[Did the distribution of trauma treatment by general practitioners and emergency departments in the county of Ringkøbing change after the introduction of the on-call coverage for general practitioners?].
The aim of the study was to investigate the changes in minor trauma treatment structure after a reduction in the number of general practitioners on call in a county, where minor trauma treatment is supposed to be carried out by general practitioners and only major trauma is supposed to be treated at the hospital Accident and Emergency Department. The design was a cross-sectional analysis of trauma treatment in Ringkøbing County before and after the reduction in the number of general practitioners on call. Over a four week period before and after the reduction in the number of general practitioners on call all trauma treatment at the Accident and Emergency Departments was registered together with trauma treatment by general practitioners. Furthermore a questionnaire was given before and after the reduction to a sample of the population regarding the population's behaviour and attitude towards minor trauma. Analysis showed that there was a minor reduction in the total number of trauma treatments after the reduction in the number of general practitioners on call was made. The percentage of patients that were treated at the Accident and Emergency Departments at hospital directly without being referred from general practitioners was reduced from 30% to 21%. The population's behaviour and attitude towards minor trauma was unchanged.
Hansen
T B
TB
Herning Centralsygehus, ortopaedkirurgisk afdeling, Den medicinske Forskningsenhed for Ringkøbing Amt.
Kristensen
K A
KA
Poulsen
M B
MB
Gravers
M
M
Laursen
C N
CN
Ross-Hansen
K M
KM
D003430:Cross-Sectional Studies; D003718:Denmark / Q000453:epidemiology; D004632:Emergency Medical Services / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D005194:Family Practice / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D012017:Referral and Consultation / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014947:Wounds and Injuries / Q000453:epidemiology / Q000628:therapy*
Aendres fordelingen af skadebehandlingen i Ringkøbing Amt mellem almen praksis og skadestue ved etablering af storvagtkredse for alment praktiserende laeger?