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全科诊所的会诊时长与病例组合

Consultation length and case mix in a general practice clinic.

作者信息

Voo Y O

机构信息

Family Health Service, Level 6 Institute of Health, Singapore.

出版信息

Singapore Med J. 1999 Jan;40(1):13-7.

Abstract

OBJECTIVE

This study was conducted to determine the mean consultation length in a general practice clinic for all cases as well as for acute and chronic conditions.

METHODS

The main diagnosis or reason for encounter in a general practice clinic from 25 April to 15 May 1994 was coded for all consultations using a customized clinic management software.

RESULTS

The case mix of the clinic was comparable to the general practice pattern described in the 1993 Morbidity Survey of Outpatients. The overall mean consultation length was 9.3 minutes, the median was 6.0 minutes and the mode was 3.0 minutes. The mean consultation length for representative acute, chronic, and chronic relapsing and remitting conditions were 7.1 minutes (acute upper respiratory tract infection), 7.6 minutes (hypertension), and 9.9 minutes (bronchial asthma), respectively.

CONCLUSION

Consultation length for a practice is dependent on the case mix of the practice, which is in turn dependent on the number of tasks required.

摘要

目的

本研究旨在确定全科诊所中所有病例以及急性和慢性疾病的平均会诊时长。

方法

使用定制的诊所管理软件,对1994年4月25日至5月15日全科诊所中所有会诊的主要诊断或就诊原因进行编码。

结果

该诊所的病例组合与1993年门诊病人发病率调查中描述的全科诊疗模式相当。总体平均会诊时长为9.3分钟,中位数为6.0分钟,众数为3.0分钟。具有代表性的急性、慢性以及慢性复发和缓解性疾病的平均会诊时长分别为7.1分钟(急性上呼吸道感染)、7.6分钟(高血压)和9.9分钟(支气管哮喘)。

结论

诊所的会诊时长取决于诊所的病例组合,而病例组合又取决于所需完成的任务数量。

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