Pp-623 Variations In The Utilization Of Out Of Hours Service

Author(s): 
Grzegorz Margas, Adam Windak, Tomasz Tomasik
Jagiellonian University, Medical College, Chair of Internal Medicine and Gerontology, Department of Family Medicine
Text: 
Background: In 2000 new GP contract was introduced in Poland. It gave an opportunity to subcontract the out of hours care with specialized deputizing services. However, the contract with National Health Found requires a fixed number of doctors and nurses working on duty irrespective of the real workload. One of such services in Krakow provides care to 61 GP practices with population of 420000 inhabitants. The aim of this study is to analyse seasonal variation in out of hours care utilization. Methods: Routinely collected data for 24 months (2003-2004) containing type, date and time of the contacts were used.
Results: Overall 238 072 contacts were recorded: 149 911 ambulatory doctor visits, 23 434 home visits and 64 727 nurse procedures. Essential differences in utilization of the service were found throughout the year. Number of daily ambulatory visits in the winter was 71 % higher and home visits was 135% higher then in the summer. During week days 20, 1 % of ambulatory and 46,4% of home visits took place during night (after 10 pm). These numbers during weekends were 4,9% and 21,8%, respectively.
Conclusion: Flexible approach towards organization of the out of hours service is necessary to meet the changing demand for the care.
Literature: 
PP-623
VARIATIONS IN THE UTILIZATION OF OUT OF HOURS SERVICE