Huisartsenposten in Engeland zorgen niet voor minder patiënttevredenheid of toename in SEH-gebruik

Pickin DM, O'Cathain A, Fall M, Morgan AB, Howe A, Nicholl JP. The impact of a general practice co-operative on accident and emergency services, patient satisfaction and GP satisfaction. Fam Pract 2004 Apr;21(2):180-2.

De komst van de huisartspraktijk coöperaties vertegenwoordigt een fundamentele verandering in de uitvoering en organisatie van de anw-diensten. Er is bezorgdheid dat coöperaties nadelige gevolgen hebben voor de werklast op de spoedeisende hulp afdelingen

BACKGROUND: The advent of general practice co-operatives represented a fundamental change in the delivery and organization of out-of-hours services. Concerns have been voiced that co-operatives might impact adversely on workload in accident and emergency (A&E) departments. OBJECTIVE: The purpose of this study was to assess the impact of establishing a general practice co-operative on use of A&E services, patient satisfaction and GP satisfaction. METHODS: A controlled before and after study of a GP co-operative in Sheffield, UK was carried out. A postal questionnaire was sent to 26 911 people, 13 442 before and 13 469 after the opening of the co-operative, to determine service use, in particular A&E attendance, in the previous 4 weeks. Patient satisfaction was assessed through structured interviews with 653 patients. GP satisfaction was assessed using a postal survey of all 98 Sheffield practices 2 years after the opening of the co-operative. RESULTS: There was no change in the use of A&E services, odds ratio = 1.08 (95% confidence interval 0.60-1.94). There was no change in patient satisfaction overall, mean difference 0.02 (-0.32 to 0.36). Sixty-seven per cent of doctors in member practices were much more satisfied with out-of-hours duty compared with 10% in non-member practices (P < 0.001). CONCLUSIONS: General practice co-operatives have been successful in achieving their policy objectives, improving GP morale without jeopardizing patient satisfaction or impacting adversely on A&E services

lees hier het volledige artikel

• Print
• Stuur door
• Delicious