文章基本信息

标题：Reasons for encounter by different levels of urgency in out-of-hours emergency primary health care in Norway: a cross sectional study
本地全文：下载
作者：Guttorm Raknes ; Steinar Hunskaar
期刊名称：BMC Emergency Medicine
印刷版ISSN：1471-227X
电子版ISSN：1471-227X
出版年度：2017
卷号：17
期号：1
页码：19
DOI：10.1186/s12873-017-0129-2
语种：English
出版社：BioMed Central
摘要：Background Frequencies of reasons for encounter (RFEs) in emergency primary care out-of-hours (OOH) services are relevant for planning of capacities as well as to target the training of staff at casualty clinics. We aimed to present frequencies of RFEs in the different organ systems, and to identify the most frequent RFEs at different urgency levels. Methods We analyzed data on RFEs in Norwegian OOH services. International Classification of Primary Care (ICPC-2) RFE codes were recorded in all contacts to eight representative OOH casualty clinics in 2014 and 2015 covering 20 municipalities with a total population of 260 196. Frequencies of each ICPC-2 chapters and groups of ICPC-2 codes were calculated at different urgency levels. Results Musculoskeletal, respiratory, skin, digestive and general and unspecified issues were the most frequent RFE groups. Fever was the most frequent single ICPC-2 RFE code, but was less common among the most urgent cases. Abdominal pain was the most common RFE in patients with yellow urgency level (urgent), and chest pain dominated the potentially red (potentially life threatening) cases. There was less variation in the use of ICPC-2 with increasing urgency level. Conclusions This study identifies important differences in RFEs between urgency levels in the Norwegian OOH services. The findings provide new insight into the function of the primary health care emergency services in the Norwegian health care system, and should have implications for staffing, training and equipment in the OOH services.
关键词：After-hours care ; Classification ; Emergency medical services ; Health services ; Needs and demand ; International Classification of Primary Care (ICPC) ; Norway ; Primary health care ; Reason for encounter