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Access to healthcare has been strongly affected by the coronavirus disease COVID pandemic, which has raised concerns about the increased risk of delays in receiving medical care. This was a cross-sectional observational study of anonymized medical record data and internet-based questionnaires from patients who used AHHC medical services from April to January First, Second, most responders Third, Furthermore, AHHC medical services may be one of the strategies for those who refrain from seeking healthcare services, thus reducing the risk of delayed hospital visits during emergencies.
Keywords: After-hours house call, Emergency department, Out-of-hour service, Telephone triage. Several studies have revealed a significant reduction in emergency department ED visits and have raised concerns about the increased risk of delays in receiving hospital care for emergencies [ 1 β 5 ].
One of the reasons why patients have been refraining from visiting healthcare services has arisen from fear of COVID infection while visiting hospitals or clinics [ 1 , 6 , 7 ]. There are several models for out-of-hour care [ 8 β 11 ], and after-hour house-call AHHC medical services are services for semi-urgent cases or cases in which access to healthcare is difficult. This allows patients to receive medical services in their homes even if they do not have a family doctor.
The AHHC service will also directly request medical treatment from any hospital or call an ambulance if urgent treatment is needed. Before the establishment of the AHHC medical service, when a complaint occurs out-of-hours and patients were unable to arrange for a family doctor, patients are generally free to choose medical services as follows: i call an ambulance; ii visit to the ED by themselves; iii call a home clinic or hospital; iv call the telephone consultation service; or v wait until working hours.