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Using and providing out-of-hours services: can patients and GPs agree?

Increasing demand for primary care outside the normal working week has come into conflict with the reluctance of doctors to continue to bear 'intolerable' workloads and carry 24-h responsibility for their patients. These developments have led to widespread changes in the organization of out-of-hours...

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Published in:Health & Social Care in the Community Vol. 7; no. 4; pp. 266 - 276
Main Authors: Shipman C, Dale J
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Jul99
Online Access:View this record in EBSCOhost
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      pub: Wiley-Blackwell
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        atl: Using and providing out-of-hours services: can patients and GPs agree?
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          Shipman C
          Dale J
        affil: Dept of Palliative Care & Policy, Guy's, King's & St Thomas School of Medicine, Bessemer Road, London SE5 9PJ, UK
      sug:
        subj:
          Primary Health Care
          Home Visits
          Telephone Information Services
          Funding Source
          United Kingdom
          Research Subject Recruitment
          Descriptive Statistics
          Qualitative Studies
          Semi-Structured Interview
          Telephone
          Grounded Theory
          Patient Attitudes Evaluation
          Data Analysis Software
          Physician Attitudes Evaluation
          Male
          Female
          Human
          Male
          Female
      ab: Increasing demand for primary care outside the normal working week has come into conflict with the reluctance of doctors to continue to bear 'intolerable' workloads and carry 24-h responsibility for their patients. These developments have led to widespread changes in the organization of out-of-hours primary care. This paper provides new findings on differing perceptions of use of out-of-hours primary care (general medical) services in Great Britain. By drawing on comparative data from an audit and research study on out-of-hours demand involving 25 south-east London practices, the longitudinal perspective of patients and cross sectional perspective of GPs have been identified which can lead to miscommunication during a short out-of-hours consultation. In order to achieve more effective and efficient use and provision of out-of-hours general medical services, a consensus must be developed over what emergency primary care constitutes, and the provider perspective become more accommodating in defining 'appropriate' use. Greater emphasis must also be placed on multidisciplinary working out-of-hours, to enable a more 'appropriate' response to the wide-ranging nature of demand for general medical services.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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