Redesigning After-Hours Primary Care
Authors: Azeem Majeed
Journal: Annals of Internal Medicine (2012)

Letters3 January 2012Redesigning After-Hours Primary CareAzeem Majeed, MDAzeem Majeed, MDFrom Imperial College London, London W6 8RP, United Kingdom.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-156-1-201201030-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Many of the innovations recommended by Margolius and Bodenheimer (1) for after-hours primary care in the U.S. health care system are already present in England's National Health Service (NHS) (1). All residents of England have access to free after-hours primary care services from the NHS, either provided by their own primary care physician or by their local primary care trust (that is, the organization responsible for funding primary care services). After-hours primary care in England is defined as care that occurs outside the hours of 8 a.m. to 6:30 p.m., Monday through Friday, in contrast to some ...References1. Margolius D, Bodenheimer T. Redesigning after-hours primary care [Editorial]. Ann Intern Med. 2011;155:131-2. [PMID: 21768588] LinkGoogle Scholar2. Giesen P, Smits M, Huibers L, Grol R, Wensing M. Quality of after-hours primary care in the Netherlands: a narrative review. Ann Intern Med. 2011;155:108-13. [PMID: 21768584] LinkGoogle Scholar3. NHS Direct. Accessed at www.nhsdirect.nhs.uk/ on 29 July 2011. Google Scholar4. Department of Health. Accident & Emergency Attendances. London: Department of Health; 2011. Accessed at www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/AccidentandEmergency/DH_077485 on 29 July 2011. Google Scholar5. Majeed A. Inversion of emergency pyramid. "I wanted a thorough checkup" [Letter]. BMJ. 2003;326:553. [PMID: 12627590] MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Imperial College London, London W6 8RP, United Kingdom.Disclosures: Dr. Majeed is a general practitioner in the practice of Dr. Curran & Partners (www.claphamhealth.nhs.uk). After-hours services to patients in the practice are provided by a general practice cooperative, SELDOC (www.seldoc.co.uk). Dr. Majeed has also received funds for research from the NHS to evaluate new models of after-hours primary care in London. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRedesigning After-Hours Primary Care David Margolius and Thomas Bodenheimer Quality of After-Hours Primary Care in the Netherlands: A Narrative Review Paul Giesen , Marleen Smits , Linda Huibers , Richard Grol , and Michel Wensing Redesigning After-Hours Primary Care David Margolius and Thomas Bodenheimer Redesigning After-Hours Primary Care Michael E. Miller Metrics Cited byJob satisfaction and stressors for working in out-of-hours care – a pilot study with general practitioners in a rural area of GermanyPatients with somatoform disorders: More frequent attendance and higher utilization in primary Out-of-Hours care?Impact of a well-developed primary care system on the length of stay in emergency departments in the Netherlands: a multicenter studyEmergency Department Non-Urgent Visits and Hospital Readmissions Are Associated with Different Socio-Economic Variables in ItalyReasons for attending an urban urgent care centre with minor illness: a questionnaire studyOn a European collaboration to identify organizational models, potential shortcomings and improvement options in out-of-hours primary health care 3 January 2012Volume 156, Issue 1_Part_1Page: 67-68KeywordsConflicts of interestHealth careMedical servicesPrimary careResearch funding ePublished: 3 January 2012 Issue Published: 3 January 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...