disstri
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KCE Reports 1771 The NIHDI tablees
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KCE Reports 1771 Some demograaphic
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KCE Reports 1771 In the same wway,
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KCE Reports 1771 8. APPEENDICES 8.1
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KCE Reports 1771 • A logistic o c
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KCE Reports 1771 o Decreaase of GP
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KCE Reports 1771 9. REFEERENCES 1.
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KCE Reports 1771 38. Pickin DMM, O'
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KCE Reports 1771 79. Thompsoon F, G
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