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Quelles solutions pour la garde en médecine générale? - KCE

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28<br />

• From 11PMM<br />

to 6AM: very loow<br />

number of con ntacts, quite stabble<br />

along<br />

the night hoours.<br />

Figure 2 prese<strong>en</strong>ts<br />

the same data<br />

as figure 1 but by period i.ee.<br />

mean<br />

number of contaacts<br />

per day and period (night, day ytime, ev<strong>en</strong>ing) byy<br />

circle.<br />

Figure 2: Meann<br />

number of conttacts<br />

per 24 hours<br />

158<br />

148<br />

4<br />

49<br />

9<br />

A (V +<br />

ODC)<br />

1<br />

16<br />

B (V) C (V +<br />

ODCC)<br />

Night (Midnnight<br />

to 8AM) Daytimme<br />

(8AM to 7PM) Ev v<strong>en</strong>ing (7PM to Midnight)<br />

ODC = Organizedd<br />

Duty C<strong>en</strong>tre ; V = Home visit<br />

Source : Individual Circle DData,<br />

2010<br />

3<br />

3<br />

52<br />

6<br />

D (V +<br />

ODC)<br />

The repartition of the number of ccontacts<br />

in Table 2 below shows thhat:<br />

• around 80% % of the contacts occurred during the daytime (period<br />

of 11<br />

consecutive<br />

hours),<br />

• around 15% % during the ev<strong>en</strong>ning<br />

(period of 5 consecutive c<br />

hours),<br />

• around 5% % during the night (period of 8 conse ecutive hours).<br />

9<br />

24<br />

114<br />

36<br />

E (V +<br />

ODC)<br />

2<br />

56<br />

F (V +<br />

ODC)<br />

Affter-Hours<br />

Primaary<br />

Care<br />

122<br />

TTable<br />

2: Repartitiion<br />

of the numbeer<br />

of contacts ovver<br />

24 hours<br />

NNight<br />

(MMidnight<br />

to<br />

88AM)<br />

DDaytime<br />

(88AM<br />

to 7PM)<br />

A (V +<br />

ODC)<br />

B<br />

(V)<br />

6% 6%<br />

80% 80%<br />

C(V +<br />

ODC)<br />

D(V +<br />

ODC)<br />

5% 4%<br />

86% 83%<br />

EEv<strong>en</strong>ing<br />

14% 15% 10% 13%<br />

(77PM<br />

MMidnight)<br />

to<br />

OODC<br />

= Organized DDuty<br />

C<strong>en</strong>tre ; V = Hoome<br />

visit<br />

Source : Inddividual<br />

Circle Dataa,<br />

2010<br />

<strong>KCE</strong> Reportss<br />

171<br />

E(V +<br />

ODC)<br />

FF(V<br />

+<br />

OODC)<br />

Itt<br />

is interesting too<br />

see that, wh<strong>en</strong> reported to the nnumber<br />

of contacct<br />

per<br />

1100,000<br />

habitantss,<br />

the number off<br />

contact during the night only sllightly<br />

vvaries<br />

betwe<strong>en</strong> cirrcles:<br />

• During the daaytime<br />

and ev<strong>en</strong>inng<br />

the differ<strong>en</strong>ces betwe<strong>en</strong> circles might<br />

probably due to specific locall<br />

factors (type off<br />

area (rural, urbaan<br />

or<br />

semi-rural), agge<br />

of the popu<strong>la</strong>tion,<br />

pres<strong>en</strong>ce an OODC<br />

or hospital……)<br />

• During the nnights<br />

the numbeer<br />

is simi<strong>la</strong>r bettwe<strong>en</strong><br />

circles i.ee.<br />

1-2<br />

contacts per 1100<br />

000 inhabitannts.<br />

7%<br />

3%<br />

75% 880%<br />

18% 117%

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