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Emergency call service.

The Journal of the Royal College of General Practitioners

|January 1, 1976

Summary

This summary is machine-generated.

Most emergency call service home visits were not medically essential, with many patients showing no symptoms. A nocturnal visiting fee could reduce unnecessary requests for medical services.

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Area of Science:

Emergency medicine
Healthcare management

Background:

Emergency call services handle numerous home visits.
Assessing the necessity of these visits is crucial for resource allocation.

Purpose of the Study:

To evaluate the medical necessity of home visits conducted by an emergency call service.
To identify factors contributing to non-essential visits.

Main Methods:

Review of 153 home visits made by a single practitioner.
Subjective assessment of medical necessity for each visit.

Main Results:

Only 21 (14%) of the 153 home visits were deemed medically essential.
32 (21%) of patients visited had no presenting symptoms.
A significant proportion of visits may not require immediate medical intervention.

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Conclusions:

A substantial number of emergency call service home visits are not medically essential.
Implementing patient-payable fees, particularly for nocturnal visits, may deter unnecessary service utilization.
Further research is needed to explore cost-effective strategies for managing emergency call service demand.