Impact of out of hours (OOH) environment on practice
Theme | Examples |
Lack of background information and lack of clarity about agenda | Challenging because you don't know the patients (9); whose agenda? (6); you don't have access to the records (16); |
Approach to patient | I'm not quite so patient centred…a bit of fire fighting …don't want to miss critical things and if there's a red flag symptom that comes up…[it] doesn't need to be acted upon (15); |
Lack of follow-up | The sad thing about out of hours is that you don't follow-up on most of your patients (18); |
Lack of feedback | in reality as an out of hours presentation… it is quite difficult to find out what the discharge diagnosis was (17); |
Attitude to work | a rewarding part of my work…best provided by experienced general practitioners (11); |