Pothier David D, Awad Zaid, Tierney Paul
Dept of Otolaryngology, Gloucestershire Royal Hospital, Gloucester, UK.
J Laryngol Otol. 2006 Mar;120(3):222-5. doi: 10.1017/S0022215106000132. Epub 2006 Jan 27.
'Choose and Book' is a UK government initiative devised to allow a greater freedom of choice for National Health Service patients. The system is designed to give patients a choice of hospitals and appointment times, as well as giving their general practitioner (GP) more responsibility for appropriate prioritization. We set out to determine the attitudes of UK GPs to the new Choose and Book project and to assess the impact that these changes are likely to have on ENT practice.
Postal questionnaire survey.
Five hundred GPs were sent a questionnaire about the planned Choose and Book referral project.
Three hundred and eighty GPs (76 per cent) replied to the questionnaire after reminders were sent. Most were aware of the project and had been sent information about it. Of those who had heard of it, 61.5 per cent did not think it was a good thing. Most stated that both they and their patients were satisfied with current prioritization practices. Many GPs would be willing to delegate responsibility for prioritization to non-clinical staff. Important time and responsibility issues were identified.
The majority of GPs were not in favour of Choose and Book. Many cited difficulties with time constraints and an inflexible system as factors that made Choose and Book unacceptable.
“选择并预约”是英国政府发起的一项倡议，旨在让国民医疗服务体系的患者拥有更大的选择自由。该系统旨在让患者能够选择医院和预约时间，同时让他们的全科医生（GP）在合理确定优先顺序方面承担更多责任。我们着手确定英国全科医生对新的“选择并预约”项目的态度，并评估这些变化可能对耳鼻喉科诊疗产生的影响。
邮寄问卷调查。
向500名全科医生发送了一份关于计划中的“选择并预约”转诊项目的问卷。
在发出提醒后，380名全科医生（76%）回复了问卷。大多数人了解该项目并已收到相关信息。在那些听说过该项目的人中，61.5%认为这不是一件好事。大多数人表示他们自己和患者都对当前确定优先顺序的做法感到满意。许多全科医生愿意将确定优先顺序的责任委托给非临床工作人员。确定了重要的时间和责任问题。
大多数全科医生不赞成“选择并预约”。许多人指出时间限制和系统缺乏灵活性等困难是使“选择并预约”难以接受的因素。
