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Use of out-of-hours services: the patient's point of view on co-payment: a mixed methods approach

Hilde Philips, Roy Remmen, Peter De Paepe UGent, Walter Buylaert UGent and P Van Royen (2013) ACTA CLINICA BELGICA. 68(1). p.1-8
abstract
Introduction: In many countries out of hours (OOH);,care is offered by different :health care services. General; practitioners (GP); tend to offer services in competition with emergency departments (ED). Patients behaviour : depends on a number of factors. In this study, we highlight the knowledge and ideas of patients concerning the co-payment system. Methods: We used a mixed methods design, combining quantitative-and qualitative research. During two week-ends in January 2005 all patients using the ED or the GP OOH service, were invited for an interview with a structured questionnaire. A-stratified random sample of patients participated; in a semi-structured interview. Both methods add-complementary data to answer the research-questions. Results:, Most Mentioned reasons-for seeking help at the ED are: accessibility (15.0%), proximity (64%) and; competence of the Staff (5.6%). Reasons for choosing the GP are; GP: is easy to find; Minor medical problem or anxiety and confidence in the GP The Odds of not knowing the. co-payment system are significantly higher in patients visiting the ED (OR 1:783; 95% CI: 1.493-2.129). Mostly GP users recognize the problem of ED overuse. They suggested especially to provide clear information about the tasks of the different:services and about the payment system, to reduce ED overuse, Conclusion and discussion; When intending to. shift from;ED to GP services for Minor medical problems, aiming at just one measure is no option. Information campaigns. aiming to :address the entire population; Can clarify the role of each player in Out-of-hours care.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
After-hours care, Primary Care, Co-payment, Health services, A-AND-E, Choice behavior, EMERGENCY-DEPARTMENTS, GENERAL-PRACTICE, HOURS CARE, ACCIDENT, ACCESS, COMMUNITY, URGENT, CHOICE, ATTITUDES
journal title
ACTA CLINICA BELGICA
Acta Clin. Belg.
volume
68
issue
1
pages
1 - 8
Web of Science type
Article
Web of Science id
000326208900001
JCR category
MEDICINE, GENERAL & INTERNAL
JCR impact factor
0.713 (2013)
JCR rank
109/156 (2013)
JCR quartile
3 (2013)
ISSN
0001-5512
DOI
10.2143/ACB.68.1.2062712
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2003343
handle
http://hdl.handle.net/1854/LU-2003343
date created
2012-01-25 15:56:47
date last changed
2015-06-17 09:55:29
@article{2003343,
  abstract     = {Introduction: In many countries out of hours (OOH);,care is offered by different :health care services. General; practitioners (GP); tend to offer services in competition with emergency departments (ED). Patients behaviour : depends on a number of factors. In this study, we highlight the knowledge and ideas of patients concerning the co-payment system.
Methods: We used a mixed methods design, combining quantitative-and qualitative research. During two week-ends in January 2005 all patients using the ED or the GP OOH service, were invited for an interview with a structured questionnaire. A-stratified random sample of patients participated; in a semi-structured interview. Both methods add-complementary data to answer the research-questions.
Results:, Most Mentioned reasons-for seeking help at the ED are: accessibility (15.0\%), proximity (64\%) and; competence of the Staff (5.6\%). Reasons for choosing the GP are; GP: is easy to find; Minor medical problem or anxiety and confidence in the GP The Odds of not knowing the. co-payment system are significantly higher in patients visiting the ED (OR 1:783; 95\% CI: 1.493-2.129). Mostly GP users recognize the problem of ED overuse. They suggested especially to provide clear information about the tasks of the different:services and about the payment system, to reduce ED overuse,
Conclusion and discussion; When intending to. shift from;ED to GP services for Minor medical problems, aiming at just one measure is no option. Information campaigns. aiming to :address the entire population; Can clarify the role of each player in Out-of-hours care.},
  author       = {Philips, Hilde and Remmen, Roy and De Paepe, Peter and Buylaert, Walter and Van Royen, P},
  issn         = {0001-5512},
  journal      = {ACTA CLINICA BELGICA},
  keyword      = {After-hours care,Primary Care,Co-payment,Health services,A-AND-E,Choice behavior,EMERGENCY-DEPARTMENTS,GENERAL-PRACTICE,HOURS CARE,ACCIDENT,ACCESS,COMMUNITY,URGENT,CHOICE,ATTITUDES},
  language     = {eng},
  number       = {1},
  pages        = {1--8},
  title        = {Use of out-of-hours services: the patient's point of view on co-payment: a mixed methods approach},
  url          = {http://dx.doi.org/10.2143/ACB.68.1.2062712},
  volume       = {68},
  year         = {2013},
}

Chicago
Philips, Hilde, Roy Remmen, Peter De Paepe, Walter Buylaert, and P Van Royen. 2013. “Use of Out-of-hours Services: The Patient’s Point of View on Co-payment: a Mixed Methods Approach.” Acta Clinica Belgica 68 (1): 1–8.
APA
Philips, H., Remmen, R., De Paepe, P., Buylaert, W., & Van Royen, P. (2013). Use of out-of-hours services: the patient’s point of view on co-payment: a mixed methods approach. ACTA CLINICA BELGICA, 68(1), 1–8.
Vancouver
1.
Philips H, Remmen R, De Paepe P, Buylaert W, Van Royen P. Use of out-of-hours services: the patient’s point of view on co-payment: a mixed methods approach. ACTA CLINICA BELGICA. 2013;68(1):1–8.
MLA
Philips, Hilde, Roy Remmen, Peter De Paepe, et al. “Use of Out-of-hours Services: The Patient’s Point of View on Co-payment: a Mixed Methods Approach.” ACTA CLINICA BELGICA 68.1 (2013): 1–8. Print.