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Out-of-hours GPs resigning in protest over new government surcharges

Stephen Gadd
January 4th, 2018


This article is more than 6 years old.

It may soon be even more difficult to get hold of a doctor should you have the misfortune to be taken ill outside normal surgery hours

For many doctors in Denmark these days, it just doesn’t pay to make house calls (photo: US Army/Suzanne Ovel)

Administrators at the Danish regions, who are responsible for country-wide healthcare, have been receiving some unpleasant tidings this Christmas.

According to the Danish organisation for general practitioners, Praktiserende Laegers Organisation, over 100 out-of-hours GPs have decided to leave the service, reports Ekstra Bladet.

READ ALSO: Emergency medical hotline may be short of doctors for Christmas and New Year’s Eve

Initially, 61 predominantly young doctors in Region Southern Denmark resigned in a joint protest. They have now been joined by colleagues in Zealand and mid-Jutland.

What’s up, doc?
The bone of contention is a surcharge of 4,000 kroner per annum that came into effect on January 1 this year.

“It sounds like a bureaucrat’s decision. They don’t know what they’re doing when they decide to do something like that,” said Ole Holm Thomsen, the head of the out-of-hours doctors in Region Southern Denmark.

The rationale behind the surcharge is that it should cover the cost of a controlling body that checks the doctor’s clinic to ensure patient safety is maintained. However, Thomsen thinks the whole idea is misplaced.

“This group doesn’t have a clinic from which they work. They go out to patients in their homes, so it is ridiculous that they should have to pay a surcharge,” he said.

A vital cog in the system
The 61 doctors who have resigned have been an important part of the healthcare system in Region Southern Denmark because they have taken on a lot of shifts that otherwise would not have been covered.

Stephanie Lose, the chair in Region Southern Denmark, also feels the surcharge is a bad idea.

“This is just a non-starter. It’s jeopardising the out-of-hours system in the region, and at the end of the day it will make it more difficult for us to recruit GPs in future.”

“It has never been the intention to make conditions worse for out-of-hours doctors. The idea was to ensure the quality of the system,” added the health minister, Ellen Trane Nørby.

The minister is hoping that a solution can be found through a reorganisation of the system.


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”