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Canada Goose Outlet In the south Brazilian city of Porto Alegre where about 1.5 million people live two primary care units added out of hours (OOH) services in March and April of 2017 to increase patient access, as described by Kelly et al(1,2). OOH appointments in these two facilities are offered from 6 to 10pm. Differently from the traditional primary care model in Brazil, in which units serve people living in a specific catchment area with pre scheduled appointments, during OHH all patients are welcomed without the need for scheduling. Medical, nursing, and dental canada goose outlet in new york care, as well as immunizations, are offered. Canada Goose Outlet

canada goose In the first 14 months since the start of the program, we recorded 33,964 appointments in the two clinics during canada goose outlet winnipeg address OOH. canada goose outlet During the same period, 51,181 consultations were provided in the same two units during traditional hours (and about 1.7 million primary care consultations in the city). Even though women are canada goose outlet store toronto the most frequent users of both daytime and OOH services, the proportion of men canada goose parka outlet ( 35.5% vs. 32.4% during the day) and of people of working age (54.96% vs. 47,7% during the day) was higher in OOH vs. regular daytime services. canada goose

cheap Canada Goose However, the most interesting aspect of OOH services is the high number of rapid testing for HIV, syphilis, and hepatitis performed during these extended hours: 3,868 tests during OOH vs. 3,405 tests during usual hours or 11.3% of the overall appointments during OOH vs. 6.6% canada goose outlet woodbury during regular hours. Since the regular shift lasts 11 hours (. cheap Canada Goose

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In the south Brazilian city of Porto Alegre where about 1.5 million people live two primary care units added out of hours (OOH) services in March and April of 2017 to increase patient access, as described by canada goose outlet black friday Kelly et al(1,2). OOH appointments in these two facilities are offered from 6 to 10pm. Differently from the traditional primary care model in Brazil, in which units serve people living in a specific catchment area canada goose kensington parka uk with pre scheduled appointments, during OHH all patients are welcomed without the need for scheduling. Medical, nursing, and dental care, as well as immunizations, are offered.

In https://www.canadagoosestorevip.com the first 14 months canada goose factory outlet vancouver since the start of the program, we recorded 33,964 appointments in the two clinics during OOH. During the same period, 51,181 consultations were provided in the same two units during traditional hours (and about 1.7 million primary care consultations in the city). Even though women are the most frequent users of both daytime and OOH services, the proportion of men ( 35.5% vs. 32.4% during the day) and of people of working age (54.96% vs. 47,7% during the day) was higher in OOH vs. regular daytime services.

However, the canada goose jacket outlet toronto most canada goose outlet vip interesting aspect of OOH services is the high number of rapid testing for HIV, syphilis, and hepatitis performed during these extended hours: 3,868 tests during OOH vs. 3,405 canada goose discount uk tests during usual hours or 11.3% of the overall appointments during OOH vs. 6.6% during regular hours. Since the regular shift lasts 11 hours (from 7am to 6pm) and OOH lasts 4 hours, this also shows canada goose outlet miami that rapid testing was performed twice as fast during OOH. Therefore, it seems that there is a specific demand for rapid testing during OOH, suggesting an important goose outlet canada role of these extended hours managing communicable diseases, still a very serious problem in our country(3).

Another important difference is OOH resolvability. While canada goose outlet online store in the traditional format canada goose outlet winnipeg the number of consultations canada goose outlet in usa that result in a referral to a medical specialty is on average 16.9%, in OOH this number is 10.64%.

As reported by Kelly et al.(1), implementation of the OOH strategy in Porto Alegre aimed to attract canada goose sale uk to the primary care setting those people who sought emergency departments without needing urgent care. Not many primary care facilities offer extended hours in canada goose outlet ottawa Brazil, and thus we need to keep monitoring our OOH units. However, our goal is to have eight working OOH units (one per district of the municipality) by the year 2020 (a third unit was added in June 2018), increasing access and strengthening primary health care in our city.

Canada Goose Parka 1. Kelly SJ, Piercy H, Ibbotson R, Fowler Davis SV. Who attends out of hours general practice appointments? canada goose outlet shop of canada goose outlet trillium parka black hours units. BMJ canada goose outlet in uk Open.2018 Jun 9;8(6):e020308. doi: 10.1136/bmjopen 2017 020308. Canada Goose Parka

Canada Goose online 3. Souza MFM, Frana EB, Cavalcante A. Burden of disease and health situation analysis: results of the Global Burden of Disease (GBD) Brazil network. Rev Bras Epidemiol. canada goose outlet new york 2017 May;20Suppl 01(Suppl 01):1 3. doi: 10.1590/1980 5497201700050001 canada goose factory outlet toronto location Canada Goose online.


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