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Related Experiment Videos

Workload in a general practice 1950-85.

J Fry, J B Dillane

    The Journal of the Royal College of General Practitioners
    |September 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Patient consultation rates in a London general practice significantly decreased by nearly 50% over 36 years. This study examines trends in primary care workload and home visits.

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    Area of Science:

    • General Practice
    • Health Services Research
    • Primary Care Management

    Background:

    • Annual patient consultation rates have been continuously recorded for 36 years in a National Health Service (NHS) general practice.
    • The practice is located in a stable, south-east London suburb.

    Purpose of the Study:

    • To analyze long-term trends in patient consultation rates within a specific general practice.
    • To investigate the decline in workload and the reduction in home visits compared to surgery consultations.
    • To raise questions regarding low consultation rates, reasons for decline, and NHS general practitioner needs.

    Main Methods:

    • Longitudinal analysis of continuously recorded annual patient consultation data over 36 years (1950-1985).
    • Identification and categorization of distinct phases in consultation rate trends.

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  • Comparison of changes in home visit rates versus surgery consultation rates.

    • Main Results:

    • Four distinct phases of consultation rates were observed: rising (1950-1956), peak (1957-1963), falling (1964-1970), and low stable (1971-1985).
    • Overall patient workload decreased by nearly 50%, from a peak of 3.81 to 1.93 consultations per patient per year.
    • A substantial 91% reduction in home visits was observed, significantly greater than the 43% reduction in surgery consultations.

    Conclusions:

    • The study highlights significant fluctuations and an overall decline in patient consultation rates within this NHS practice.
    • The dramatic decrease in home visits suggests a major shift in primary care delivery patterns.
    • Further comparative studies are needed to understand variations in practice workload and inform NHS resource allocation.