Deense reorganisatie eerstelijn succesvol

Olesen F, Jolleys JV. Out of hours service: the Danish solution examined. BMJ 1994 Dec 17;309(6969):1624-6.

In Denemarken is de zorg in de ANW uren door huisartsen onder toenemende druk komen te staan in de jaren 1980 als gevolg van de groeiende vraag naar diensten door het publiek en de toenemende klachten van landelijke artsen over hun zware werklast en onevenredig lage beloning in vergelijking met de stedelijke artsen. Als gevolg daarvan is de zorg in de ANW uren hervormd aan het begin van 1992

In Denmark the provision of out of hours care by general practitioners came under increasing pressure in the 1980s because of growing demand for services by the public and increasing complaints from rural doctors about their heavy workload and disproportionately low remuneration in comparison with urban doctors. As a result, the out of hours service was reformed at the start of 1992: locally negotiated rota systems were replaced with county based services. Each county now has a coordination centre, where all patients' calls are received by a team of doctors. The doctors may give a telephone consultation, advise the patient to attend one of the emergency clinics strategically placed about the county, or arrange for a home visit. Doctors on home visiting duty are located at bases throughout the county and keep in touch with the coordination centre with mobile telephones. Graded fees mean that doctors are encouraged to give telephone consultations rather than arrange for clinic consultations or home visits. The reforms have reduced doctors' out of hours workload and the number of home visits made and have proved acceptable to patients, doctors, and administrators

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