Quelles solutions pour la garde en médecine générale? - KCE

64
Figure 6. Patteern
of 1733 calls during the week k
Figure 7. Patteern
of 1733 calls during the week k-end
90
80
70
60
50
40
30
20
10
0
0 1 2 3 4
5 6 7 8 9 10
Source : Ministry y of Public Health
11 12 13 14 15 16 17
18 19 20 21 22 23
Affter-Hours
Primaary
Care
1733
112
TOTAL
6.4. Discussion
6.4.1. What wwe
have learnt froom
the Belgian eexperiences
6.4.1.1. Few ddata
available on
costs
The Belgian system
collects financial
data on ODDCs,
at an aggreegate
level, and the avvailable
figures arre
based on self- reports. The utilizzation
for policy recommmendations
is limmited,
due to the lack of transparrency.
The financial datta
available at thee
NIHDI could stiill
be used to evaaluate
the pertinence of the expenses, with
regard to the aactivities
of the poost,
in
term of contacts dduring
the day and
the night and tyype
of area (population
density in rural veersus
urban areass).
The situation in oother
countries alsso
shows that feww
data are availabble
for
an economic anaalysis.
In the Netherlands,
the costss
are well-documeented
as the ‘Verenigingg
Huisartsenposteen
Nederland pubblishes
a yearly buulletin
with information on the cost of the
posts, based oon
a survey amonng
its
members. For thee
other countries, the information iss
scarce.
6.4.1.2. Heterrogeneous
use, few contacts duuring
nights
There is a substtantial
difference between ODCs aand
between dayy
and
night periods. Soome
ODCs reportt
up to 19 patients
per hour durinng
the
day, while in otheer
ones, the number
of patients is leess
than one per hhour.
During the night, all centres report
less than one patient per hour. . This
slack period is simmilar
the one recoorded
by the GP circles (see 4.1.44)
and
by the 1733. Thiss
low activity raisees
questions abouut
the ODCs’ efficciency
during deep nightts,
as previously mentioned for thee
cooperatives in a UK
study. 79
6.4.1.3. Variaations
in costs byy
inhabitant
KCE Reportss
171
Converted to the number of inhab
spent varies betwween
€ 0.15 and €
The study from Zurich
important determ
telephone contac
the day), while th
Data on costs b
Belgium in the fut
101 itants covered byy
the ODC, the ammount
€ 5.08 per inhabitaant.
concluuded
that the mode
of contact is an
minant of the coosts.
In Denmarkk,
the GP fees for a
ct are between € 55.1
and € 6.3 (depending
on the timme
of
e fees for home vvisits
is officially seet
at € 33.4 or € 440.91.
by type of contacct
would also bee
highly interestinng
for
ture.