全科医生工作量估计:综述。

K Thomas, S Birch, P Milner, J Nicholl, L Westlake, B Williams
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引用次数: 0

摘要

本文回顾了由卫生部赞助的四项研究,这些研究试图衡量全科医生的工作量,并将这些研究与普通家庭调查的数据进行了比较。尽管四项研究在目标和方法上有相当大的差异,但发现它们对全科医生工作量的测量结果非常一致。在"正常工作周",全科医生负责一般医疗服务工作的时间为38小时(包括24小时与病人接触和5小时前往家访),他们为150名病人或其代表做手术,并进行26次家访。在“年平均一周”中,考虑到假期和病假,全科医生承担了90%的工作量。这些研究表明,以这种方式测量的全科医生的工作量始终存在很大变化,但未能确定这种变化的关键决定因素。全科医生工作量变化的原因尚不清楚,直到我们能够区分预期的、可测量的变化和剩余的、无法解释的变化,这些变化可能是由于全科医生的个人偏好。
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Estimates of general practitioner workload: a review.

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.

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