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Related Experiment Videos

Visiting through the night

C Salisbury1

  • 1Grovelands Medical Centre, Reading.

BMJ (Clinical Research Ed.)
|March 20, 1993
PubMed
Summary
This summary is machine-generated.

Night visits by general practitioners have significantly increased over a decade, with demand rising despite fewer deputy services. This trend is only partially explained by extended claimable hours.

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Area of Science:

  • General Practice
  • Healthcare Services Research
  • Health Economics

Background:

  • Night visits represent a significant component of general practitioner workload.
  • Understanding trends in night visits is crucial for resource allocation and service planning.

Purpose of the Study:

  • To analyze the temporal distribution of general practitioner night visits.
  • To evaluate trends in the frequency of night visits between 1982 and 1992.

Main Methods:

  • Analysis of a 1:12 sample of claim forms for night visits from July 1991.
  • Estimation of historical night visit numbers using payment data and Department of Health performance indicators.
  • Assessment of night visit times, deputy usage, and trends adjusted for extended claimable hours.

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Main Results:

  • Extended claimable hours accounted for 33.8% of night visits.
  • Excluding these hours, night visit claims rose by 38.7% (1989-1992) and more than doubled over 10 years.
  • Deputy usage decreased by over 50% since 1989, with 31.5 night visits per 1000 population claimed in Berkshire in 1992.

Conclusions:

  • The rise in night visits is driven by increased demand, not solely by changes in claimable hours.
  • A long-term, potentially accelerating increase in demand for night visits is evident.
  • This increase occurred despite a substantial reduction in the use of deputising services.