General practitioners’ acceptability to handle unscheduled visits: a french nationwide cross-sectional survey
Notice bibliographique
Résumé
BACKGROUND: The increasing demand for emergency department (ED) services has led to overcrowding, impacting the quality and accessibility of healthcare. The objectives were to evaluate how general practitioners (GPs) manage unscheduled visits, including patients redirected from emergency departments and/or medical dispatch centers, and to identify potential barriers to accepting these patients. METHODS: We conducted a cross-sectional survey in France from April 2020 to March 2021, utilizing a self-administered, web-based, anonymous pre-tested questionnaire distributed among the members of professional society and social network. The questionnaire was divided into three sections, namely: (1) demographics of GP respondents; (2) current organization for handling unscheduled visits, and (3) potential barriers to implementing dedicated schedule slots for patients redirected from EDs. We used multivariable logistic regression to investigate associations between personal and practice characteristics. RESULTS: A total of 1,317 GPs participated in the survey. The majority were female (59%), aged between 31 and 40 years (43%) and located in semi-rural areas (66%). Overall, 89% reported to allocate specific slots for unscheduled care visits. However, only 16% had their slots open to emergency/dispatch center-referred patients. The majority (83%) of GPs showed no interest in setting aside dedicated slots for ED redirected patients, 62% were against sharing information about their unscheduled visit slots with EDs, and 88% opposed the automatic scheduling of ED patients into their clinics. The main barriers to the implementation of dedicated slots for unscheduled visit were a lack of interest (46%), time constraints (48%), and organizational challenges (9%). GPs with smaller patient bases and those using computerized systems showed greater openness to communicate availability for unscheduled care. CONCLUSION: Most French GPs surveyed, representing approximatively 2% of the overall French GP population, integrate daily slots for unscheduled visits into their practice but they are typically reserved for their existing patient base. The survey further revealed that two-thirds of these GPs are unwilling to communicate the availability of these slots to EDs. Additionally, an even larger proportion would refuse to allow automatic scheduling of ED patients into their clinics if redirection strategies were implemented at their local hospitals.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».