Quelles solutions pour la garde en médecine générale? - KCE

KCE Reports 1771
4.2.2.3. Limmitations
This analysis haas
some limitationns:
• GPs might have cared for thheir
own patients without being reccorded
in
the MEDEGGA
database, leaading
to an under restimation of the number
of after-houurs
work per GP.
• The analyssis
of the NIHDI bbilling
codes depe end on the invoicee
by the
GP whereaas
data from MEEDEGA
depend on o the registrationn
by the
GP circle (aas
discussed in 4.3).
• The analysses
are based on
the contact ad ddress of the GPPs:
there
might be over-
or under-estimation
of the hou urs on call for somme
areas
when the GGP
works in an areea
different from his/her h area of contact.
4.2.3. Resullts:
periods and nights on call (M MEDEGA sourcee)
The MEDEGA database includees
begin and end d times of the afteer-hours
periods recordeed
by the GP circlees.
4.2.3.1. Chaaracteristics
of thhe
GPs included d in the analysiss
The characterisstics
of the GPs included in the analyses a are desccribed
in
Table 6
Table 6: Charaacteristics
of the
8702 GPs registered
in the MMEDEGA
database (20099)
Characteristics
n ( (%)
Gender
Female
2 825 (32%)
Male
5 877 (68%)
Age
30-40 y
1 645 (19%)
40-50 y
2 051 (24%)
50-60 y
3 484 (40%)
60-70y
1 003 (12%)
Others
518 (6%)
Accredited GPs
No
1 081 (12%)
Yes
7 621 (88%)
Flanders
Urban
2 822 (53%)
Semi-rural
2 481 ( (46.6%)
Rural
28 (00.4%)
Wallonia
Urban
1 405 ( (43.2%)
Semi-rural
1 415 ( (43.6%)
Rural
429 (113.2%)
Source: NIHDI annd
MEDEGA databaase
2009
Affter-Hours
Primaary
Care
TThis
table shows tthat
around 40% of the GPs with wwork
during after- hours
pperiods
(registereed
in the MEDEGGA
database) aree
aged from 50 to 60
yyears.
Around onee
third (30%) are women and 88% % have an accreditation
( see glossary).
TThe
difference bettween
the percentages
of GPs whoo
work in rural areeas
is
immportant:
less thhan
1% (n = 28) in Flanders verssus
13.2% (n=4229)
in
WWallonia.
TThe
appendix 8.6.3.1
shows that the
other characteeristics
of the GPPs
are
ssimilar
between thhe
three types of aareas.
44.2.3.2.
Mediaan
number of hours
on call (per yyear)
TThe
number of hours
on call is the nnumber
of hours tthe
GP might be ccalled
foor
a home visit or
should be preseent
in an ODC forr
consultations. TThis
is
the
time referred tto
the circle and ffor
which the NIHHDI
pays hourly feees
to
the
GP for the afteer-hours
period.
FFigure
3 illustratess
that the median number of hours on call per year ( (after-
hhours
periods) perr
GP varies by disstrict:
• More than 500%
of the GPs with contact adddress
in Neufchââteau,
Bastogne andd
Virton were on ccall
during after-hoours
periods moree
than
600 hours oveer
the year 2009;
• In contrast, 550%
of the GPs wwith
a contact adddress
in Antwerpp
and
Brussels weree
on call less thann
167 hours in 20009.
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