Out-of-hours care in western countries: assessment of different organizational models

Table 4 Perceived strengths and weaknesses of different models

	Small family doctor based models		Large family doctor based models			Hospital based and national models
	Individual general family practice (N = 3)	Rota group (N = 21)	GP coopera-tive (N = 9)	Primary care center (N = 5)	Deputizing service (N = 3)	A&E department (N = 7)	Telephone triage and advice (N = 3)	Integrated care (N = 1)
Continuity of care	-	0	0	-	-	-	-	+
Efficiency	0	0	+	-	-	-	0	+
Accessibility	+	+	+	+	0	-	+	0
Coordination of care	0	0	+	-	-	-	0	+
Satisfaction physicians	0	-	+	-	0	0	-	0
Satisfaction other professionals	0	0	+	0	+	0	-	0
Satisfaction patients	0	+	+	0	0	+	+	-
Safety of triage	0	+	+	0	0	0	0	+

Legend+ = potential strength, no or few problems (median < 2); 0 = neutral, some problems (median = 3); - = potential weakness, many to major problems (median > 2). Changes after the second mailing led to some missings; therefore, the number of most used models is lower.

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