ABSTRACT
Data relating to out-of-hours services in the 15 local councils in Vest-Agder county were gathered through a postal survey. Organisation, the public's accessibility, use of services, communication systems, documentation, medical equipment, doctors' competence, doctors' safety and interaction with other primary care services and secondary health care providers are described. In order to ensure that the public have access to emergency medical care during normal opening hours, there is a need for change in health legislation. Improved daytime access would lessen the pressure on the out-of-hours services. Higher priority should be given by local councils to quality improvement of these services. Some centralization of services to facilities staffed by a doctor and auxiliary personnel is advocated. There should be greater restrictions on night-time house calls than is the case today. Doctors providing out-of-hours services should meet on a regular basis to exchange views and experiences. Greater responsibility should be assumed by local councils, for the continuing education of these doctors. The Norwegian health radio network should be more user-friendly.
Subject(s)
Emergency Medical Services , Clinical Competence , Communication , Emergency Medical Services/organization & administration , Emergency Medical Services/standards , Emergency Medical Services/statistics & numerical data , Health Services Accessibility , Humans , Norway , Practice Patterns, Physicians' , Surveys and Questionnaires , TelecommunicationsABSTRACT
Illness caused by the indoor environment is a challenging and complicated field to investigate. Emissions from paints may contribute to the problems. Several components of water-based paints evaporate for a long time after painting, and some of them may affect human biology. We describe one patient who has experienced symptoms caused by water-based paint. Different reaction mechanisms may be involved, and these are discussed. Components which may elicit biological effects are listed and discussed. Physicians should be aware of the possibility that a few patients may suffer from illness caused by emissions from modern paints.