Morrell D C, Roland M O
Br Med J (Clin Res Ed). 1987 Jan 17;294(6565):161-2. doi: 10.1136/bmj.294.6565.161.
It has been shown that to provide a high standard of care general practitioners probably need to book consultations at intervals of at least 10 minutes. In this study the maximum list size for which a general practitioner might be expected to provide a high standard of care was determined from calculations of the time spent consulting, based on various consultation rates and list sizes and assuming that consultations were 10 minutes long. If good quality care is to be provided and is to include the range of services suggested in the government's recent green paper average list sizes should probably be no more than 1750, and lower in areas of high demand and high need. In addition to this, minimum standards could be determined for such measures as facilities available in surgeries, practice records, and accessibility of doctors to ensure that basic services were offered by all general practitioners.
研究表明，为了提供高标准的医疗服务，全科医生可能需要每隔至少10分钟安排一次会诊。在本研究中，根据不同的会诊率和患者名单规模，并假设每次会诊时长为10分钟，通过计算会诊所花费的时间，确定了全科医生有望提供高标准医疗服务的最大患者名单规模。如果要提供高质量的医疗服务，且涵盖政府近期绿皮书中建议的一系列服务，平均患者名单规模可能不应超过1750人，在需求高和需求迫切的地区应更低。除此之外，还可以为诸如诊所可用设施、诊疗记录以及医生的可及性等措施确定最低标准，以确保所有全科医生都能提供基本服务。
