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It's about time: physicians' perceptions of time constraints in primary care medical practice in three national healthcare systems
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Konrad, Thomas R., Link, Carol L., Shackelton, Rebecca J., Marceau, Lisa D., von dem Knesebeck, Olaf, Siegrist, Johannes, Arber, Sara, Adams, Ann and McKinlay, John B. (2010) It's about time: physicians' perceptions of time constraints in primary care medical practice in three national healthcare systems. Medical Care, Vol.48 (No.2). pp. 95-100. doi:10.1097/MLR.0b013e3181c12e6a ISSN 0025-7079.
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Official URL: http://dx.doi.org/10.1097/MLR.0b013e3181c12e6a
Abstract
Background: As physicians are pressured to deliver an increasing number of preventive services, follow guidelines, engage in evidence-based practice, and deliver patient-centered care in managerially driven organizations, they struggle with how much control they have over their time.
Methods: A secondary analysis was conducted with data from 3 parallel studies of clinical decision making in Germany, the United Kingdom, and the United States with 128 physicians per country. Physicians reported how much time they were allocated and how much time they needed for high-quality care for new patient appointments, routine consultations, and complete physicals. They also reported how much control they had over their time in the office and spending adequate time with patients.
Results: German, British, and American physicians were allocated (on average) 16/11/32 minutes for a new patient appointment, 6/10/18 minutes for a routine visit, and 12/20/36 minutes for a complete physical, but felt that they needed more time. Over half of German and American physicians felt that they always or usually had control over the hours they were required to be in their office or spending sufficient time with their patients while less than half of British physicians felt this way.
Conclusion: German physicians had the least time allocated and needed for most types of appointment. American physicians had the most time allocated and needed for each type of appointment. However, British physicians felt they had the least control over time in their office and spending sufficient time with patients.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Medical Care | ||||
| Publisher: | Lippincott Williams & Wilkins | ||||
| ISSN: | 0025-7079 | ||||
| Official Date: | February 2010 | ||||
| Dates: |
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| Volume: | Vol.48 | ||||
| Number: | No.2 | ||||
| Number of Pages: | 6 | ||||
| Page Range: | pp. 95-100 | ||||
| DOI: | 10.1097/MLR.0b013e3181c12e6a | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Funder: | National Institutes of Health, National Institute on Aging | ||||
| Grant number: | AG16747 |
Data sourced from Thomson Reuters' Web of Knowledge
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