Britt Helena, Valenti Lisa, Miller Graeme
AIHW General Practice Statistics and Classification Unit, University of Sydney, New South Wales.
Aust Fam Physician. 2002 Sep;31(9):876-80.
Past estimates of the length of Australian general practice consultations have been based on Medicare item numbers claimed, which carries probable serious inaccuracies.
To describe the length of general practitioner consultations.
A random sample of 926 GPs recorded the start and finish times in minutes of their consultations for which a Medicare item number was claimed between April 2000 and March 2001, within a continuous cross sectional national study of general practice activity.
Mean length of the consultations was 14.8 minutes (range 1-106). Mean length per GP varied widely (mean of means 14.8, range 3-39, mode 15.0 minutes). Female GPs had significantly longer consultations than males. Younger (< 45 years) male metropolitan GPs had the shortest mean length. Most attendances (85.7%) were designated Level B, 1.5% as Level A, 11.7% Levels C and 1.1% as level D. Mean length of Level A was 7.1 minutes, Level B-13.0, Level C-26.1, and Level D-44.9 minutes.
This study suggests that the majority of GPs are not practising 'six minute medicine', and may assist cost projections of any changes to the Medicare Schedule.
过去对澳大利亚全科医疗咨询时长的估计是基于所申报的医疗保险项目编号，这可能存在严重的不准确之处。
描述全科医生咨询的时长。
在一项全国性的全科医疗活动连续性横断面研究中，从926名全科医生中随机抽取样本，记录他们在2000年4月至2001年3月期间申报医疗保险项目编号的咨询开始和结束时间（以分钟为单位）。
咨询的平均时长为14.8分钟（范围为1 - 106分钟）。每位全科医生的平均时长差异很大（平均均值为14.8，范围为3 - 39，众数为15.0分钟）。女全科医生的咨询时间明显长于男全科医生。年轻的（<45岁）大城市男全科医生的平均时长最短。大多数就诊（85.7%）被指定为B级，1.5%为A级，11.7%为C级，1.1%为D级。A级的平均时长为7.1分钟，B级为13.0分钟，C级为26.1分钟，D级为44.9分钟。
本研究表明，大多数全科医生并非在践行“六分钟医疗”，且可能有助于对医疗保险计划的任何变更进行成本预测。
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