Estimation of the Time Needed to Deliver the 2020 USPSTF Preventive Care Recommendations in Primary Care
Estimation of the Time Needed to Deliver the 2020 USPSTF Preventive Care Recommendations in Primary Care
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DOI：
10.2105/ajph.2020.305967
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发表时间：
2021-01-01
影响因子：
12.7
通讯作者：
Guerrier, Shanice
中科院分区：
文献类型：
--
作者：
Privett, Natalie;Guerrier, Shanice
目标.重新检查所需的时间，提供美国预防服务工作组（USPSTF）建议的预防服务，以全国代表性的成人患者面板的2500。我们确定了一个医生提供USPSTF预防服务所需的时间，方法是将符合条件的人群、每年的频率和每个建议所需的患者接触时间相乘，所有这些都是使用建议本身和文献的数据计算的。我们根据2010年美国人口普查局的数据对2500名成年人的代表性小组进行了建模。在2500名成人患者中提供USPSTF推荐的预防服务，每个工作日需要8.6小时，占医生可用时间的131%。与2003年相比，2020年的建议较少，但他们需要每工作日增加1.2个医生与病人接触的小时。提供建议的预防性护理所需的时间对已经不堪重负的提供者提出了不切实际的期望，并使患者处于危险之中。这是一个系统问题，而不是时间管理问题。USPSTF提供了一套具有积极影响的强有力证据的建议。我们的医疗保健系统必须提供。
Objectives. To reexamine the time required to provide the US Preventive Services Task Force (USPSTF)-recommended preventive services to a nationally representative adult patient panel of 2500.Methods. We determined the required time for a single physician to deliver the USPSTF preventive services by multiplying the eligible population, annual frequency, and patient-contact time required for each recommendation, all calculated by using data from the recommendations themselves and literature. We modeled a representative panel of 2500 adults based on the 2010 US Census Bureau data.Results. To deliver the USPSTF recommended preventive services across a 2500 adult patient panel would require 8.6 hours per working day, accounting for 131% of available physician time. Compared with 2003, there are fewer recommendations in 2020, but they require 1.2 more physician patient-contact hours per working day.Conclusions. The time required to deliver recommended preventive care places unrealistic expectations on already overwhelmed providers and leaves patients at risk. This is a systems problem, not a time-management problem. The USPSTF provides a set of recommendations with strong evidence of positive impact. It is imperative that our health care system is designed to deliver.