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Related Experiment Videos

Variation in physicians' recommendations about revisit interval for three common conditions

D B Petitti1, K Grumbach

  • 1Department of Family and Community Medicine, University of California at San Francisco, School of Medicine.

The Journal of Family Practice
|September 1, 1993
PubMed
Summary

Physician recommendations for patient follow-up intervals vary widely for common conditions like diabetes, angina, and hypertension. This uncertainty highlights a need for evidence-based guidelines to improve healthcare efficiency and potentially reduce costs.

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Area of Science:

  • Healthcare management
  • Clinical practice guidelines
  • Health economics

Background:

  • The optimal timing for patient follow-up visits remains unclear for many medical conditions.
  • Physician perspectives on revisit intervals are crucial for efficient healthcare delivery.

Purpose of the Study:

  • To investigate physician recommendations for revisit intervals for common chronic conditions.
  • To identify variations in clinical judgment regarding follow-up care frequency.

Main Methods:

  • A mailed survey was distributed to 116 primary care physicians.
  • Physicians evaluated hypothetical patient scenarios involving diabetes mellitus, angina, and hypertension.
  • Respondents indicated their recommended follow-up visit intervals for each condition.

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Main Results:

  • Significant variability was observed in physicians' recommended revisit intervals across all three conditions.
  • Internists were more inclined than family physicians to suggest longer intervals for diabetes and hypertension.
  • No strong associations were found between recommended intervals and other physician characteristics.

Conclusions:

  • Widespread variation in recommended revisit intervals suggests physician uncertainty about optimal follow-up frequency.
  • Developing evidence-based approaches for revisit intervals could lead to significant healthcare cost savings.
  • Standardizing follow-up care recommendations is essential for improving medical care efficiency.