ArticleBMJ (Clinical research ed.)1996
Patients' accounts of calling the doctor out of hours: qualitative study in one general practice.
Article in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Randomised controlled trial of effect of Baby Check on use of health services in first 6 months of life.BMJ (Clinical research ed.) · 1999Trial
- 'Clinically unnecessary' use of emergency and urgent care: A realist review of patients' decision making.Health expectations : an international journal of public participation in health care and health policy · 2020Review
- Preschool children in out-of-hours primary care - a questionnaire-based cross-sectional study of factors related to the medical relevance of health problems.BMC family practice · 2017Article
- 'Looking for the needle in the haystack': a qualitative study of the pathway to diagnosis of type 1 diabetes in children.BMJ open · 2013Article
- Mother's country of birth and prescription of psychotropic medication in Swedish adolescents: a life course approach.BMJ open · 2012Article
- Apprehensive parents: a qualitative study of parents seeking immediate primary care for their children.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- After-hours paediatric telephone triage and advice: the Neuchâtel experience.European journal of pediatrics · 2005Article
- A qualitative study of older people's views of out-of-hours services.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- NHS direct: here and now.Archives of disease in childhood · 1999Article
- Growth hormone insensitivity: a widening diagnosis.Archives of disease in childhood · 1999Article
- Listen to the parents.BMJ (Clinical research ed.) · 1996Article
- Patients' views on out-of-hours care in general practice in Dublin.Irish journal of medical scienceArticle
- Creating a pediatric digital library for pediatric health care providers and families: using literature and data to define common pediatric problems.Journal of the American Medical Informatics Association : JAMIAArticle
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate patients' accounts of calling the doctor out of hours.
designQualitative analysis of semi-structured interviews with two groups of patients who called their doctors out of hours from one general practice. SUBJECTS: 23 people who had called the doctor on their behalf or on behalf of another adult and 23 people who had called on behalf of a child between 6 pm and 8 am on a week day (omitting the weekend from 6 pm on Friday to 8 am on Monday).
resultsalthough respondents described symptoms as the main reason for the call, they also described a range of other factors that led to the call, including their feelings, concerns about specific illnesses, their responsibility for others, and their previous attempts to manage the problem themselves. They also described past experiences with health services that were important in explaining the current out of hours call or explaining their general approach to using services.
conclusionsThe pursuit of a model of out of hours care based on medical necessity that neglects the psychosocial context of illness may not be appropriate. The importance of previous experiences of health services and contacts with health professionals in explaining current service use requires wider acknowledgement by health professionals across sectors. Separate educational programmes to encourage patients to use out of hours services more appropriately that neglect these issues may be too simplistic.
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