Diagnostic equipment at Norwegian out-of-hours services

Project Department: Uni Research Health (group: National Centre for Emergency Primary Health Care) period: from 01.09.06

Project results

Article 1: Rebnord IK, Thue G, Hunskar S: Equipment for diagnostics, laboratory analyses and treatment in out-of-hours services. Tidsskr Nor Laegeforen. 2009 May 14;129(10): 987-90.

  • Norwegian OOH services often share equipment with GP offices.
  • OOH services with shared premises have more equipment than those which do not share premises.
  • In OOH services with shared premises doctors on call often do the laboratory analyses while assisting personnel control the quality of the equipment.
  • Doctors practice advanced cardiopulmoary resuscitation less often in large OOH services that do not share premises than in smaller services with shared premises.

Article 2: Rebnord IK, Sandvik H, Hunskår S. Use of laboratory tests in out-of-hours services in Norway. Scandinavian Journal of Primary Health Care, Vol 30, 76-80, 2012.

  • CRP is by far the most frequent laboratory test in OOH services. It is most often used in respiratory illnesses and in small children.
  • Older doctors use laboratory tests less frequently than younger doctors, probably reflecting different clinical experience.
  • Centralization of OOH services results in higher use of laboratory tests.
  • Further investigations are required to study the clinical relevance of this extensive use of CRP in primary care.

Article 3: Rebnord IK, Hunskår S, Gjesdal S, Hetlevik Ø. Point-of-care testing with CRP in primary care: a registry-based observational study from Norway. BMC Fam Pract. 2015 Nov 19;16(1): 170.

  • The point-of-care test CRP is frequently used all over in primary care and all doctors use it more in the OOH-services than in daytime practice.
  • The RGPs that most frequently use CRP tests in daytime service do the same in OOH services.
  • Being a young doctor and having a high number of consultations result in significantly higher use of CRP in OOH services.
  • The differences between the RGPs use of CRP in OOH services cannot be explained by different diagnoses.

 

About the project

No English description of the prosject, but results are translated into English.

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cp: 2019-09-22 10:17:06