[Working style among regular general practitioners and other doctors in the out-of-hours services].
[Working style among regular general practitioners and other doctors in the out-of-hours services].
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DOI：
10.4045/tidsskr.09.0489
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发表时间：
2010-01-28
期刊：
影响因子：
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通讯作者：
Hunskar, Steinar
中科院分区：
文献类型：
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作者：
Sandvik, Hogne;Hunskar, Steinar
背景：在挪威，RGP(普通全科医生)有义务承担非工作时间服务的职责，但他们实际上承担的工作还不到这项工作的一半。材料和方法：挪威劳工和福利管理局提供了2006年挪威所有在非工作时间服务的医生的信息(4729人，其中2220人是RGP)，并将这些信息与他们在此期间提出的报酬要求结合在一起。结果：RGP在非工作时间服务中有46.6%的患者接触者，但电话接触者(57.4%)和简单/短接触者(50.7%)比其他医生多。其他医生在最大的(59.8%)和最中心的(56.7%)市政当局有最多的接触，并且比RGPS(占所有会诊的12.6%和11.0%)更多地使用一般性和非特异性诊断。年长的医生比年轻的医生使用的费用更少，但在其他方面，不同医生群体之间的总费用只有轻微的差异。新获得强制执业资格的医生因长期会诊索要额外报酬的占41.2%，兼任全科专科医生的RGP占20.2%，其他医生占35.7%。RGP医生写病历的频率(7.1%)高于新获得资格的医生(5.7%)和其他医生(6.6%)。全科专科医生写病历最多(7.4%)。干预：有经验的RGP和全科专科医生在每个病人身上花费的时间比其他医生在非工作时间服务中花费的时间更少。
BACKGROUND: RGPs (regular general practitioners) are obliged to take on duties in the out-of-hours services in Norway, but they actually perform less than half of this work. We wished to compare remuneration claims for out-of-hours work from RGPs with those from other doctors.MATERIAL AND METHODS: The Norwegian Labour and Welfare administration provided information about all doctors working in the out-of-hours services in Norway in 2006 (4 729 of whom 2 220 were RGPs) and coupled this with the remuneration they had claimed in this period.RESULTS: RGPs had 46.6 % of all patient contacts in the out-of-hours services, but more telephone contacts (57.4 %) and simple/short contacts (50.7 %) than other doctors. Other doctors had most contacts in the largest (59.8 %) and most central (56.7 %) municipalities and used general and unspecific diagnoses more often than the RGPs (12.6 % of all consultations vs. 11.0 %). Older doctors used fewer fees than younger doctors, but otherwise the total number of fees only differed slightly between various groups of doctors. Newly qualified doctors serving their compulsory practice period claimed extra remuneration for long consultations in 41.2 % of the cases, RGPs who are also general practice specialists in 20.2 % of cases, and other doctors in 35.7 % of the consultations. RGPs wrote sick notes more often (7.1 % of consultations) than newly qualified doctors (5.7 %) and other doctors (6.6 %). General practice specialists wrote sick notes most often (7.4 %).INTERPRETATION: Experienced RGPs and general practice specialists spend less time per patient than other doctors in the out-of-hours services.