Thomas E, Cotzias C, Handler C E
Department of Cardiology, Northwick Park Hospital, Harrow, UK.
Int J Cardiol. 1995 Mar 3;48(3):295-301. doi: 10.1016/0167-5273(94)02261-g.
The requirements of 500 general practitioners from a hospital department of cardiology were sought and assessed from a questionnaire. One hundred and twenty two general practitioners caring for 766,384 patients responded. The most important inpatient service requirement was that cardiologists should be responsible for the management of patients with acute myocardial infarction and other acute cardiac conditions. The expertise and reputation of the consultant cardiologist and the waiting time for an appointment were the two most important outpatient service requirements. The least important aspect was the time patients waited in clinic to see a doctor. Fundholders considered price of outpatient consultations to be unimportant. Waiting times for cardiac catheterisation and non-invasive cardiac investigations together with the quality of the investigation equipment and the technical staff were all considered to be important requirements. Most general practitioners wanted protocols for managing common cardiac conditions. The majority wanted an open access investigation service to reduce outpatient waiting times. Those who did not want an open access service explained that they would not be confident in interpreting the results or deciding subsequent management. An understanding of the requirements of general practitioners is helpful in planning and developing hospital services.
通过问卷调查，对某医院心内科500名全科医生的需求进行了调研和评估。122名负责766384名患者的全科医生进行了回应。最重要的住院服务需求是心脏病专家应负责管理急性心肌梗死和其他急性心脏疾病患者。心内科会诊医生的专业知识和声誉以及预约等待时间是两个最重要的门诊服务需求。最不重要的方面是患者在诊所等待看病的时间。基金持有者认为门诊咨询价格不重要。心脏导管插入术和非侵入性心脏检查的等待时间以及检查设备和技术人员的质量都被认为是重要需求。大多数全科医生希望有管理常见心脏疾病的方案。大多数人希望有开放获取的检查服务以减少门诊等待时间。那些不希望有开放获取服务的人解释说，他们对解读检查结果或决定后续治疗没有信心。了解全科医生的需求有助于规划和发展医院服务。
