Verschillen in perceptie tussen arts en patiënt van de eerstelijnszorg buiten kantooruren

Shipman C, Dale J. Using and providing out-of-hours services: can patients and GPs agree? Health Soc Care Community 1999 Jul;7(4):266-75

Toenemende vraag naar eerstelijns zorg in de ANW uren is in conflict met de terughoudendheid van artsen om de 'ondraaglijke' werkdruk te blijven dragen en 24-h verantwoordelijkheid te nemen voor hun patiënten. Deze ontwikkelingen hebben geleid tot grootschalige veranderingen in de organisatie van eerstelijns zorg in de ANW uren. Deze paper biedt nieuwe inzichten over de verschillende percepties van het gebruik van eerstelijns zorg in de ANW uren in Groot-Brittannië

Increasing demand for primary care outside the normal working week has come into conflict with the reluctance of doctors to continue to bear 'intolerable' workloads and carry 24-h responsibility for their patients. These developments have led to widespread changes in the organization of out-of-hours primary care. This paper provides new findings on differing perceptions of use of out-of-hours primary care (general medical) services in Great Britain. By drawing on comparative data from an audit and research study on out-of-hours demand involving 25 south-east London practices, the longitudinal perspective of patients and cross sectional perspective of GPs have been identified which can lead to miscommunication during a short out-of-hours consultation. In order to achieve more effective and efficient use and provision of out-of-hours general medical services, a consensus must be developed over what emergency primary care constitutes, and the provider perspective become more accommodating in defining 'appropriate' use. Greater emphasis must also be placed on multidisciplinary working out-of-hours, to enable a more 'appropriate' response to the wide-ranging nature of demand for general medical services

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