General |
Out-of-hours primary care is provided by large-scale general practitioner (GP) cooperatives |
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Participation of 50–250 GPs per cooperative with a mean of 4 hours on call per week |
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Circa 125 GP cooperatives in the Netherlands |
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Population of 100,000 to 500,000 patients |
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Out-of-hours defined as daily from 5 p.m. to 8 a.m. and the entire weekend |
Location |
GP cooperative usually situated in or near a hospital |
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Distance of patients to GP cooperative maximally 30 km |
Accessibility |
Access via a single regional telephone number, meaning the first contact mostly is with a triage nurse (only 5-10% walk in without a call in advance) |
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Telephone triage by nurses supervised by GPs: contacts are divided into telephone advice, centre consult, or GP home visit |
Facilities |
Drivers in identifiable GP cars that are fully equipped (e.g. oxygen, intra venous drip equipment, automated external defibrillator, medication) |
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Information and communication technology (ICT) support including electronic patient files, online connection to the GP car, and sometimes connection with the electronic medical record in the GP daily practice |