在急性和慢性疾病就诊期间拜访家庭医生时的时间利用情况。
Time use during acute and chronic illness visits to a family physician.
作者信息
Yawn Barbara, Goodwin Meredith A, Zyzanski Stephen J, Stange Kurt C
机构信息
Department of Research, Olmsted Medical Center, 210 Ninth Street SE, Rochester, MN 55904, USA.
出版信息
Fam Pract. 2003 Aug;20(4):474-7. doi: 10.1093/fampra/cmg425.
OBJECTIVE
To identify differences in time use during acute and chronic care visits.
POPULATION
Patients coming to outpatient offices of physician members of a practice-based research network in Ohio.
MEASURES
Direct observation and coding of physician activities during acute and chronic care visits.
RESULTS
Time use varied by visit type with more time spent on compliance assessment, negotiation, and nutrition advice during chronic care visits. Acute care visits included more time for procedures, physical examination, feedback on test results and health education.
CONCLUSION
Physicians structure their use of time to fit the differing goals of acute and chronic care visits.
目的
确定急性护理就诊和慢性护理就诊期间时间利用的差异。
研究对象
俄亥俄州一个基于实践的研究网络中医生成员门诊办公室的患者。
测量方法
对急性护理就诊和慢性护理就诊期间医生的活动进行直接观察和编码。
结果
时间利用因就诊类型而异，慢性护理就诊期间在依从性评估、协商和营养建议上花费的时间更多。急性护理就诊在操作、体格检查、检查结果反馈和健康教育上花费的时间更多。
结论
医生调整他们的时间利用方式，以适应急性护理就诊和慢性护理就诊的不同目标。
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