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The out of hours service in Denmark (population 5.2m) was
reformed at the beginning of 1992. All 15 counties now have a
coordination centre where all patients' calls are triaged by general
practitioners, who decide whether the patient needs a home visit, a
consultation in an out of hours consultation room, or telephone advice.
One of the main reasons for the reform was the huge out of hours
workload for general practitioners, and this has decreased considerably since 1992. On p 1502 Christensen and Olesen outline the main points of the reform and describe its effects on number of out of hours
services, workload of general practitioners, cost of the service, and
patient satisfaction.