Primary care: Is there enough time for prevention?

Primary care: Is there enough time for prevention?
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DOI:
10.2105/ajph.93.4.635
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发表时间:
2003-04-01
影响因子:
12.7
通讯作者:
Michener, JL
Michener, JL
中科院分区:
医学2区
文献类型:
--
作者:
Yarnall, KSH;Pollak, KI;Michener, JL

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目标.我们试图确定初级保健医生向普通患者提供推荐的预防服务所需的时间。我们使用已公布的和估计的每次服务的时间,以确定医生所需的时间,提供美国预防服务工作组(USPSTF)推荐的所有服务,在推荐的频率,以2500名患者面板的年龄和性别分布类似于美国人口。为了完全满足USPSTF的建议,医生每年需要1773小时的时间,即每个工作日需要7.4小时来提供预防服务。时间限制限制了医生遵守预防服务建议的能力。
Objectives. We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel.Methods. We used published and estimated times per service to determine the physician time required to provide all services recommended by the US Preventive Services Task Force (USPSTF), at the recommended frequency, to a patient panel of 2500 with an age and sex distribution similar to that of the US population.Results. To fully satisfy the USPSTF recommendations, 1773 hours of a physician's annual time, or 7.4 hours per working day, is needed for the provision of preventive services.Conclusions. Time constraints limit the ability of physicians to comply with preventive services recommendations.