Primary Care Visit Duration and Quality Does Good Care Take Longer?
Primary Care Visit Duration and Quality Does Good Care Take Longer?
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DOI:
10.1001/archinternmed.2009.341
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发表时间:
2009-11-09
影响因子:
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通讯作者:
Jha, Ashish K.
中科院分区:
文献类型:
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作者:
Chen, Lena M.;Farwell, Wildon R.;Jha, Ashish K.
Background: It is unclear if increasing pressure on primary care physicians to be more efficient has affected visit duration or quality of care. We sought to describe changes in the duration of adult primary care visits and in the quality of care provided during these visits and to determine whether quality of care is associated with visit duration.Methods: We conducted a retrospective analysis of visits by adults IS years or older to a nationally representative sample of office-based primary care physicians in the United States.Results: Between 1997 and 2005, US adult primary care visits to physicians increased from 273 million to 338 million annually, or 10% on a per capita basis. The mean visit duration increased from 18.0 to 20.8 minutes (P