Turnusleger – en del av legevakten

Blinkenberg, Jesper; Morken, Tone

doi:10.4045/tidsskr.12.1507

Cited by 1 publication

(2 citation statements)

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“…The out-of-hours services are supposed to handle conditions that cannot wait until the GPs open the next day or after the weekend. Although some people find it convenient to seek the out-of-hours units to avoid abstaining from work, there is reason to believe that the out-of-hours patient population is more acutely ill than the population in regular GP practice [18]. The patients are also unknown to the GP, and the possibility to follow-up is limited.…”

Section: Results Discussionmentioning

confidence: 99%

“…However, as possibly bacterial infections are included, it is not surprising that these infections (sinusitis, tonsillitis) are stronger predictors of antibiotic prescribing than acute bronchitis. Working in the out-of-hours service is recognised as professionally demanding, and many GPs want to avoid working in the out-of-hours service, thereby giving away their duties to other doctors [18]. A majority of out-of-hours practices have a fee for service plan [9].…”

Section: Results Discussionmentioning

confidence: 99%

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Antibiotic prescribing for acute respiratory tract infections in Norwegian primary care out-of-hours service

Lindberg

Gjelstad

Foshaug

et al. 2017

Scandinavian Journal of Primary Health Care

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PurposeTo examine factors correlating with antibiotic prescribing for acute respiratory tract infections (ARTIs) in Norwegian primary care out-of-hours service.Materials and methodsRetrospective data analysis for the year 2014 in two out-of-hours primary care units located in the towns of Hamar and Tønsberg in Norway, analysing type and frequency of different antibiotics prescribed by 117 medical doctors for ARTIs, and factors correlating with these.ResultsThe 117 doctors in two out-of-hours units diagnosed 6757 cases of ARTIs. 2310 (34.2%) of these resulted in an antibiotic prescription, where of 1615 (69.9%) were penicillin V (PcV). Tonsillitis and sinusitis were the two ARTI diagnoses with the highest antibiotic prescription rate. The antibiotic prescription rate increased successively with increasing activity level, measured as shorter median duration of consultations per session, from 28.7% (reference) in the least busy quintile of sessions to 36.6% (OR: 1.38 (95% CI =1.06–1.80)) in the busiest quintile of sessions. Prescribing of broad-spectrum antibiotics was not correlated with median duration of consultations per session. Female doctors had an OR of 0.61 (0.40–0.92) of a broad-spectrum antibiotic prescription compared to their male colleagues.ConclusionsAntibiotic prescribing for ARTIs in the primary care out-of-hours services investigated is at the same level as in Norwegian general practice, but with a higher prescription rate of PcV. Antibiotic prescribing increases on busy sessions, measured as median duration of consultations per session. The work frame in primary care out-of-hours service might influence the quality of clinical decisions.

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Section: Results Discussionmentioning

confidence: 99%

Section: Results Discussionmentioning

confidence: 99%