Baker A S
J Fam Pract. 1978 Feb;6(2):335-40.
Each family physician at the Permanente Group of San Diego was observed for one half-day. As with two earlier time studies, the time spent with each patient was tabulated to show the number of minutes used in each of the usual activity categories that are encompassed in a patient encounter. Previously, similar studies had been carried out with rural practitioners in Missouri (1965) and rural and urban physicians in New Zealand (1975). The Missouri physicians practicing in pre-Medicaid days spent less time doing administrative work than their counterparts in this study, but appreciably more time in treatment and preventive activities. The time utilization of the physicians in prepaid groups was remarkably similar to that of the physicians in the fee-for-service system in New Zealand.
对圣地亚哥永久医疗集团的每位家庭医生进行了半天的观察。与之前的两项时间研究一样，记录了每位患者的就诊时间，以显示在患者诊疗过程中每个常规活动类别所花费的分钟数。此前，曾对密苏里州的乡村医生（1965年）以及新西兰的乡村和城市医生（1975年）进行过类似研究。在医疗补助计划实施前执业的密苏里州医生，从事行政工作的时间比本研究中的同行少，但在治疗和预防活动上花费的时间明显更多。预付医疗组医生的时间利用情况与新西兰按服务收费系统中的医生非常相似。
