scholarly journals A comparison of job descriptions for nurse practitioners working in out-of-hours primary care services: implications for workforce planning, patients and nursing

2016 ◽  
Vol 26 (5-6) ◽  
pp. 707-716 ◽  
Author(s):  
Jean Teare ◽  
Maria Horne ◽  
Gill Clements ◽  
Mohammed A Mohammed
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Workforce Planning ◽  
Job Descriptions ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services

scholarly journals Diagnostic scope in out-of-hours primary care services in eight European countries: an observational study

2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Linda AMJ Huibers ◽  
Grete Moth ◽  
Gunnar T Bondevik ◽  
Janko Kersnik ◽  
Carola A Huber ◽  
...  
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
European Countries ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services

Emerging risks in out‐of‐hours primary care services

2006 ◽  
Vol 11 (4) ◽  
pp. 289-298 ◽  
Author(s):  
Julie Price ◽  
Jonathan Haslam ◽  
Jane Cowan
Keyword(s):  
Primary Care ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services

scholarly journals Out-of-hours primary care services: Demands and patient referral patterns in a Veneto region (Italy) Local Health Authority

Health Policy ◽  
2015 ◽  
Vol 119 (4) ◽  
pp. 437-446 ◽  
Author(s):  
Alessandra Buja ◽  
Roberto Toffanin ◽  
Stefano Rigon ◽  
Paolo Sandonà ◽  
Daniela Carraro ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Authority ◽  
Local Health Authority ◽  
Local Health ◽  
Veneto Region ◽  
Referral Patterns ◽  
Out Of Hours ◽  
Patient Referral ◽  
Care Services ◽  
Primary Care Services

scholarly journals Out-of-hours primary care end of life prescribing: a data linkage study

2019 ◽  
Vol 10 (4) ◽  
pp. e45-e45 ◽  
Author(s):  
Rachel Brettell ◽  
Rebecca Fisher ◽  
Helen Hunt ◽  
Sophie Garland ◽  
Daniel Lasserson ◽  
...  
Keyword(s):  
Primary Care ◽  
End Of Life ◽  
Linkage Study ◽  
Mortality Data ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services ◽  
Dying Patients ◽  
Syringe Driver ◽  
Strong Opioids

ObjectivesOut-of-hours (OOH) primary care services are contacted in the last 4 weeks of life by nearly 30% of all patients who die, but OOH palliative prescribing remains poorly understood. Our understanding of prescribing demand has previously been limited by difficulties identifying palliative patients seen OOH. This study examines the volume and type of prescriptions issued by OOH services at the end of life.MethodsA retrospective cohort study was performed by linking a database of Oxfordshire OOH service contacts over a year with national mortality data, identifying patients who died within 30 days of OOH contact. Demographic, service and prescribing data were analysed.ResultsA prescription is issued at 14.2% of contacts in the 30 days prior to death, compared with 29.9% of other contacts. The most common prescriptions were antibiotics (22.2%) and strong opioids (19%). 41.8% of prescriptions are for subcutaneously administered medication. Patients who were prescribed a syringe driver medication made twice as many OOH contacts in the 30 days prior to death compared with those who were not.ConclusionAbsolute and relative prescribing rates are low in the 30 days prior to death. Further research is required to understand what occurs at these non-prescribing end of life contacts to inform how OOH provision can best meet the needs of dying patients. Overall, relatively few patients are prescribed strong opioids or syringe drivers. When a syringe driver medication is prescribed this may help identify patients likely to be in need of further support from the service.

scholarly journals What determines frequent attendance at out-of-hours primary care services?

2015 ◽  
Vol 25 (4) ◽  
pp. 563-568 ◽  
Author(s):  
Alessandra Buja ◽  
Roberto Toffanin ◽  
Stefano Rigon ◽  
Camilla Lion ◽  
Paolo Sandonà ◽  
...  
Keyword(s):  
Primary Care ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services ◽  
Frequent Attendance

scholarly journals Interprofessional advanced access – a quality improvement protocol for expanding access to primary care services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Isabelle Gaboury ◽  
Mylaine Breton ◽  
Kathy Perreault ◽  
François Bordeleau ◽  
Sarah Descôteaux ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Social Services ◽  
Nurse Practitioners ◽  
Practice Facilitation ◽  
Care Services ◽  
Primary Care Services ◽  
Primary Care Teams ◽  
Access To Primary Care ◽  
Advanced Access

Abstract Background The Advanced Access (AA) Model has shown considerable success in improving timely access for patients in primary care settings. As a result, a majority of family physicians have implemented AA in their organizations over the last decade. However, despite its widespread use, few professionals other than physicians and nurse practitioners have implemented the model. Among those who have integrated it to their practice, a wide variation in the level of implementation is observed, suggesting a need to support primary care teams in continuous improvement with AA implementation. This quality improvement research project aims to document and measure the processes and effects of practice facilitation, to implement and improve AA within interprofessional teams. Methods Five primary care teams at various levels of organizational AA implementation will take part in a quality improvement process. These teams will be followed independently over PDSA (Plan-Do-Study-Act) cycles for 18 months. Each team is responsible for setting their own objectives for improvement with respect to AA. The evaluation process consists of a mixed-methods plan, including semi-structured interviews with key members of the clinical and management teams, patient experience survey and AA-related metrics monitored from Electronic Medical Records over time. Discussion Most theories on organizational change indicate that practice facilitation should enable involvement of stakeholders in the process of change and enable improved interprofessional collaboration through a team-based approach. Improving access to primary care services is one of the top priorities of the Quebec’s ministry of health and social services. This study will identify key barriers to quality improvement initiatives within primary care and help to develop successful strategies to help teams improve and broaden implementation of AA to other primary care professionals.

scholarly journals Reducing the use of out-of-hours primary care services: A survey among Dutch general practitioners

2016 ◽  
Vol 22 (3) ◽  
pp. 189-195 ◽  
Author(s):  
Ellen Keizer ◽  
Irene Maassen ◽  
Marleen Smits ◽  
Michel Wensing ◽  
Paul Giesen
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services

scholarly journals Patient safety culture in out-of-hours primary care services in the Netherlands: a cross-sectional survey

2018 ◽  
Vol 36 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Marleen Smits ◽  
Ellen Keizer ◽  
Paul Giesen ◽  
Ellen Catharina Tveter Deilkås ◽  
Dag Hofoss ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
The Netherlands ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services
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