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dc.contributor.authorIfediora, Chris Onyebuchi
dc.date.accessioned2018-09-07T04:08:09Z
dc.date.available2018-09-07T04:08:09Z
dc.date.issued2017
dc.identifier.issn1356-1294
dc.identifier.doi10.1111/jep.12605
dc.identifier.urihttp://hdl.handle.net/10072/99648
dc.description.abstractRationale, aims and objectives The after-hours house call (AHHC) services in Australia has gained huge popularity in recent years, but it is not clear how well supported the involved doctors feel regarding the clinical, professional and security aspects of their work. It is important that this knowledge gap is filled given that appropriate support helps engender quality in health service delivery. Methods This is a questionnaire-based electronic survey involving a sample frame of all 300 doctors participating in AHHC through the National Home Doctor Service. National Home Doctor Service is Australia’s largest AHHC service provider. Results A total of 168 valid responses (56.0%) were received. Overall, the mean support levels were mild to moderate, ranging from 2.4 to 2.8 out of 4.0 for all three parameters. Specifically, 65.3% of the respondents felt well-supported on clinical issues, 64.7% on professional issues and 43.2% on security issues. Australian-trained doctors were less likely to feel well supported on all aspects [Clinical: odds ratio (OR) 0.38, confidence interval (CI) 0.16 to 0.90; Professional: OR 0.30, CI 0.13 to 0.72; and Security: OR 0.22; CI 0.09 to 0.53] compared with overseas-trained ones. Unsurprisingly, doctors who adopted protective measures felt significantly better supported regarding security (OR 2.75; CI 1.31 to 5.78). Conclusion There is room for improvement regarding support on AHHC in Australia, and concerned Surgeries should ensure that where available these supports are appropriately utilized.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto8
dc.relation.ispartofjournalJournal of Evaluation in Clinical Practice
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.titleQuality in Australian after-hours doctor home visits: exploring the clinical, professional and security supports available to involved practitioners
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Health, School of Medicine
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.rights.copyright© 2016 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Quality in Australian after‐hours doctor home visits: exploring the clinical, professional and security supports available to involved practitioners, Journal of Evaluation in Clinical Practice, Volume 23, Issue 2, Pages 308-315, which has been published in final form at https://doi.org/10.1111/jep.12605. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
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gro.griffith.authorIfediora, Chris O.


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