Health Affairs, 25, no. 6 (2006): 1733-1737 doi: 10.1377/hlthaff.25.6.1733 © 2006 by Project HOPE	New Online   McAllen, TX & Beyond: An Expert Roundtable   Geography & Reform   Medicaid or Insurance Exchange?   Siren Song of New GME   Public Plan Option: Pro & Con

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UPDATE: INTERNATIONAL REPORT

After-Hours Care In The United Kingdom, Denmark, And The Netherlands: New Models

There are indications that after-hours care in some countries is of poor quality. European after-hours care is shifting away from individual and group practices with local after-hours call schedules toward large-scale after-hours care services. Experiences with primary care cooperatives in three countries show that this model can lighten physicians’ workloads, reduce the number of face-to-face contacts, reduce use of emergency services and hospital admissions, and lower costs. Most patients accept these new models but are dissatisfied if they expect to see a physician. Local or regional integration of all emergency services seems to be the most promising model for after-hours care.

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