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 />
Some demograaphic<br />
characteristtics<br />
might give a (limited) exp<strong>la</strong>naation<br />
of<br />
the variation of f cost per inhabitaant<br />
(popu<strong>la</strong>tion de <strong>en</strong>sity, sociodemographic<br />
characteristics) but the local orrganization<br />
undou ubtly p<strong>la</strong>ys a majjor<br />
role<br />
(home visits, opp<strong>en</strong>ing<br />
times). :<br />
6.3. Uniquee<br />
call number wwith<br />
triage (project<br />
“1733”)<br />
In some pilot areas, pati<strong>en</strong>ts wwith<br />
health problems<br />
during afteer-hours<br />
periods can caall<br />
a unique numbber.<br />
A telephonist t with a specific training<br />
appraises the ssituation<br />
and offers<br />
the most appro opriate solution oor<br />
refers<br />
to the GP circcle<br />
(see 2.6). Sinnce<br />
the start of this project (20008),<br />
the<br />
following areass<br />
have be<strong>en</strong> proogressively<br />
involv ved: Hainaut (Chharleroi,<br />
Binche, Mons), Brugge, the provvince<br />
of Luxembou urg and Chimay.<br />
6.3.1. Budgeet<br />
2011 and p<strong>la</strong>nnning<br />
budget 20 012 to cover the<br />
countrry<br />
In 2011 a budgget<br />
has be<strong>en</strong> allocated<br />
by the Ministry<br />
of Public Heealth<br />
for<br />
the implem<strong>en</strong>taation<br />
of the projectt<br />
1733 in the regio ons m<strong>en</strong>tioned abbove:<br />
• € 209 000 for the implem<strong>en</strong>ttation<br />
of the syste em;<br />
• € 224 3455<br />
for the further sset<br />
up of a c<strong>en</strong>t tral triage systemm<br />
in the<br />
province oof<br />
Hainaut (the seet<br />
up of the c<strong>en</strong>tr ral triage system will be<br />
expanded in the other regionns<br />
from 2012 onw wards).<br />
The table beloww<br />
shows the foreccast<br />
2012 to deve elop the project oover<br />
the<br />
country: 35 FTTE<br />
(full time equivval<strong>en</strong>t)<br />
would cov ver the territory, wwith<br />
an<br />
estimated staff cost around € 1 7715<br />
000 (¾ of the e budget are alloccated<br />
to<br />
personnel costss).<br />
The telephonee<br />
system is operat tional betwe<strong>en</strong> 6 PPM<br />
and<br />
8 AM.<br />
The interpretation<br />
of these costts<br />
has to take ac ccount of the diff ffer<strong>en</strong>ce<br />
betwe<strong>en</strong> <strong>la</strong>unchhing<br />
costs and thhe<br />
future costs wh<strong>en</strong> w the system will be<br />
running.<br />
Affter-Hours<br />
Primaary<br />
Care<br />
Table 20: Forecaast<br />
Budget 2012 - 1733 project (€ €)<br />
Human resources<br />
Staff 1733<br />
35 FE , € 45 000 Full<br />
Time Equival<strong>en</strong>t<br />
Coordination<br />
3 Full Time Equivale<strong>en</strong>ts<br />
Operational exp<strong>en</strong>diitures<br />
Overtime<br />
Phone and ICT<br />
Logistic Personnel FFurniture<br />
Building<br />
Other exp<strong>en</strong>ses<br />
Follow-up protocolss<br />
and quality assurannce<br />
procedures<br />
TOTAL<br />
Source: Ministry of Public Health (unpuublished<br />
data)<br />
1 715 000<br />
130 000<br />
171 500<br />
200 000<br />
70 000<br />
35 000<br />
200 000<br />
2 521 500<br />
6.3.2. Activitiees<br />
of the 1733<br />
The popu<strong>la</strong>tion ccovered<br />
by the pproject<br />
is estimated<br />
around 1.3499.064<br />
inhabitants :<br />
• Hainaut : 7355<br />
167<br />
• Chimay : 67 318<br />
• Brugge: 546. . 579<br />
• Luxembourg : 337 198 (operaational<br />
in 2012).<br />
The Ministry of PPublic<br />
Health analyzed<br />
the activitiees<br />
of the “1733” bbased<br />
on the data colleected<br />
for Mons, during<br />
the first semmester<br />
of 2011 (11<br />
106<br />
calls). The resultss<br />
show the peaks in calls (see figurres<br />
below):<br />
• during the weeek:<br />
ev<strong>en</strong>ing betwwe<strong>en</strong><br />
7 PM and 100<br />
PM;<br />
• during the weeek-<strong>en</strong>d<br />
: morninggs<br />
betwe<strong>en</strong> 8 AM and 12 AM.<br />
These patterns are<br />
simi<strong>la</strong>r to the rresults<br />
of the 6 GP<br />
circles (see 4.1.2.2):<br />
a peak occurred betwe<strong>en</strong> 8 AM and 11 AM andd<br />
the number of calls<br />
decreased from 7 PM onward witth<br />
a s<strong>la</strong>ck period betwe<strong>en</strong> 11PM aand<br />
7<br />
AM.<br />
63
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