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Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
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[Differences in requests to out-of-hours services].

Elisabeth Holm Hansen1, Steinar Hunskår

  • 1Nasjonalt kompetansesenter for legevaktmedisin, Kalfarveien 31, 5018 Bergen. elisabeth.holm-hansen@isf.uib.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 24, 2007
PubMed
Summary

This pilot study reveals significant variations in how Norwegian out-of-hours casualty clinics handle patient requests. Further research is needed to understand these differences in urgent care services.

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Area of Science:

  • Healthcare Services Research
  • Emergency Medicine
  • Public Health Policy

Background:

  • Out-of-hours services in Norway lack systematic assessment and national statistics.
  • This study addresses the need for data on casualty clinic activities.
  • Pilot study focusing on requests to three casualty clinics.

Purpose of the Study:

  • To pilot a data collection method for out-of-hours services.
  • To assess the types and volume of requests to casualty clinics.
  • To identify variations in service provision.

Main Methods:

  • Data collected over four weeks from three casualty clinics in Spring 2006.
  • All requests, day and night, were systematically recorded.
  • Standardized definitions and data quality checks were implemented.

Main Results:

  • 5,041 requests were analyzed, with contact rates varying significantly (29-84 per 1,000 inhabitants).
  • Disparities observed in "urgent" vs. "not urgent" classifications across clinics.
  • Low rates of home visits and acute responses by ambulance and general practitioners (GPs) were noted.

Conclusions:

  • Significant differences exist in factors influencing casualty clinic requests in Norway.
  • The pilot study highlights the necessity for a larger, more representative national study.
  • Findings suggest potential areas for service improvement and standardization.