EurOOHnet-the European research network for out-of-hours primary health care

被引:27
作者
Huibers, Linda [1 ,2 ]
Philips, Hilde [3 ]
Giesen, Paul [1 ]
Remmen, Roy [3 ]
Christensen, Morten Bondo [2 ]
Bondevik, Gunnar Tschudi [4 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr Nijmegen, Sci Inst Qual Healthcare, NL-6525 ED Nijmegen, Netherlands
[2] Aarhus Univ, Res Unit Gen Practice, DK-8000 Aarhus C, Denmark
[3] Univ Antwerp, Dept Primary & Interdisciplinary Care, Antwerp, Belgium
[4] Univ Bergen, Dept Global Publ Hlth & Primary Care, N-5020 Bergen, Norway
关键词
emergency and out-of-hours care; primary care; quality of health care; health services; research network; GENERAL-PRACTITIONER COOPERATIVES; EMERGENCY-DEPARTMENT; NETHERLANDS; COUNTRIES; DENMARK; MODELS; REFORM; CALL;
D O I
10.3109/13814788.2013.846320
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background and rationale: European countries face similar challenges in the provision of health care. Demographic factors like ageing, population growth, changing patient behaviour, and lack of work force lead to increasing demands, costs, and overcrowding of out-of-hours (OOH) care (i.e. primary care services, emergency departments (EDs), and ambulance services). These developments strain services and imply safety risks. In the last few decades, countries have been re-organizing their OOH primary health care services. Aim and scope of the network: We established a European research network for out-of-hours primary health care (EurOOHnet), which aims to transfer knowledge, share experiences, and conduct research. Combining research competencies and integrating results can generate a profound information flow to European researchers and decision makers in health policy, contributing towards feasible and high-quality OOH care. It also contributes to a more comparable performance level within European regions. Conducted research projects: The European research network aims to conduct mutual research projects. At present, three projects have been accomplished, among others concerning the diagnostic scope in OOH primary care services and guideline adherence for diagnosis and treatment of cystitis in OOH primary care. The future: Future areas of research will be organizational models for OOH care; appropriate use of the OOH services; quality of telephone triage; quality of medical care; patient safety issues; use of auxiliary personnel; collaboration with EDs and ambulance care; and the role of GPs in OOH care.
引用
收藏
页码:229 / 232
页数:4
相关论文
共 19 条
[1]   Out of hours service in Denmark: evaluation five years after reform [J].
Christensen, MB ;
Olesen, F .
BMJ-BRITISH MEDICAL JOURNAL, 1998, 316 (7143) :1502-1505
[2]  
Christensen MB, 2005, GEN PRACTITIONERS EV, V167, P3412
[3]   The association between demographic factors, user reported experiences and user satisfaction: results from three casualty clinics in Norway [J].
Danielsen, Kirsten ;
Bjertnaes, Oyvind A. ;
Garratt, Andrew ;
Forland, Oddvar ;
Iversen, Hilde Hestad ;
Hunskaar, Steinar .
BMC FAMILY PRACTICE, 2010, 11
[4]  
Giesbers S., 2011, MED CONTACT, V66, P587
[5]   Patients either contacting a general practice cooperative or accident and emergency department out of hours: a comparison [J].
Giesen, P. ;
Franssen, E. ;
Mokkink, H. ;
van den Bosch, W. ;
van Vugt, A. ;
Grol, R. .
EMERGENCY MEDICINE JOURNAL, 2006, 23 (09) :731-734
[6]  
Giesen P, 2007, THESIS RADBOUD U MED
[7]   Out-of-hours primary care: development of indicators for prescribing and referring [J].
Giesen, Paul ;
Willekens, M. ;
Mokkink, H. ;
Braspenning, Joze ;
Van Den Bosch, W. ;
Grol, Richard .
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2007, 19 (05) :289-295
[8]   Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? [J].
Giesen, Paul ;
Ferwerda, Rosa ;
Tijssen, Roelie ;
Mokkink, Henk ;
Drijver, Roeland ;
van den Bosch, Wil ;
Grol, Richard .
QUALITY & SAFETY IN HEALTH CARE, 2007, 16 (03) :181-184
[9]   Quality of After-Hours Primary Care in the Netherlands: A Narrative Review [J].
Giesen, Paul ;
Smits, Marleen ;
Huibers, Linda ;
Grol, Richard ;
Wensing, Michel .
ANNALS OF INTERNAL MEDICINE, 2011, 155 (02) :108-113
[10]   After-hours care in the United Kingdom, Denmark, and the Netherlands: New models [J].
Grol, Richard ;
Giesen, Paul ;
van Uden, Caro .
HEALTH AFFAIRS, 2006, 25 (06) :1733-1737