After-hours care in the United Kingdom, Denmark, and the Netherlands: New models
After-hours care in the United Kingdom, Denmark, and the Netherlands: New models
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DOI：
10.1377/hlthaff.25.6.1733
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发表时间：
2006-11-01
期刊：
影响因子：
9.7
通讯作者：
van Uden, Caro
中科院分区：
文献类型：
--
作者：
Grol, Richard;Giesen, Paul;van Uden, Caro
有迹象表明，一些国家的下班后护理质量很差。欧洲的下班后护理正在从个人和团体的做法与当地的下班后呼叫时间表转向大规模的下班后护理服务。三个国家的初级保健合作社的经验表明，这种模式可以减轻医生的工作量，减少面对面接触的次数，减少急诊服务的使用和住院人数，并降低费用。大多数患者接受这些新模式，但如果他们希望看到医生，则不满意。地方或区域所有紧急服务的一体化似乎是最有前途的下班后护理模式。
There are indications that after-hours care in some countries is of poor quality. European after-hours care is shifting away from individual and group practices with local after-hours call schedules toward large-scale after-hours care services. Experiences with primary care cooperatives in three countries show that this model can lighten physicians' workloads, reduce the number of face-to-face contacts, reduce use of emergency services and hospital admissions, and lower costs. Most patients accept these new models but are dissatisfied if they expect to see a physician. Local or regional integration of all emergency services seems to be the most promising model for after-hours care.