Research, Development, Education and Innovation, Primary Health Care, Region Västra Götaland, Götaland, Sweden.
Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Scand J Prim Health Care. 2022 Jun;40(2):261-270. doi: 10.1080/02813432.2022.2097609. Epub 2022 Jul 19.
To describe concrete, effective strategies used by experienced GPs to achieve time efficiency, increase patient satisfaction and maintain high medical quality during patient meetings.
Qualitative observation yielded field notes for qualitative content analysis according to Graneheim and Lundman. Follow-up telephone interviews were conducted to get feedback from patients.
A normal working day with patient meetings in a primary health care center in Sweden.
Five GPs known for being experienced and well-functioning clinicians were strategically chosen to participate in an observational study during patient meetings. Afterwards a random selection of 25 patients (five from each GP) were asked to rate their experience of their meeting.
Observation and analysis of GPs' work before, during, and after patient meetings revealed several concrete strategies, which we classified into two main categories: and comprising nine and seven ubcategories, respectively.
Most important behavioral skills for time efficiency were a GP's ability to handle interruptions, and effective administration. Medical quality during patient meetings was most supported by GP continuity and relationship, an exploratory patient-centered approach, a focus on one task at a time, and the ability to acknowledge and learn from medical uncertainty. Patients were most satisfied with GPs who had good communicative skills, good GP continuity and relationship.Key pointsThe changing field of general medicine requires general practitioners (GPs), to work efficiently, but studies on effective work strategies for GPs are scarce.GPs used several concrete strategies falling into two broad categories (behavioral and communicative) that may also be important for other practitioners wishing to improve their methods in clinical patient work.The most important strategies for time efficiency were mainly behavioral; for medical quality during patient meetings, a mix of behavioral and communicative; and for patient satisfaction, communicative.
描述经验丰富的全科医生在医患会面中实现时间效率、提高患者满意度和保持高医疗质量的具体有效策略。
定性观察产生了实地笔记，用于根据 Graneheim 和 Lundman 的方法进行定性内容分析。随后进行了随访电话访谈，以从患者处获得反馈。
瑞典一家初级保健中心的一个正常工作日，进行医患会面。
选择了五位以经验丰富和表现良好的临床医生而闻名的全科医生，参与医患会面的观察性研究。之后，随机选择了 25 名患者（每位医生各 5 名），请他们对自己的就诊经历进行评价。
对医患会面前后全科医生工作的观察和分析揭示了几种具体策略，我们将其分为两大类：和，分别包含 9 个和 7 个子类。
实现时间效率的最重要行为技能是医生处理干扰的能力和有效的管理。医患会面期间医疗质量主要得益于医生的连续性和关系、探索性的以患者为中心的方法、一次专注于一个任务的能力，以及从医疗不确定性中承认和学习的能力。患者对具有良好沟通技巧、良好的医生连续性和关系的医生最满意。
普通医学领域的变化要求全科医生（GP）高效工作，但关于 GP 有效工作策略的研究很少。GP 使用了几种具体策略，分为两大类（行为和沟通），这对于其他希望改进临床患者工作方法的从业者可能也很重要。实现时间效率的最重要策略主要是行为方面的；在医患会面期间提高医疗质量，需要行为和沟通方面的策略相结合；而提高患者满意度则需要沟通方面的策略。
