Home visits in German general practice: findings from routinely collected computer data of 158,000 patients

Das Gesundheitswesen
E A SnijderU Junius-Walker

Abstract

Home visits are an integral part of general practice. However, information on this subject is lacking in Germany. Therefore we aim to describe the quantity of home visits, the target population and the workload for general practitioners on the basis of computerised data routinely collected in general practices. The routine care data originate from 136 practices of the areas of Göttingen and Freiburg. Electronic patient records provided billing codes for home visits and consultations, patients' anonymous identification number, age, gender and ICD codes. 84 practices with complete datasets of 158,383 patients were available for the cross-sectional analysis in 2002. 12% of all patients required at least one home visit - significantly more elderly and female patients. Half of all patients visited at home requested one visit, whereas nearly 5% needed at least fortnightly visits throughout the year. 2/3 of all visited patients received an emergency visit. The quantity and nature of diseases also influenced home visit status. The workload of an average practice contained 9 visits per 100 consultations. 15 practices provided datasets between 1997 and 2001. In this period the total number of home visits declined. Within the same period,...Continue Reading

Citations

Apr 26, 2011·BMC Family Practice·Gudrun TheileEva Hummers-Pradier
Mar 13, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·W Hoffmann, N van den Berg
Aug 25, 2017·Aging Clinical and Experimental Research·Ove SpreckelsenFalk Hoffmann
Mar 20, 2020·Zeitschrift für Gerontologie und Geriatrie·Fabian LenzKaren Voigt
Jul 16, 2017·Zeitschrift für Gerontologie und Geriatrie·Insa SeegerFalk Hoffmann
Oct 8, 2020·Das Gesundheitswesen·Fabian LenzKaren Voigt
Mar 3, 2020·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Christoph StrumannJost Steinhäuser

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