Quelles solutions pour la garde en médecine générale? - KCE

KCE Reports 1771
When looking at age categories,
the differences
between areass
remain
noticeable but tthe
decrease fromm
60 years onwar rds is similar betwween
the
3 areas (see apppendix
8.6.3.3).
In each area, tthere
is little diffeerence
between genders g in the nuumber
of
hours on call (ssee
appendix 8.6.33.4).
4.2.3.3. Meddian
number of nnights
on call
Figure 5 presents
the median nnumber
of periods s on call includingg
“night”
hours in 2009. A “night of duty” wwas
defined for th his analysis as a pperiod
of
duty including hours from midnight
to 6:00AM. This T includes all nights (
during weeks and
week-end or ppublic
holidays).
Figure 5: Median
Number of niights
on call – MEDEGA
database
Source: MEDEGAA
database (2009).
As displayed inn
Figure 5, more tthan
50% of the GPs G with contact address
in Neufchâteau,
Bastogne and VVirton
had perform med more than 400
periods
on call including
“night” hours (i. .e. a mean of 3 to o 4 per month). FFor
most
other areas, thee
number of perioods
on call including
“night” hours wwas
less
than 20 (i.e. meean
of 1 to 2 per mmonth).
Affter-Hours
Primaary
Care
TTable
8: Numberr
(%) GPs with pperiods
on call inncluding
night hhours
bby
type of area – MEDEGA databaase
NNumber
of nights on call RRural
Semmi-rural
Urbaan
(Nummber
of (Nummber
of (Numbeer
of
GPPs=450)
GPs =3 896) GPs =4 356)
n (%)
n (%)
n (% %)
0 night per year
0 22 ( (0.5%) 77 (1.88%)
1 - 2 nights per year
3 - 10 nights per yearr
41 (9.1%) 465 ( (11.9%) 1157 (266.6%)
10-29
nights per yearr
106 (23.6%) 2 4399
(62.6%) 2 461 (566.5%)
330-49
nights per yearr
172 (38.2%) 718 ( (18.4%) 334 (7.77%)
> 50 nights per year
SSource:
MEDEGA ddatabase
(2009).
TTable
8 shows thaat:
Type off
area
6 ( (1.3%) 102 (2.6%) 254 (5.88%)
125 (27.8%) 150 (3.8%) 73 (1.77%)
• In rural areass,
all GPs with reegistered
duty peeriods
have at leeast
1
period includinng
night hours;
• 90%, 85% annd
70% of the GPPs
with contact aaddress
in respecctively
rural, semi-ruural
and urban aareas
have moree
than 10 after- hours
periods includding
night hours.
• >28% of the GPs in rural areeas,
4% in semi-rrural
and 2% in uurban
areas have mmore
than 50 periods
on call including
nights houurs
in
2009 (i.e. > 4 nights per month).
TThe
appendix 8.6. 3.5 shows:
• little differencees
between men aand
women GPs;
• a constant nuumber
of nights oon
call over the mmonths
for all typpes
of
area: around 3 to 4 nights/moonth
for rural areas,
2 nights/month
for
semi-rural areeas
and 1 to 2 nights/month
for urbaan
areas.
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