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Peter Vedsted

Preschool children in Danish out-of-hours primary care: a one-year descriptive study of face-to-face consultations

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Preschool children in Danish out-of-hours primary care : a one-year descriptive study of face-to-face consultations. / Lous, Jørgen; Moth, Grete; Huibers, Linda et al.

I: BMC Family Practice, Bind 20, Nr. 1, 36, 26.02.2019, s. 36.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Lous, Jørgen ; Moth, Grete ; Huibers, Linda et al. / Preschool children in Danish out-of-hours primary care : a one-year descriptive study of face-to-face consultations. I: BMC Family Practice. 2019 ; Bind 20, Nr. 1. s. 36.

Bibtex

@article{2b87a501438a4431820a951bca4251ba,
title = "Preschool children in Danish out-of-hours primary care: a one-year descriptive study of face-to-face consultations",
abstract = "BACKGROUND: The demand for out-of-hours (OOH) primary care has increased during the last decades, with a considerable amount of contacts for young children. This study aims to describe the reasons for encounter (RFE), the most common diagnoses, the provided care, and the parental satisfaction with the general practitioner (GP) led OOH service in a Danish population of children (0-5 years).METHODS: We conducted a one-year cross-sectional study based on data for 2363 randomly selected contacts concerning children from a survey on OOH primary care including 21,457 patients in Denmark. For each contact, the GPs completed an electronic pop-up questionnaire in the patient's medical record. Questionnaire items focussed on RFE, health problem severity, diagnosis, provided care, and satisfaction. The parents subsequently received a postal questionnaire.RESULTS: The most common RFE was non-specific complaints (40%), followed by respiratory tract symptoms (23%), skin symptoms (9%), and digestive organ symptoms (8%). The most common diagnosis group was respiratory tract diseases (41%), followed by general complaints (19%) and ear diseases (16%). Prescriptions were dispensed for 27% of contacts, and about ¾ were for antibiotics. A total of 12% contacts concerned acute otitis media; antibiotics were prescribed in 70%. A total of 38% of contacts concerned fever, and ¼ got antibiotics. A total of 7.4% were referred for further evaluation. The parental satisfaction was generally high, but 7.0% were dissatisfied. Dissatisfaction was correlated with low prescription rate.CONCLUSION: Respiratory tract diseases were the most common diagnoses. The GPs at the OOH primary care service referred children to hospital in 7.4% of the face-to-face consultations, and the provided care was evaluated as non-satisfying by only 7.0% of the parents. Clinical implications of the findings mean room for less prescription of antibiotic to children with ear diseases and a need for research in factors related to dissatisfaction.",
keywords = "After-hours care, Anti-bacterial agents, Diagnosis, Drug prescriptions, Patient satisfaction, Reason for encounter",
author = "J{\o}rgen Lous and Grete Moth and Linda Huibers and Peter Vedsted and Christensen, {Morten Bondo}",
year = "2019",
month = feb,
day = "26",
doi = "10.1186/s12875-019-0922-y",
language = "English",
volume = "20",
pages = "36",
journal = "B M C Family Practice",
issn = "1471-2296",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Preschool children in Danish out-of-hours primary care

T2 - a one-year descriptive study of face-to-face consultations

AU - Lous, Jørgen

AU - Moth, Grete

AU - Huibers, Linda

AU - Vedsted, Peter

AU - Christensen, Morten Bondo

PY - 2019/2/26

Y1 - 2019/2/26

N2 - BACKGROUND: The demand for out-of-hours (OOH) primary care has increased during the last decades, with a considerable amount of contacts for young children. This study aims to describe the reasons for encounter (RFE), the most common diagnoses, the provided care, and the parental satisfaction with the general practitioner (GP) led OOH service in a Danish population of children (0-5 years).METHODS: We conducted a one-year cross-sectional study based on data for 2363 randomly selected contacts concerning children from a survey on OOH primary care including 21,457 patients in Denmark. For each contact, the GPs completed an electronic pop-up questionnaire in the patient's medical record. Questionnaire items focussed on RFE, health problem severity, diagnosis, provided care, and satisfaction. The parents subsequently received a postal questionnaire.RESULTS: The most common RFE was non-specific complaints (40%), followed by respiratory tract symptoms (23%), skin symptoms (9%), and digestive organ symptoms (8%). The most common diagnosis group was respiratory tract diseases (41%), followed by general complaints (19%) and ear diseases (16%). Prescriptions were dispensed for 27% of contacts, and about ¾ were for antibiotics. A total of 12% contacts concerned acute otitis media; antibiotics were prescribed in 70%. A total of 38% of contacts concerned fever, and ¼ got antibiotics. A total of 7.4% were referred for further evaluation. The parental satisfaction was generally high, but 7.0% were dissatisfied. Dissatisfaction was correlated with low prescription rate.CONCLUSION: Respiratory tract diseases were the most common diagnoses. The GPs at the OOH primary care service referred children to hospital in 7.4% of the face-to-face consultations, and the provided care was evaluated as non-satisfying by only 7.0% of the parents. Clinical implications of the findings mean room for less prescription of antibiotic to children with ear diseases and a need for research in factors related to dissatisfaction.

AB - BACKGROUND: The demand for out-of-hours (OOH) primary care has increased during the last decades, with a considerable amount of contacts for young children. This study aims to describe the reasons for encounter (RFE), the most common diagnoses, the provided care, and the parental satisfaction with the general practitioner (GP) led OOH service in a Danish population of children (0-5 years).METHODS: We conducted a one-year cross-sectional study based on data for 2363 randomly selected contacts concerning children from a survey on OOH primary care including 21,457 patients in Denmark. For each contact, the GPs completed an electronic pop-up questionnaire in the patient's medical record. Questionnaire items focussed on RFE, health problem severity, diagnosis, provided care, and satisfaction. The parents subsequently received a postal questionnaire.RESULTS: The most common RFE was non-specific complaints (40%), followed by respiratory tract symptoms (23%), skin symptoms (9%), and digestive organ symptoms (8%). The most common diagnosis group was respiratory tract diseases (41%), followed by general complaints (19%) and ear diseases (16%). Prescriptions were dispensed for 27% of contacts, and about ¾ were for antibiotics. A total of 12% contacts concerned acute otitis media; antibiotics were prescribed in 70%. A total of 38% of contacts concerned fever, and ¼ got antibiotics. A total of 7.4% were referred for further evaluation. The parental satisfaction was generally high, but 7.0% were dissatisfied. Dissatisfaction was correlated with low prescription rate.CONCLUSION: Respiratory tract diseases were the most common diagnoses. The GPs at the OOH primary care service referred children to hospital in 7.4% of the face-to-face consultations, and the provided care was evaluated as non-satisfying by only 7.0% of the parents. Clinical implications of the findings mean room for less prescription of antibiotic to children with ear diseases and a need for research in factors related to dissatisfaction.

KW - After-hours care

KW - Anti-bacterial agents

KW - Diagnosis

KW - Drug prescriptions

KW - Patient satisfaction

KW - Reason for encounter

U2 - 10.1186/s12875-019-0922-y

DO - 10.1186/s12875-019-0922-y

M3 - Journal article

C2 - 30808295

VL - 20

SP - 36

JO - B M C Family Practice

JF - B M C Family Practice

SN - 1471-2296

IS - 1

M1 - 36

ER -