[Fewer regular general practitioners participate in out-of-hours emergency services]. 2007

Bjørn Otterlei, and Niels Bentzen
Legekontoret Molde Brygge, Julsundveien 2, 6412 Molde. bjorn.otterlei@molde-brygge.nhn.no

BACKGROUND The aim of the study was to determine whether the official numbers of regular general practitioners (GPs) participating in out-of-hours duty have been correct. METHODS Data were collected from the Norwegian labour and welfare organisation's (NAV's) regular GP database. This is a database with information collected from Statistics Norway and the Norwegian Social Science Data Services. RESULTS The study has revealed an error in one of the sources used by the national health authorities to evaluate the regular GP Scheme "Fastlegeordningen". Official figures indicate that the number of regular GPs who participate in out-of-hours duty increased with 5% the first three years after implementation of the regular GP Scheme (2001-2004). New analyses show that the number of regular GPs instead decreased with 12%. CONCLUSIONS Our study uncovers weaknesses with the quality assurance of data used by the health authorities to calculate the work force needed for out-of-hours duty. This misinformation may have prevented action needed to recruit regular GPs to work in the out-of-hours emergency services, as the problem has not been recognised.

UI MeSH Term Description Entries
D007348 Insurance, Health Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading. Group Health Insurance,Health Insurance,Health Insurance, Voluntary,Health Insurance, Group,Health Insurances,Insurance, Group Health,Insurance, Voluntary Health,Insurances, Health,Voluntary Health Insurance
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009664 Norway A country located in northern Europe, bordering the North Sea and the Atlantic Ocean, west of Sweden. The capital is Oslo. Kingdom of Norway
D010821 Physicians, Family Those physicians who have completed the education requirements specified by the American Academy of Family Physicians. Family Physician,Family Physicians,Physician, Family
D004632 Emergency Medical Services Services specifically designed, staffed, and equipped for the emergency care of patients. Emergency Care,Emergency Health Services,Emergicenters,Prehospital Emergency Care,Emergency Care, Prehospital,Emergency Services, Medical,Medical Services, Emergency,Services, Emergency Medical,Emergency Health Service,Emergency Medical Service,Emergency Service, Medical,Emergicenter,Health Service, Emergency,Health Services, Emergency,Medical Emergency Service,Medical Emergency Services,Medical Service, Emergency,Service, Emergency Health,Service, Emergency Medical,Service, Medical Emergency,Services, Emergency Health,Services, Medical Emergency
D005194 Family Practice A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family. Family Practices,Practice, Family,Practices, Family
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000078329 Workforce The number of people working or available for work or service. Human Resources,Labor Supply,Manpower,Staffing,Womanpower,Human Resource,Labor Supplies,Manpowers,Staffings,Supply, Labor,Womanpowers,Workforces

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