1. Denmark Organisation of the OOH-services Lægevagten i Danmark
Aim: To treat acute conditions, mainly general illnesses which can not wait until ordinary hours – treatment by their own doctor
All contacts doctor visitated
Very acute conditions (Heart attacks and similar) normally direct to hospital or acute ambulance/doctor

2. Organisation of the OOH-services Lægevagten i Danmark
General practise responsible
The Regions pay
Free - No payment for almost all citizens
16.00 – on weekdays
All Saturday, Sundays and public holidays

3. The GPs role Part of the GPs public agreement
The GP has to treat the patients 24 hours
In practice organised with public and GP run ”lægevagt”
The Region provide consultation rooms cars and the payment. The GP provide manpower.
Visitation only by specialists
GPs and other doctors for the other Posts

4. Public funding by the Regions
Hovedstaden The capital, North Zealand and Bornholm Inhabitants
Sjælland (rest of Zealand)
South (Fuhnen and southern Jutland)
Midt Middle (Central parts of Jutland)
North (Northern parts of Jutland)

5. Placering af Lægevagts konsultationer

6. Functions Visitation (phone consultations)
By telephone give advice, medicine or decide for consultations or home visits
(only by specialist in family medicine)
Consultation
aprox. 1o different consultations in each region
Home visits
aprox 10 cars in each region

7. Conditions . Consultation rooms fully equipped No staff
Free cars with driver and computer
All functions electronic, communication between visitator and other doctors, pharmacies, messages is send to the patients doctor electronic (by phone to hospitals and ambulances)

8. Visitation

9. Konsultation

10. Home visits

11. Contacts ( * 1000) Day time Out of daytime Consultations 19.000 935
Homevisits
450
315
Phone consultations
14.735
1.638
Phone visitations
1.272
Total
36.775
4.160

12. Payment A 16-22 + Saturday B 22-08 + Sunday
Consultation , ,43
Telefonkonsultation uden besøg/konsultation 86, ,87
Telefonkonsultation med besøg/konsultation 37, ,10
Besøg , ,95
Tillægstakst udover 10 km, pr. km , ,91

13. Challenges: Clinically
Continued clinical training
Homogeneity
In between areas
In between individual doctors
Andet????

14. Challenges: Expectations from the community
Distance to consultations
Available - without waiting time
Good quality
andet???

15. Challenges: Collaboration with other health services
In general very good
normally unproblematic
Normally will only the patients who need hospital treatment get in contact with hospitals (some geographic differences)
And the hospitals know it and appreciate it.

16. Challenges: in relation to organisation
Sufficient doctors in remote areas
Quality of consultation rooms
Staff
CME and CPD
Keep the expectations down
only treat the necessary
keep the rest for daytime or no treatment