Out of hours workload of a suburban general practice: deprivation or expectation.
- 28 April 1990
- Vol. 300 (6732) , 1113-1115
- https://doi.org/10.1136/bmj.300.6732.1113
Abstract
The out of hours workload of a training practice in a suburban and semirural area on the south coast of England was studied for one year. An overall rate of contact of 273/1000 patients was found, which indicated a workload greater than that reported in most other studies. The duty doctor received over 35 telephone calls from patients during some Saturdays (1200 Saturday to 0800 Sunday) and Sundays (0800 to 0800 Monday), up to five being between 2300 and 0700. Of the patients who contacted a general practitioner, 44% were given advice by telephone and 4.9% were admitted to hospital. The admission rate was lower than that given in other studies. A considerable proportion of the workload arose from doctors covering the casualty department of a cottage hospital. Patients having a high expectation of 24 hour care by general practitioners in an area of comparative affluence (Jarman indices -13.8 to 1.7) may account for this aspect of the workload.Keywords
This publication has 19 references indexed in Scilit:
- Twenty four hour care in inner cities.BMJ, 1989
- Twenty four hour care in inner cities: two years' out of hours workload in east London general practice.BMJ, 1989
- Adverse changes in mood and cognitive performance of house officers after night duty.BMJ, 1989
- Use of deputising services and night visit rates in general practice.BMJ, 1984
- Deputising services: the portsmouth experience.BMJ, 1984
- Identification of underprivileged areas.BMJ, 1983
- Out-of-hours visits in a group practice.BMJ, 1980
- The Performance of Junior Hospital Doctors Following Reduced Sleep and Long Hours of WorkErgonomics, 1978
- Out-of-hours calls in a Leicestershire practice.BMJ, 1976
- Psychological problems associated with sleep deprivation in internsAcademic Medicine, 1973