Back Pages

Mazahib Pub Date : 2018-06-30 DOI:10.21093/mj.v17i1.1165
M. Ahyar
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引用次数: 0

Abstract

First, the main reason given to justify its blanket introduction is that ‘surveys show’ that patients want rapid access. We all know that we want isn’t necessarily good for us, but before I am accused of paternalism (heaven forbid that doctors should know best how to run their practices), ask yourself this: in how many of these surveys were patients asked whether, in return for rapid access for any problem, however trivial, they were prepared to pay the prices of (a) lack of choice of doctor, (b) being triaged away from the doctor, (c) telephone advice as a substitute for a face-to-face consultation and (d) lack of follow-up care and continuity? Practices and their patients are discovering that these are the consequences of prioritising rapid access, as complaints about lack of appointments are replaced by complaints about lack of choice and continuity. There is no such thing as a free lunch. The change of focus from long-term therapeutic relationships (whose benefits are intangible and difficult to measure) to short-term interventions may have unforeseen consequences for the future health of our patients, and for our own levels of job satisfaction (and thus recruitment and retention). Only time will tell.
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首先,证明其全面引入的主要原因是“调查显示”患者希望快速获得。我们都知道,我们想要的并不一定对我们有好处,但在我被指责为家长式作风之前(但愿医生不应该最了解如何经营他们的诊所),问问自己:在这些调查中,有多少患者被问到,为了快速解决任何问题,无论多么微不足道,他们是否准备为(a)缺乏医生选择,(b)在远离医生的情况下进行分流,(c)以电话咨询代替面对面的咨询,以及(d)缺乏后续护理和连续性?诊所及其患者发现,这些都是优先考虑快速就诊的后果,因为对缺乏预约的抱怨被对缺乏选择和连续性的抱怨所取代。世上没有免费的午餐。将重点从长期治疗关系(其益处是无形的,难以衡量)转变为短期干预可能会对我们患者的未来健康以及我们自己的工作满意度(以及招聘和留用)产生不可预见的后果。只有时间才能证明。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.90
自引率
0.00%
发文量
7
审稿时长
4 weeks
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