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普通诊所如何处理患者对“当日”预约的请求?一项问卷调查。

How do general practices manage requests from patients for 'same-day' appointments? A questionnaire survey.

作者信息

Luthra M, Marshall M N

机构信息

Mount Pleasant Health Centre, Mount Pleasant Road, Exeter, EX4 7BW.

出版信息

Br J Gen Pract. 2001 Jan;51(462):39-41.

PMID:11271872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1313898/
Abstract

Same-day appointment requests are common and can be problematic for general practices that run appointment systems. In a questionnaire survey sent to 90 general practices in one health authority area (response rate 88%), a variety of management systems existed for dealing with same-day appointment requests. Managing the requests was found to be a significant cause of stress for many general practitioners. Registrars, locums, and practice nurses play only a small part in meeting patient demands and few practices operate telephone triage to help manage these requests.

摘要

当日预约请求很常见,对于运行预约系统的全科诊所来说可能会出现问题。在向一个卫生当局辖区内的90家全科诊所进行的问卷调查中(回复率88%),存在多种处理当日预约请求的管理系统。结果发现,处理这些请求是许多全科医生压力的一个重要来源。实习医生、临时代理医生和执业护士在满足患者需求方面所起的作用很小,很少有诊所采用电话分诊来帮助管理这些请求。

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本文引用的文献

1
Nurse management of patients with minor illnesses in general practice: multicentre, randomised controlled trial.全科医疗中轻症患者的护士管理:多中心随机对照试验
BMJ. 2000 Apr 15;320(7241):1038-43. doi: 10.1136/bmj.320.7241.1038.
2
How many surgery appointments should be offered to avoid undesirable numbers of 'extras'?应该安排多少台手术预约,以避免出现数量不理想的“额外手术”?
Br J Gen Pract. 1999 Apr;49(441):273-6.
3
The reported availability of general practitioners and the influence of practice list size.全科医生的报告可及性及执业名单规模的影响。
Br J Gen Pract. 1996 Aug;46(409):465-8.
4
Do appointment systems work?预约系统有效吗?
Br Med J (Clin Res Ed). 1982 Feb 13;284(6314):478-80. doi: 10.1136/bmj.284.6314.478.
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Patient use of a mixed appointment system in an urban practice.城市医疗机构中患者对混合预约系统的使用。
Br Med J (Clin Res Ed). 1984 Nov 10;289(6454):1277-8. doi: 10.1136/bmj.289.6454.1277.
6
A study of patients attending without appointments in an urban general practice.一项关于城市全科医疗中未经预约就诊患者的研究。
BMJ. 1990 Jul 7;301(6742):22-6. doi: 10.1136/bmj.301.6742.22.