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Related Experiment Videos

Setting the revisit interval in primary care.

L M Schwartz1, S Woloshin, J H Wasson

  • 1VA Outcomes Group, White River Junction, VT 05009, USA.

Journal of General Internal Medicine
|April 16, 1999
PubMed
Summary
This summary is machine-generated.

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Physician revisit intervals vary widely, influenced more by individual physician habits than patient health. Patient characteristics explain little of this variation, highlighting a need for clearer guidelines in primary care follow-up scheduling.

Area of Science:

  • Primary Care Medicine
  • Health Services Research

Background:

  • Longitudinal care is central to primary care, yet specific guidance on scheduling follow-up visits is limited.
  • Understanding factors influencing revisit intervals is crucial for optimizing patient care and resource allocation.

Purpose of the Study:

  • To identify key predictors of revisit intervals in primary care.
  • To quantify the variability among physicians in setting follow-up visit schedules for common conditions.

Main Methods:

  • A cross-sectional survey of 11 primary care physicians was conducted.
  • Data were collected from 164 patients with hypertension, angina, diabetes, or musculoskeletal pain.
  • Multiple regression analysis examined patient characteristics, physician identity, and visit type as determinants of revisit intervals.

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Main Results:

  • Revisit intervals varied significantly, from 1 week to over 1 year, with 12 and 16 weeks being most common.
  • Physician perception of patient health and changes in management were linked to shorter intervals.
  • Patient factors explained 18% of variance; physician identity doubled this to 40%; visit characteristics raised it to 57%.

Conclusions:

  • Significant variability exists in physician-determined revisit intervals.
  • Patient factors account for a small portion of this variation.
  • Each physician demonstrated a consistent, individual approach to setting revisit intervals, regardless of visit type.