title: Impact of a general practitioners' strike and of terrorist attacks on a call centre.
abstract: OBJECTIVE
  We aimed to evaluate the impact of the same-day GPs' strike and terrorist attacks on a call centre's activity.
  
  
  METHODS
  We compared the number of calls received, the number of patient's medical files (PMFs) created and the number of mobile ICU (MICU) dispatched per hour on Friday, 13 November, to the repository established on the five previous Fridays. As previously published, the variation criterion was set to an activity variation above 20% for more than 2 h.
  
  
  RESULTS
  On Friday, 13 November, 1745 calls were received compared with 1455 calls, on average, for the five previous Fridays. The number of calls received increased after the terrorist attacks (≤90%) and remained above the threshold for 3 h. The number of PMFs exceeded the threshold from 10:00 a.m. to 05:00 p.m., but was not affected by the attacks. The number of MICUs dispatched exceeded the threshold (>500%) in the first hour after the attacks.
  
  
  CONCLUSIONS
  The GPs' strike and the terrorist attacks did not impact our call centre's activity in the same manner. The strike increased the number of PMFs without increasing the number of calls received. The attacks increased the number of calls received and MICU dispatched without increasing the number of PMFs. Many markers are at the disposal of call centres to evaluate the impact of healthcare events.
authors.affiliation: SAMU 93, Avicenne University Hospital, Assistance Publique-Hôpitaux de Paris, Bobigny, University Sorbonne Paris Cité, France.
authors.forename: Paul-Georges
authors.initials: PG
authors.lastname: Reuter
authors.forename: Charlotte
authors.initials: C
authors.lastname: Orsini
authors.forename: Mélanie
authors.initials: M
authors.lastname: Grave
authors.forename: Frédéric
authors.initials: F
authors.lastname: Linval
authors.forename: Hayatte
authors.initials: H
authors.lastname: Akodad
authors.forename: Laurent
authors.initials: L
authors.lastname: Goix
authors.forename: Frédéric
authors.initials: F
authors.lastname: Adnet
authors.forename: Frédéric
authors.initials: F
authors.lastname: Lapostolle
mesh_terms: D000070456:Call Centers / Q000706:statistics & numerical data*; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D005602:France; D058005:General Practitioners; D006801:Humans; D013317:Strikes, Employee; D013483:Superstitions; D023481:Terrorism