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1. Childhood fever: a qualitative study on parents’ expectations and experiences during general practice out-of-hours care consultations

Author

Nicole Loonen, Geert-Jan Dinant, Julie M M Lepot, Dagmar A S Hendrix, Jochen W L Cals, Eefje G P M de Bont, Family Medicine, RS: CAPHRI School for Public Health and Primary Care, and RS: CAPHRI - R5 - Optimising Patient Care

Subjects
Adult, Male, Parents, medicine.medical_specialty, Fever, Emotions, General Practice, Primary health care, MEDLINE, Primary care, Trust, Consultation rate, Interviews as Topic, Young Adult, Out of hours, After-Hours Care, Nursing, Antibiotics, Qualitative research, medicine, Humans, Young adult, Child, business.industry, Patient Acceptance of Health Care, Family medicine, General practice, Female, Infection, Family Practice, business, Research Article
Abstract

Background Fever in children is common and mostly caused by benign self-limiting infections. Yet consultation rates in primary care are high, especially during GP out-of-hours care. Therefore, we aimed to explore experiences of parents when having visited GP out-of-hours services with their febrile child. Methods We performed a qualitative study using 20 semi-structured interviews among parents from different backgrounds presenting to GP out-of-hours care with a febrile child

Published
2015

2. Workload and management of childhood fever at general practice out-of-hours care: an observational cohort study

Author

Yvonne Guldemond-Hecker, Eefje G P M de Bont, Julie M M Lepot, Dagmar A S Hendrix, Nicole Loonen, Geert-Jan Dinant, Jochen W L Cals, Family Medicine, RS: CAPHRI School for Public Health and Primary Care, and RS: CAPHRI - R5 - Optimising Patient Care

Subjects
medicine.medical_specialty, Pediatrics, Referral, Fever, General Practice, Primary care, Workload, Severity of Illness Index, Out of hours, PRIMARY CARE, After-Hours Care, medicine, Humans, Medical prescription, Practice Patterns, Physicians', Child, Referral and Consultation, Netherlands, business.industry, Public health, Research, Remote Consultation, General Medicine, Anti-Bacterial Agents, Child, Preschool, General practice, Emergency medicine, PUBLIC HEALTH, business, General practice / Family practice, Cohort study
Abstract

Objective Even though childhood fever is mostly self-limiting, children with fever constitute a considerable workload in primary care. Little is known about the number of contacts and management during general practitioners’ (GPs) out-of-hours care. We investigated all fever related telephone contacts, consultations, antibiotic prescriptions and paediatric referrals of children during GP out-of-hours care within 1 year. Design Observational cohort study. Setting and patients We performed an observational cohort study at a large Dutch GP out-of-hours service. Children (

Published
2015

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