Byrnes Patrick D, Crawford Margaret, Sieh Eleasa
MBBS, FRACGP, is Senior Lecturer, Discipline of General Practice, University of Queensland and a general practitioner, Bundaberg, Queensland.
Aust Fam Physician. 2013 Dec;42(12):846-9.
Tasks in general practice can be divided into three areas: acute care, planned secondary and tertiary prevention, and primary prevention. There is some evidence that the demands placed on practitioners by the second and third areas can decrease the time available for the first.
To assess the work load of general practitioners and the evidence around benefit for effort, and suggest some strategies for making the most of available time.
Time wasting in general practice can be doctor-generated, role-generated or Medicare/government-generated. Doctor-generated time wasting includes doing things for which there is evidence of futility and may comprise investigations, screening and specific treatments. Appropriate workforce deployment can reduce role-generated time wasting. Medicare/government-generated waste occurs when there are financial incentives for health care providers to persist in activities with little evidence of benefit, or even evidence of no benefit. GPs need to actively plan to achieve a balance in providing care in the three areas of general practice.
全科医疗中的任务可分为三个领域：急症护理、有计划的二级和三级预防以及一级预防。有证据表明，第二和第三领域对从业者的要求可能会减少用于第一领域的可用时间。
评估全科医生的工作量以及努力与效益相关的证据，并提出一些充分利用可用时间的策略。
全科医疗中的时间浪费可能由医生、角色或医疗保险/政府造成。医生造成的时间浪费包括做一些已证明无用的事情，可能包括检查、筛查和特定治疗。合理的劳动力部署可以减少角色造成的时间浪费。当医疗保健提供者因经济激励而坚持进行几乎没有效益证据甚至无效益证据的活动时，就会出现医疗保险/政府造成的浪费。全科医生需要积极规划，以在全科医疗的三个领域中实现护理平衡。
