dc.contributor.author | Ifediora, Chris Onyebuchi | |
dc.date.accessioned | 2018-09-07T04:08:09Z | |
dc.date.available | 2018-09-07T04:08:09Z | |
dc.date.issued | 2017 | |
dc.identifier.issn | 1356-1294 | |
dc.identifier.doi | 10.1111/jep.12605 | |
dc.identifier.uri | http://hdl.handle.net/10072/99648 | |
dc.description.abstract | Rationale, 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.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Wiley-Blackwell Publishing | |
dc.relation.ispartofpagefrom | 1 | |
dc.relation.ispartofpageto | 8 | |
dc.relation.ispartofjournal | Journal of Evaluation in Clinical Practice | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearchcode | 4203 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.title | Quality in Australian after-hours doctor home visits: exploring the clinical, professional and security supports available to involved practitioners | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dc.description.version | Accepted Manuscript (AM) | |
gro.faculty | Griffith Health, School of Medicine | |
gro.description.notepublic | This 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) | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Ifediora, Chris O. | |