{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T14:11:20Z","timestamp":1768313480414,"version":"3.49.0"},"reference-count":14,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"vor","delay-in-days":1248,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,16]]},"abstract":"<jats:sec>\n                    <jats:title>Backgound<\/jats:title>\n                    <jats:p>This study describes patient characteristics and presentations to community-based primary care medical services in the after-hours period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey completed by practitioners was voluntarily conducted over one weeknight and weekend in 2019 at 31 of 51 extended hours general practices (GP), three of three medical deputising services and three of three nurse-led walk-in clinics (WICs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 3371 community-based after-hours presentations, 934 consultation records were obtained (overall response: 28%). Emergency departments reported 524 triage code 4 and 5 patients within the study period. Problems managed in community-based after-hours services were most often rated as non-urgent (n = 482; 51.6%) and new (n = 606; 64.9%). The most common community-based after-hours presentations were diagnostic or disease related (e.g. infections or injury; n = 667; 59.5%). The most common body systems impacted were respiratory (n = 329; 29.6%), skin (n = 164; 16.4%) and general\/unspecified (e.g. fever; n = 164; 16.4%). Community-based after-hours services reported different types of presentations, with medical deputising services reporting more urgent presentations, GPs reporting more procedural presentations and walk-in clinics reporting more skin-related issues (e.g. wound care).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Community-based after-hours medical services contribute significantly to after-hours medical care in the ACT. Patients are self-selecting community-based after-hours medical services appropriately based on problems managed by practitioners.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/py21261","type":"journal-article","created":{"date-parts":[[2022,3,16]],"date-time":"2022-03-16T20:59:17Z","timestamp":1647464357000},"page":"232-238","source":"Crossref","is-referenced-by-count":4,"title":["After-hours presentations to community-based primary care in the Australian Capital Territory"],"prefix":"10.1071","volume":"28","author":[{"given":"Katelyn","family":"Barnes","sequence":"first","affiliation":[{"name":"AAcademic Unit of General Practice, Office of Professional Leadership and Education, ACT Health Directorate, Canberra, ACT, Australia."},{"name":"BMedical School, College of Health and Medicine, Australian National University, Canberra, ACT, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Agostino","sequence":"additional","affiliation":[{"name":"BMedical School, College of Health and Medicine, Australian National University, Canberra, ACT, Australia."},{"name":"CResearch School of Population Health, College of Health and Medicine, Australian National University, Canberra, ACT, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dagmar","family":"Ceramidas","sequence":"additional","affiliation":[{"name":"AAcademic Unit of General Practice, Office of Professional Leadership and Education, ACT Health Directorate, Canberra, ACT, Australia."},{"name":"BMedical School, College of Health and Medicine, Australian National University, Canberra, ACT, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsty","family":"Douglas","sequence":"additional","affiliation":[{"name":"AAcademic Unit of General Practice, Office of Professional Leadership and Education, ACT Health Directorate, Canberra, ACT, Australia."},{"name":"BMedical School, College of Health and Medicine, Australian National University, Canberra, ACT, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2022,3,17]]},"reference":[{"key":"2025102822080231500_R1"},{"key":"2025102822080231500_R2"},{"key":"2025102822080231500_R3"},{"key":"2025102822080231500_R4"},{"key":"2025102822080231500_R5"},{"key":"2025102822080231500_R6","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1071\/PY19169","article-title":"GP services in Australia: presentation profiles during usual practice hours and after-hours periods.","volume":"26","author":"Baker","year":"2020","journal-title":"Australian Journal of Primary Health"},{"key":"2025102822080231500_R7"},{"key":"2025102822080231500_R8"},{"key":"2025102822080231500_R9","doi-asserted-by":"publisher","first-page":"104","DOI":"10.5694\/mja2.50693","article-title":"Australia\u2019s national COVID-19 primary care response.","volume":"213","author":"Desborough","year":"2020","journal-title":"The Medical Journal of Australia"},{"issue":"6","key":"2025102822080231500_R10","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.1111\/1742-6723.13800","article-title":"Identifying and quantifying general practice-type emergency department presentations.","volume":"33","author":"Duwalage","year":"2021","journal-title":"Emergency Medicine Australasia"},{"key":"2025102822080231500_R11"},{"key":"2025102822080231500_R12"},{"key":"2025102822080231500_R13"},{"key":"2025102822080231500_R14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003612","article-title":"Suitability of emergency department attenders to be assessed in primary care: survey of general practitioner agreement in a random sample of triage records analysed in a service evaluation project.","volume":"3","author":"Thompson","year":"2013","journal-title":"BMJ Open"}],"container-title":["Australian Journal of Primary Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/28\/3\/232\/713269\/py21261.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/28\/3\/232\/713269\/py21261.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T02:08:09Z","timestamp":1761703689000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/py\/article\/28\/3\/232\/88375\/After-hours-presentations-to-community-based"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,17]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,6,16]]}},"URL":"https:\/\/doi.org\/10.1071\/py21261","relation":{},"ISSN":["1448-7527","1836-7399"],"issn-type":[{"value":"1448-7527","type":"print"},{"value":"1836-7399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,17]]}}}