Solutions Not Problems: A New Era in After-Hours Care?

2017 ◽  
Vol 166 (10) ◽  
pp. 752
Author(s):  
David Dunt ◽  
Rosemary McKenzie
Keyword(s):  
New Era ◽  
After Hours Care ◽  
After Hours

scholarly journals Quality of after-hours care

2003 ◽  
Vol 8 (7) ◽  
pp. 417-418
Author(s):  
Kristie Cramer ◽  
Terry P Klassen
Keyword(s):  
After Hours Care ◽  
After Hours

scholarly journals After-Hours Care In The United Kingdom, Denmark, And The Netherlands: New Models

2006 ◽  
Vol 25 (6) ◽  
pp. 1733-1737 ◽  
Author(s):  
Richard Grol ◽  
Paul Giesen ◽  
Caro van Uden
Keyword(s):  
United Kingdom ◽  
The Netherlands ◽  
The United Kingdom ◽  
After Hours Care ◽  
New Models ◽  
After Hours

scholarly journals Access to same day, next day and after-hours appointments: the views of Australian general practitioners

2012 ◽  
Vol 36 (3) ◽  
pp. 325 ◽  
Author(s):  
Mark F. Harris ◽  
Patrick G. Powell Davies ◽  
Mahnaz Fanaian ◽  
Nicholas A. Zwar ◽  
Siaw-Teng Liaw
Keyword(s):  
General Practice ◽  
Quality Improvement ◽  
Information Systems ◽  
Information Management ◽  
General Practitioners ◽  
Systems Of Care ◽  
Secondary Analysis ◽  
Comprehensive Approach ◽  
After Hours Care ◽  
After Hours

Objective. To evaluate factors associated with the availability of same or next day appointments and after-hours access reported by Australian general practitioners (GPs). Methods. Secondary analysis of a survey of primary care practitioners conducted by the Commonwealth Fund in 2009 in 11 countries. Analysis of factors likely to be associated with reported availability of same or next day appointments and after-hours access. Findings. Of 1016 Australian GPs, 78.8% reported that most patients in their practice had access to an appointment on the same or next day and 50% that their practice had arrangements for after-hours access. Access to same or next day care was better in practices where practitioners reported larger numbers of patients seen per GP per week and reviewed their performance against annual targets, but worse in rural areas and practices routinely reviewing outcomes data. Arrangements for after-hours care were more common among GPs who were planning to retire in the next 5 years; worked in practices with high electronic functioning information systems; and received and reviewed clinical outcome data and incentives for performance. Conclusions. Improving after-hours access requires a comprehensive approach which includes incentives, improvements to information management and organised systems of care with review of data on clinical outcomes. What is known about the topic? Access to general practice is an important priority for the health system and the subject of several reforms and initiatives over the past decade in Australia. Access to same or next day appointments and after-hours has been an increasing concern related to workforce availability, and limited access to general practice is one factor influencing the demand on hospitals, especially their emergency departments. What does this paper add? This paper reports on secondary analysis of a survey of over 1000 general practitioners in Australia. Responses to questions about access to same or next day appointments or after-hours arrangements were analysed for associations with practitioner and practice characteristics and their processes and systems of care. Access to same day appointments is particularly challenging in rural general practice but is more likely to be reported by GPs working in larger practices. Incentives, quality improvement and better information management may be important strategies to improve after-hours access. What are the implications for practitioners? Strategies to improve access to appointments and to after-hours care need to be considered as part of a comprehensive approach which includes financial incentives, strengthening information systems and quality improvement activities.

Does oncology patient-reported healthcare experience vary by site of care (SOC)?

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 71-71
Author(s):  
Dana Drzayich Jankus ◽  
Adrianne Waldman Casebeer ◽  
Sari Hopson ◽  
Joseph Dye ◽  
Zhuliang Tao ◽  
...  
Keyword(s):  
Health Care ◽  
Health Status ◽  
Access To Care ◽  
Cancer Care ◽  
Health Care Team ◽  
Wait Times ◽  
After Hours Care ◽  
Healthcare Experience ◽  
Patient Reported ◽  
After Hours

71 Background: Patients with cancer are increasingly receiving chemotherapy infusions in a hospital outpatient (HO) as compared to the physician practice setting (PO). Previous research has focused on SOC differences in economic measures, such as healthcare costs, in commercially insured populations. This study investigates SOC differences in patients’ reported healthcare experience for a mostly Medicare population. Methods: A convenience sample of 2,604 Humana members with cancer of the breast, lung, colon/rectum or NHL/CLL and treated in 2014 received a survey by mail to capture patient reported healthcare experiences. We implemented the Consumer Assessment of Health Care Providers and Systems (CAHPS) for Cancer Care survey’s 5 domains (“affective” communication, shared decision making, patient self-management, exchanging information and access to care and information) and ad hoc travel and wait time questions. Average composite scores for each CAHPS domain were weighted and adjusted by age and health status (1 = excellent - 5 = poor). Differences in responses were tested using chi-square and t-tests. Results: The response rate was 25.0% (N = 651). Survey respondents were mostly female (75.0%) and Medicare beneficiaries (87.9%) with a mean age of 68.7. HO patients reported slightly worse health status than PO patients (2.9 vs 3.0, p= 0.028) CAHPS for cancer domain scores indicated a similar patient perceived experience across all domains except for access to care and information (1-3 scale): HO = 2.6 vs PO = 2.5, p= 0.007. This difference was driven mainly by items related to contacting the health care team for certain symptoms and after hours care. More HO patients traveled > 30 minutes for treatment (39.0% vs 25.9%, p= 0.004) and reported wait times > 15 minutes (72.2% vs 63.8%, p= .054). Patient perceived acceptability of these travel and wait times were similar (HO: 61.9% vs PO: 66.7%, p= .782 and HO: 60.4% vs PO: 63.1%, p= .919). Conclusions: Analysis of the new CAHPS for cancer care survey showed comparable patient perceived experiences by site of care. However, access to the health care team for certain symptoms and after hours care was better for HO patients, though HO patients also had longer travel and waiting time.

scholarly journals Who provides GP after-hours care?

Health Policy ◽  
2015 ◽  
Vol 119 (4) ◽  
pp. 447-455 ◽  
Author(s):  
Mai Pham ◽  
Ian McRae
Keyword(s):  
After Hours Care ◽  
After Hours

PO-42 - A novel approach to a common problem: after-hours care of cancer patients diagnosed with VTE

2016 ◽  
Vol 140 ◽  
pp. S192
Author(s):  
J.C. Easaw ◽  
A. Azim ◽  
S. McCall ◽  
T. Huiser ◽  
S. Lim
Keyword(s):  
Cancer Patients ◽  
After Hours Care ◽  
Novel Approach ◽  
After Hours

Outcomes Associated With Pediatric After-Hours Care by Call Centers: A Multicenter Study

2003 ◽  
Vol 3 (4) ◽  
pp. 211-217 ◽  
Author(s):  
Allison Kempe ◽  
Anthony Luberti ◽  
Shira Belman ◽  
Andrew Hertz ◽  
Hanna Sherman ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Call Centers ◽  
After Hours Care ◽  
After Hours
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