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Related Experiment Videos

Wide variations in the night visiting rate.

T P Usherwood, M A Kapasi, J H Barber

    The Journal of the Royal College of General Practitioners
    |August 1, 1985
    PubMed
    Summary

    Night visiting rates varied significantly between general practices, despite similar out-of-hours care organization. The doctor-patient relationship may explain these differences in out-of-hours healthcare utilization.

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    Area of Science:

    • General Practice
    • Healthcare Management
    • Patient Care

    Background:

    • Out-of-hours services are crucial for timely medical care.
    • Variations in healthcare service utilization exist across different general practices.
    • Understanding factors influencing patient visiting rates is essential for resource allocation.

    Purpose of the Study:

    • To analyze night visiting rates in an out-of-hours rota service.
    • To identify variations in annual night visiting rates among 10 group practices.
    • To explore potential factors contributing to these observed differences.

    Main Methods:

    • Retrospective analysis of night visit records from a large health centre's out-of-hours rota service.
    • Calculation of mean annual night visiting rates per 1000 patients for each practice.
    • Comparison of visiting rates across 10 group practices, considering organizational and demographic factors.

    Main Results:

    • The mean annual night visiting rate for the health centre was 35.2 per 1000 patients.
    • Individual practices showed a range in night visiting rates, from 25.8 to 43.5 per 1000 patients.
    • No significant demographic differences were found between practices, and night care organization was uniform.

    Conclusions:

    • Significant variations in night visiting rates exist among general practices.
    • The doctor-patient relationship is proposed as a potential influencing factor for these differences.
    • Further research into the impact of the doctor-patient relationship on healthcare utilization is warranted.

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