PMID: 2506972Aug 5, 1989Paper

Twenty four hour care in inner cities: two years' out of hours workload in east London general practice

BMJ : British Medical Journal
A E LivingstoneJ Robson

Abstract

Two inner city general practices in east London jointly provide care outside normal working hours without using deputising services for about 14,000 patients. The statistics on workload were reviewed for 1987 and 1988. An overall rate of face to face consultations of 4.1 per patient per year was recorded, there being 115,965 consultations over two years for a mean list size of 14,174 patients. Four per cent (4737) of such consultations were outside normal working hours. The annual rate of visiting outside normal hours was 128.1 per 1000 patients in 1987 (1793 visits) and 131.5 per 1000 in 1988 (1888 visits). The rates of night visiting were 18.8 (262 visits) and 18.9 (271 visits) per 1000 patients in 1987 and 1988 respectively. Only 24% of all the requests for medical help out of hours (1483/6220) were dealt with by advice given on the telephone. The high rates of consultation outside normal working hours with only a small proportion being dealt with on the telephone alone may be explained by indices of deprivation. Local rotas for out of hours work are a good compromise between meeting the needs of patients and doctors in deprived areas, but there are financial implications for inner cities.

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Citations

Oct 14, 2011·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·K F M BrittonR R Welbury
Sep 2, 1989·BMJ : British Medical Journal·J A Main, P G Main
Nov 4, 1989·BMJ : British Medical Journal·A LivingstoneJ Robson
Apr 28, 1990·BMJ : British Medical Journal·J Pitts, M Whitby
Jun 9, 1990·BMJ : British Medical Journal·A OrrA Begg
Feb 16, 1991·BMJ : British Medical Journal·G D Smith
Jun 29, 1991·BMJ : British Medical Journal·S Iliffe, U Haug
Feb 29, 1992·BMJ : British Medical Journal·R BalarajanD Machin
Mar 20, 1993·BMJ : British Medical Journal·C Salisbury
May 22, 1993·BMJ : British Medical Journal·R D CarlisleJ C Pearson
Jan 22, 1994·BMJ : British Medical Journal·L Hallam
Dec 17, 1994·BMJ : British Medical Journal·B Hurwitz
Jul 25, 2009·BMC Health Services Research·Elisabeth Holm HansenSteinar Hunskaar
Mar 22, 2006·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Keith Hurst
Jan 27, 2015·Health Policy·Mai Pham, Ian McRae
Apr 28, 1990·BMJ : British Medical Journal·D WallerL Jones
Jun 9, 1990·BMJ : British Medical Journal
Sep 16, 1989·BMJ : British Medical Journal
Sep 16, 1989·BMJ : British Medical Journal·M Mugford
Sep 16, 1989·BMJ : British Medical Journal·J N Hardy, R M Patel

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