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Die 24 uur groepspraktyk as moontlike oplossing vir die na-ure dilemma
Abstract
Background: The formation of 24-hour group practices, which entails the collaboration of different practices, to deliver an after hours service, is an increasing trend in urban private practice. The aim of this study was to measure the acceptablility and efficiency of the 24 hour practice as solution for the after hours dilemma.
Methods: 304 patients who visited two group practices in Bloemfontein and one in Kimberley during May and June 2000, and 38 doctors who are full time members of these practices completed anonymous questionnaires.
Results: The accessibilty to after hours medical care and to group practices in particular, was reported to be high. A small demand for home visits existed. Although patients preferred consulting their own doctor, they were willing to consult other doctors. The communication between the patients and doctors were reported to be satisfactory, and problems dealt with effectively. Doctors identified continuity of care as a problem. The group practices lightened the load of the practitioners.
Conclusion: In general, group practices were accepted well by patients and doctors. Many of the barriers to providing effective after hours medical care can be overcome by establishing 24-hour group practices.
SA Fam Pract 2003;45(3):13-18
Keywords: 24-hour group practice, after hours service, practice management
Methods: 304 patients who visited two group practices in Bloemfontein and one in Kimberley during May and June 2000, and 38 doctors who are full time members of these practices completed anonymous questionnaires.
Results: The accessibilty to after hours medical care and to group practices in particular, was reported to be high. A small demand for home visits existed. Although patients preferred consulting their own doctor, they were willing to consult other doctors. The communication between the patients and doctors were reported to be satisfactory, and problems dealt with effectively. Doctors identified continuity of care as a problem. The group practices lightened the load of the practitioners.
Conclusion: In general, group practices were accepted well by patients and doctors. Many of the barriers to providing effective after hours medical care can be overcome by establishing 24-hour group practices.
SA Fam Pract 2003;45(3):13-18
Keywords: 24-hour group practice, after hours service, practice management
