{"title":"Audit projects for medical students.","authors":"J Spencer, P Schofield, D Gregory","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"520"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712215/pdf/jroyalcgprac00012-0037b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Core data for practice annual reports.","authors":"M G Dornan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"520"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712218/pdf/jroyalcgprac00012-0037c.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New contract.","authors":"T Richardson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"521-2"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712202/pdf/jroyalcgprac00012-0038b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Future of the College.","authors":"J Fry","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"522"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712182/pdf/jroyalcgprac00012-0039a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The efficient use of time in general practice.","authors":"M Roland","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"485-6"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712184/pdf/jroyalcgprac00012-0002a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study looked at the effect of different appointment time intervals on process and outcome measures in the consultation. Over a five-month period patients attending a two-partner surgery were non-systematically allocated to appointments at five, 10 or 15 minute intervals. Consultations were audiotaped and analysed. When appointments were scheduled at longer intervals, doctors asked significantly more questions and made significantly more statements explaining the problem and its management, while patients asked significantly more questions and made significantly more statements of their own ideas about the problem. In consultations booked at shorter intervals patients were significantly more likely to report in satisfaction questionnaires that they had little or far too little time available. The implications of the results for future planning are discussed.
{"title":"Study of the effect of time availability on the consultation.","authors":"L Ridsdale, M Carruthers, R Morris, J Ridsdale","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study looked at the effect of different appointment time intervals on process and outcome measures in the consultation. Over a five-month period patients attending a two-partner surgery were non-systematically allocated to appointments at five, 10 or 15 minute intervals. Consultations were audiotaped and analysed. When appointments were scheduled at longer intervals, doctors asked significantly more questions and made significantly more statements explaining the problem and its management, while patients asked significantly more questions and made significantly more statements of their own ideas about the problem. In consultations booked at shorter intervals patients were significantly more likely to report in satisfaction questionnaires that they had little or far too little time available. The implications of the results for future planning are discussed.</p>","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"488-91"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712205/pdf/jroyalcgprac00012-0005.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Appointment systems try to achieve a balance between the time the doctor waits for patients to arrive and the time patients spend waiting to be seen. Mathematical analysis reveals that the time a patient can expect to wait increases exponentially as the appointment interval is reduced. An appointment interval that is less than the median consultation length can result in long waits for patients with no saving of time for the doctor. More frequent, shorter surgeries can save time for patients with no increase in the doctor's waiting time. Methods of improving the efficiency of use of surgery time are discussed.
{"title":"Mathematical relationship between waiting times and appointment interval for doctor and patients.","authors":"I Hill-Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Appointment systems try to achieve a balance between the time the doctor waits for patients to arrive and the time patients spend waiting to be seen. Mathematical analysis reveals that the time a patient can expect to wait increases exponentially as the appointment interval is reduced. An appointment interval that is less than the median consultation length can result in long waits for patients with no saving of time for the doctor. More frequent, shorter surgeries can save time for patients with no increase in the doctor's waiting time. Methods of improving the efficiency of use of surgery time are discussed.</p>","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"492-4"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712214/pdf/jroyalcgprac00012-0009.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A diagnostic centre, managing diagnostic tests for general practice, can improve the service provided by primary health care and the communication between general practitioners and specialists. In addition, it can evaluate the use and misuse of tests. This paper describes the work of a diagnostic centre in the Netherlands serving 80 general practitioners. Following the introduction of individual feedback to general practitioners on their use of diagnostic tests there was a decrease in the number of requests for tests.
{"title":"A diagnostic centre for general practitioners: results of individual feedback on diagnostic actions.","authors":"P Pop, R A Winkens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A diagnostic centre, managing diagnostic tests for general practice, can improve the service provided by primary health care and the communication between general practitioners and specialists. In addition, it can evaluate the use and misuse of tests. This paper describes the work of a diagnostic centre in the Netherlands serving 80 general practitioners. Following the introduction of individual feedback to general practitioners on their use of diagnostic tests there was a decrease in the number of requests for tests.</p>","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"507-8"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712209/pdf/jroyalcgprac00012-0024.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K Thomas, S Birch, P Milner, J Nicholl, L Westlake, B Williams
This paper reviews four studies sponsored by the Department of Health which have attempted to measure workload in general practice and compares these with data from the general household survey. Despite the considerable differences in the objectives and methods employed by the four studies, they were found to contain remarkably consistent measurements of general practitioner workload. In a 'normal working week' general practitioners spend 38 hours on general medical service duties (including 24 hours of patient contact and five hours of travel to home visits), they see 150 patients or their representatives in surgery, and make 26 home visits. In an 'annual average week', taking into account holidays and sick leave, general practitioners undertake 90% of this workload. The studies show consistently large variations in the workload of general practitioners measured in this way, but fail to identify the key determinants of such variations. The reasons underlying the variation in general practitioner workload will remain unclear until we can distinguish between the expected, measurable variation and the residual, unexplained variation which may be due to the personal preferences of general practitioners.
{"title":"Estimates of general practitioner workload: a review.","authors":"K Thomas, S Birch, P Milner, J Nicholl, L Westlake, B Williams","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reviews four studies sponsored by the Department of Health which have attempted to measure workload in general practice and compares these with data from the general household survey. Despite the considerable differences in the objectives and methods employed by the four studies, they were found to contain remarkably consistent measurements of general practitioner workload. In a 'normal working week' general practitioners spend 38 hours on general medical service duties (including 24 hours of patient contact and five hours of travel to home visits), they see 150 patients or their representatives in surgery, and make 26 home visits. In an 'annual average week', taking into account holidays and sick leave, general practitioners undertake 90% of this workload. The studies show consistently large variations in the workload of general practitioners measured in this way, but fail to identify the key determinants of such variations. The reasons underlying the variation in general practitioner workload will remain unclear until we can distinguish between the expected, measurable variation and the residual, unexplained variation which may be due to the personal preferences of general practitioners.</p>","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"509-13"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712212/pdf/jroyalcgprac00012-0026.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic non-malignant pain: time to take on the challenge.","authors":"R G Potter","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75129,"journal":{"name":"The Journal of the Royal College of General Practitioners","volume":"39 329","pages":"486-7"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712199/pdf/jroyalcgprac00012-0003.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号