Quelles solutions pour la garde en médecine générale? - KCE

KCE Reports 1771
1.a.Use oof
search
engines oon
the
internet
1.b. Analyysis
of
referencees
of
articles frrom
literature review
2. List of
orgganisational
aspects
of
aftter-hours
care
3. Analysis of
organisational
aspects
using a standardizeed
template
4. Validation and
completion of the
templates by expertts
per country
5. Cross-check
of organisational
aspects with SR
Step 1.a.
The web search
engines (e.g. GGoogle,.)
were used
to identify reports
and
articles on after-hours
care that were not include ed in the literaturee
review
as they were mainly descriptivve
in nature. A detailed d list of wwebsites,
reports and articles
selected per country is availab ble in annex 8.4.
Step 1.b.
Other referencees
were found in tthe
reference list from Huibers et aal.
and in
the references ffrom
th systematicc
reviews found in n the indexed literrature.
Step 2:
For every counttry
a template anaalyzed
the followin ng organizational items::
• Characterisstics
of the health care system;
• Reform: sittuation
beforehand,
drivers, date, ty ype, financing sysstem;
• Characterisstics
of the moddel
most frequently
used e.g. number
of
models, poopulation,
use of sservices,
items on accessibility, stafff;
• Quality: guidelines,
indicatorrs/quality
requirem ments, outcomes;
Affter-Hours
Primaary
Care
• Critical success
factors and sugggestions
for improvement.
SStep
3:
A template including
the aforemmentioned
organizzational
aspects was
ddeveloped
for each
country to provide
a detailed desscription.
SStep
4:
EEach
template waas
sent to two expperts
(except for Italy) from the coountry
foor
completion andd
validation. The sselection
of experrts
(see names in 8.4. )
wwas
either based oon
their scientific publications on thhe
topic in internaational
ppeer
reviewed journals
(e.g. Giesenn)
and/or on their involvement with after-
hhours
organizationn
in their country ( (e.g. E. Querellou).
SStep
5:
In
a last step thhe
results of thee
analysis were crossed-checkedd
and
ddiscussed
togetheer
with the results of the SR.
55.3.
Results: i
55.3.1.
Overview
TThe
search identif
CCochrane
reviews
ppapers
on other t
wwere
assessed b
aabstract.
The res
wwere
reviewed in
fuurther
analysis.
A majority of stud
ssituation
of Ireland
55.3.1.1.
Model
SSeveral
models o
WWestern
countries
rreview.
32 indexed literatuure
w of the results
fied 798 papers i.ee.
527 in Medline,
268 in Embase aand
3
s. A first screen of the titles remmoved
duplicatess
and
topics than after- hours care. The 515 remaining paapers
by two authors (PPJ
and DP) on the basis of titlee
and
searchers identifieed
78 potentiallyy
relevant paperss
that
full. Six reviews and 62 other pappers
were selecteed
for
dies come from UU.K
(n= 35). The other ones descrribe
a
d, Netherland, Waales,
Denmark or BBelgium.
ls described in thhe
literature
of after-hours (AAH)
services aree
currently runninng
in
s. Huibers et al. iddentified
9 organizzational
models inn
their
:
37