Observational studyEuropean journal of public health2019
Examining differences in out-of-hours primary care use in Belgium and the Netherlands: a cross-sectional study.
Observational study in European journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Economic evaluation of diverting low-risk patients from the emergency department to adjacent out-of-hours primary care in Belgium.Primary health care research & development · 2026Trial
- Chinese burden of depressive disorders from 1990 to 2021 and prediction for 2030: analysis of data from the global burden of disease study 2021.BMC psychology · 2025Article
- Identifying performance indicators to measure overall performance of telephone triage - a scoping review.Scandinavian journal of primary health care · 2024Article
- Trends in antibiotic prescribing in primary care out-of-hours doctors' services in Ireland.JAC-antimicrobial resistance · 2024Article
- Experiences and observations from a care point for displaced Ukrainians: a community case study in Antwerp, Belgium.Frontiers in public health · 2024Observational
- Improving antibiotic prescribing quality in out-of-hours primary care: a mixed-methods study using participatory action research.JAC-antimicrobial resistance · 2023Article
- Opioid prescribing in out-of-hours primary care in Flanders and the Netherlands: A retrospective cross-sectional study.PloS one · 2022Article
- Antibiotic Prescribing Trends in Belgian Out-of-Hours Primary Care during the COVID-19 Pandemic: Observational Study Using Routinely Collected Health Data.Antibiotics (Basel, Switzerland) · 2021Article
- Patients' impressions of after-hours house-call services during the COVID-19 pandemic in Japan: a questionnaire-based observational study.BMC family practice · 2021Observational
- More room for telemedicine after COVID-19: lessons for primary care?The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Improving primary care in Europe beyond COVID-19: from telemedicine to organizational reforms.Internal and emergency medicine · 2021Article
- Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care.Frontiers in medicine · 2021Article
- Out-of-hours primary care in 26 European countries: an overview of organizational models.Family practice · 2020Article
- Understanding General Practitioners' Antibiotic Prescribing Decisions in Out-of-Hours Primary Care: A Video-Elicitation Interview Study.Antibiotics (Basel, Switzerland) · 2020Article
- Antibiotic Prescribing Quality in Out-of-Hours Primary Care and Critical Appraisal of Disease-Specific Quality Indicators.Antibiotics (Basel, Switzerland) · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe organizational model of out-of-hours primary care is likely to affect healthcare use. We aimed to examine differences in the use of general practitioner cooperatives for out-of-hours care in the Netherlands and Belgium (Flanders) and explore if these are related to organizational differences.
methodsA cross-sectional observational study using routine electronic health record data of the year 2016 from 77 general practitioner cooperatives in the Netherlands and 5 general practitioner cooperatives in Belgium (Flanders). Patient age, gender and health problem were analyzed using descriptive statistics.
resultsThe number of consultations per 1000 residents was 2.3 times higher in the Netherlands than in Belgium. Excluding telephone consultations, which are not possible in Belgium, the number of consultations was 1.4 times higher. In Belgium, the top 10 of health problems was mainly related to infections, while in the Netherlands there were a larger variety of health problems. In addition, the health problem codes in the Dutch top 10 were more often symptoms, while the codes in the Belgian top 10 were more often diagnoses. In both countries, a relatively large percentage of GPC patients were young children and female patients.
conclusionDifferences in the use of general practitioner cooperatives seem to be related to the gatekeeping role of general practitioners in the Netherlands and to organizational differences such as telephone triage, medical advice by telephone, financial thresholds and number of years of experience with the system. The information can benefit policy decisions about the organization of out-of-hours primary care.
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