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 />
Table 3: Numbber<br />
of contacts (pper<br />
24 hours) pe er 100,000 habitaants<br />
and<br />
period<br />
Night<br />
(Midnight<br />
to 8AM)<br />
Daytime<br />
(8AM to<br />
7PM)<br />
Ev<strong>en</strong>ing<br />
(7PM to<br />
Midnight)<br />
A<br />
(VV<br />
+ ODC)<br />
B(V)<br />
2 1<br />
24 11<br />
4 2<br />
C<br />
(VV<br />
+ ODC)<br />
ODC = Organizedd<br />
Duty C<strong>en</strong>tre ; V = Home visit<br />
Source : Individual Circle DData,<br />
2010<br />
D<br />
(V + ODC)<br />
1 2<br />
22 36<br />
3 5<br />
E<br />
F<br />
(V + ODC) (VV<br />
+ ODC)<br />
4.1.4. Resullts:<br />
work during “deep night” per riods<br />
This section annalyzes<br />
the numbber<br />
of contacts based b on differ<strong>en</strong>nt<br />
“Deep<br />
night” definitionns<br />
to suggest av<strong>en</strong>nues<br />
for a future definition d of night periods,<br />
with little or noo<br />
contact. It has to be noted tha at only the 5 circcles<br />
with<br />
avai<strong>la</strong>ble data bby<br />
hour were take<strong>en</strong><br />
into account for r those analyses.<br />
Table 4 and Figure<br />
1 show thaat<br />
the pivotal peri iod where the nuumber<br />
of<br />
contacts decreases<br />
in the nighht<br />
is betwe<strong>en</strong> 11P PM and midnightt.<br />
In the<br />
morning, the nuumber<br />
of contactss<br />
does not differ betwe<strong>en</strong> b periods including<br />
6 AM or 7 AM: it sharply rises beetwe<strong>en</strong><br />
7AM and 8AM. 8<br />
1<br />
13<br />
3<br />
Affter-Hours<br />
Primaary<br />
Care<br />
2<br />
39<br />
8<br />
TTable<br />
4: Mean NNumber<br />
of Conttacts:<br />
differ<strong>en</strong>t “Deep night peeriod”<br />
ddefinitions<br />
Night Period<br />
11PM-6AM<br />
11PM-7AM<br />
11PM-8AM<br />
12 Midnight-6AM<br />
12 Midnight -7AM<br />
12 Midnight -8AM<br />
OODC<br />
= Organized DDuty<br />
C<strong>en</strong>tre ; V = Hoome<br />
visit - Source : Individual Circle Daata,<br />
22010<br />
TTable<br />
5 disp<strong>la</strong>ys thhe<br />
number of contacts<br />
per 100,0000<br />
habitants: this is quite<br />
sstable<br />
betwe<strong>en</strong> thhe<br />
differ<strong>en</strong>t definittions<br />
of deep night<br />
as well as bettwe<strong>en</strong><br />
the<br />
5 GP circles under study: theere<br />
is a mean oof<br />
1 to 2 contacts<br />
per<br />
1100,000<br />
habitants during any deep night period (6, 7 or 8 hours).<br />
TTable<br />
5: Mean Nuumber<br />
of Contaccts<br />
(per day) per 100,000 habitannts<br />
by<br />
ddiffer<strong>en</strong>t<br />
Night peeriod<br />
definition<br />
NNight<br />
Period A (V + ODC) B (V)<br />
11PM-6AM<br />
11PM-7AM<br />
11PM-8AM<br />
12<br />
Midnight-6AM<br />
12<br />
Midnight -7AM<br />
12Midnight<br />
-8AM<br />
A (V + ODC) B (V) ) C (v + ODC) D (V + ODC) E (V + OODC)<br />
3 1<br />
4 1<br />
4 1<br />
3 1<br />
3 1<br />
3 1<br />
2 1<br />
2 1<br />
2 1<br />
1 1<br />
1 1<br />
2 1<br />
OODC<br />
= Organized DDuty<br />
C<strong>en</strong>tre; V = Homme<br />
visit - Source : IIndividual<br />
Circle Datta,<br />
22010<br />
3<br />
3<br />
3<br />
2<br />
2<br />
3<br />
C (V + ODC) D (VV<br />
+ ODC) E (V + ODDC)<br />
1<br />
1<br />
1<br />
1<br />
1<br />
1<br />
9 11<br />
10 12<br />
11 17<br />
7 8<br />
7 9<br />
9 14<br />
2 1<br />
2 1<br />
2 1<br />
2 1<br />
2 1<br />
2 1<br />
29