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34
4.2.4. Resullts:
contacts durring
after-hours periods based oon
billingg
codes
The characterisstics
of the GPs who invoiced billing
codes considdered
as
work during afteer-hours
periods are presented in appendix 8.6.4. TThey
are
similar to the characteristics of the GPs inc cluded in the MMEDEGA
database.
Table 9 describbes
the median nuumber
of consultations
or visits per GP with
a billing code thhat
refers to after- hours periods (se ee appendix 8.6.2) )
Table 9: Numbber
of billing coddes
that refer to after-hours periods
per
GP – NIHDI database
(2009)
Period of time
Between 6PM to
9PM
(Consultation)
Between 6PM to
9PM
(Visit)
Between 8AM to
9 PM
(Consultation)
Between 8AM to
9 PM
(Visit)
Between 9PM to
8AM
(Consultation)
Between 9PM to
8AM
(Visit)
Week-end/Public
holiday
(Visit) –
Undefined period
of time
Source: NIHDI da
Descriptive
statistics
Number of GPs
Median
(Q1 - Q3)
Number of GPs
Median
(Q1 - Q3)
Number of GPs
Median
(Q1 - Q3)
Number of GPs
Median
(Q1 - Q3)
Number of GPs
Median
(Q1 - Q3)
Number of GPs
Median
(Q1 - Q3)
Number of GPs
Median
(Q1 - Q3)
atabase (2009).
Rural
281
10 (2– 161)
461
8 (4 – 15)
482
46 (25 – 77)
361
5 (2 – 9)
400
4 (2 – 8)
482
10 (5 – 17)
498
31 (18 – 47)
Semi-rural
3 156
417 (15 –
964)
3 949
8 (3 – 18)
3 927
32 (12 – 61)
3 059
4 (2 – 8)
2 943
4 (2 – 9)
4 110
10 (5 – 18)
4 274
27 (14 – 46)
The table illustrrates
some differeences
in the use of billing codes bbetween
the types of areeas.
Supplementaary
evening fees are a not frequently invoiced
Affter-Hours
Primaary
Care
Urban
3 399
261 (7 –
746)
5 008
6 (3 – 14)
4 744
23 (7 – 47)
3 606
4 (2 – 7)
2 809
3 (1 – 6)
5 037
7 (3 – 14)
5 622
18 (7 – 35)
inn
rural areas for tthe
consultations between 6PM and
to 9PM comparred
to
the
other areas.
TThe
specific billingg
codes linked to the daytime periood
of after hours (8AM
too
9PM) show thatt
the GPs have reecorded
more consultations
(mediann:
46,
332
and 23 consultations
per GP reespectively
for thee
rural, semi-ruraal
and
uurban
areas) than home visits (meddian:
4 to 5 per GPP
for all areas).
DDuring
the nights on the opposite (from 9PM to 8AAM
as defined bby
the
bbilling
codes), homme
visits (mediann,
around 10 conttacts
by GP) are more
frrequent
than conssultations
(mediann:
4 to 5 contacts by GP).
TTable
10 presentss
the total numbeer
of billing codees
that refers to wweek
eends,
public holiday
and nights (affter
exclusion of the evening codees
for
the
period 6PM to 9PM).
TTable
10: Total number
of billing codes per GP (eexcept
6PM to 9PPM)
–
NNIHDI
database
Descriptive statisticcs
Ruural
Semi-rural
Urbban
N (Number of GPs)
516
4 5507
6 2235
Mean (SD)
1099
(79) 98 ( (101) 72 ( (95)
Median (Q1 – Q3)
98 (599
– 145) 81 (422
– 126) 50 (177
– 90)
Min - Max
1 - 570 1 – 2 363 1 – 1 402
SSource:
NIHDI databbase
(2009).
KCE Reportss
171
44.3.
Discussio
44.3.1.
Different
TThe
validity and
bbetween
MEDEGA
ddatabase
are base
wwith
caution as illu
uuse
of this code in
FFund
M
c
fr
r
24 on
t interpretations according to thee
databases
usefulness of thee
databases useed
for this study differ
A and the NIHDI databases. The rresults
from the NNIHDI
ed on the invoicinng
by the GPs andd
should be interppreted
ustrated by the usse
of the evening billing codes. A hhigher
n Flanders was allready
found in a study from a Sickkness
.
Moreover the billiing
codes record any activity of tthe
GP. He/she might
choose voluntarilyy
to be on call for hhis/her
own patiennts,
a different concept
rom the obligatioon
to be on call for all patients frrom
the GP circle
(as
recorded in the MEEDEGA
databasee).