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有很大的期望吗? 一般医生对提供BMJ"10分钟咨询"所需时间的估计
Stephen Henry Bradley1,2, Alice M Harper3, Lesley Smith4
1Academic Unit of Primary Care, University of Leeds, Leeds, UK medsbra@leeds.ac.uk.
BMJ open
|February 27, 2024
概括
一般医生估计,BMJ10分钟咨询中的任务需要比分配的时间要多得多. 这些咨询所需的时间在22年中没有增加,尽管患者期望不断提高.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 一般的做法一般的做法
背景情况:
- BMJ的"10分钟咨询"文章旨在指导全科医生 (GPs) 提供有效的患者护理.
- 估计这些咨询所需的实际时间对于初级保健中的实际工作量管理至关重要.
研究的目的:
- 为了估计一般医生在BMJ的"10分钟咨询"文章中概述的任务所需的时间.
- 量化这些文章中建议的任务数量.
- 评估过去22年所需时间和任务数量的变化.
主要方法:
- 由四位经验丰富的英国全科医生对时间估计的分析.
- 综述了22年来发表的44篇"10分钟咨询"文章.
- 计算中位数的最低和最高估计咨询时间和任务数量.
主要成果:
- 估计咨询时间的中位数最小值为15.7分钟,中位数最大值为28.4分钟.
- 每篇文章都建议平均有17个任务.
- 在这22年的时间里,没有观察到需要咨询时间的显著增加.
结论:
- "10分钟咨询"的预计时间超过了实际的预约时间,造成了不切实际的期望.
- 当前的建议可能与一般医生面临的实际时间限制不一致.
- 未来的实践指南应该更好地反映出常规患者护理的有限时间.
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