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Friday, April 24, 2020 | History

2 edition of Time study of consultations in general practice found in the catalog.

Time study of consultations in general practice

I. C. Buchan

Time study of consultations in general practice

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  • 12 Currently reading

Published by Scottish Home and Health Department in (Scotland) .
Written in English


Edition Notes

Includes bibliography.

StatementI. C. Buchan and I. M. Richardson.
SeriesScottish Health Service studies -- no. 27
The Physical Object
Paginationvi, 42 p. ;
Number of Pages42
ID Numbers
Open LibraryOL21389124M

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Time study of consultations in general practice by I. C. Buchan Download PDF EPUB FB2

Patients in the study commonly described a sense of marked anxiety about time, and a particular concern not to run over the allocated booking time of 5–10 min.

21 They often felt there was not time to disclose fully, or discuss adequately, their concerns, and even that a general practice consultation was not an appropriate setting for dealing effectively with depression.

Cited by: Although there is evidence that consultation length has increased in the UK over the last 20 years, it is still short by international standards, and is blamed in part by both general practitioners and the public for failure to deliver high quality by: Book Description.

General Practice Today explores the GP consultation in the context of external 'stressors' and 'helpers' that doctors use to make best clinical the last 30 years there has been a move towards mandatory training on.

The objectives of this study were to describe the features of consultation within general practice with special attention to the differences between short, moderate and long consultations. An analysis of videotaped consultations of General Practitioners from six countries. General Practice Today explores the GP consultation in the context of external 'stressors' and 'helpers' that doctors use to make best clinical decisions.

Over the last 30 years there has been a move towards mandatory training on legal aspects. FOUR CHARACTERISTICS OF PATIENTS WHICH MIGHT AFFECT THE LENGTH OF TIME SPENT IN CONSULTATIONS IN GENERAL PRACTICE WERE STUDIED: the sex, diagnosis, age, and social class of the patient.

Making time in general practice sessions with hospital consultants on national or local projects and some elements of statutory training such as child protection. So far, five events have run, each with Size: 1MB. The consultation remains the main and basic tool of general practice and as Pendleton eloquently put it: ‘it’s the central act of medicine which deserves to be understood’.

And it is consultation models that can help us (and our trainees) to understand the GP consultation and therefore consult better.

Consultation models also help to add. What is general practice. 8 Methodology 9 Activity: has general practice got busier. 14 Total consultations 15 Type of consultations 16 Activity by staff group 17 Activity by age group 18 Summary 18 Patient Time study of consultations in general practice book of general practice 19 Causes of pressure: patient factors 21 Access and continuity 21 Self-care for minor ailments Consultation skills - Control the length of the consultation.

Dr Mona Kular advises on the factors affecting consultation time that are within your control, including managing time effectively, keeping patients informed and dealing with multiple problems.

Depth of the patient–doctor relationship and content of general practice consultations: cross-sectional study Samuel William David Merriel, et al British Journal of General Practice 1 August ; 65 (): ee   The purpose of the general practice consultation—our working definition.

In view of the shortcomings of published studies, the diversity of terminology and the distinctions made by Uhlman 46 and Kravitz, 74 the term ‘the purposes of consultation' is suggested to denote what patients have on their mind when waiting to see the doctor.

Our Cited by: The general practice physician assistant: time to reappraise. Remote consultations: are they safe, effective and efficient.

Group consultations: a way to spend more time with patients Support is just a click away Improving communication through Simple Words Can Apps support self care and can general practice respond?File Size: KB.

The general practice environment is characterised by unfamiliar presentations, relative independence of decision-making, greater time pressures and clinical uncertainty.

As a regional training provider, we deliver a ‘consultation survival’ session as part of an introductory workshop for registrars at the commencement of the first general. GP consultation skills: The minute consultation.

How GPs can structure their time in consultations to effectively meet patients' needs. Data collection about consultations in primary care has been steadily improving, with good quality data now available on an ongoing basis about patient demographics, risk factors and consultation content in private general practice.

This study aimed to characterise consultations at Townsville Aboriginal and Islander Health Service (TAIHS) in Cited by: General Practice Comments Off on Essential Skills for a Medical Teacher: An Introduction to Teaching and Learning in Medicine 2nd Edition May 02 Essential Skills for a Medical Teacher is a perfect introduction for new teachers to the exciting opportunities facing them, whether they are working in undergraduate, postgraduate or continuing.

Consultation analysis is most often undertaken as part of teaching, learning or research. In general practice it has become a routine part of teaching and learning consultation skills.

Consultations can be real or simulated. They can be observed or recorded in a number of ways. An observer 'sits in' on real : Dr Colin Tidy. Remote consultations Doctors are being asked to triage and treat patients by remote consultations where possible to protect staff and patients from infection of Covid The flow chart below may help doctors apply our ethical guidance to manage patient safety risks and decide when it’s usually safe to treat patients remotely.

BEACH is the most valid, reliable general practitioner (GP) dataset in Australia, with almost million GP-patient encounter records from to BEACH data is used for analyses and reporting on the content of GP-patient encounters. Data linkages between indication and patient management are unique to BEACH, making it an essential.

Recognise situations where motivational interviewing is useful, as well as situations where it is less useful. Begin to develop an understanding of theoretical explanations for motivational interviewing. Appreciate how motivational interviewing can work in practice, within a number of different clinical scenarios.5/5(K).

It is essential reading for all primary healthcare professionals with consulting responsibilities. "This book is exactly what it says on the tin: 'a practical guide to consultation skills for any health professional working in primary care'.

The first part of the book presents the key features of most of the established consultation literature/5(18). Although the studies report different mean lengths of general practice consultations and different methods of measuring consultation length, 14 out of 16 included studies suggest that consultations with a recorded diagnosis of psychological problems take by: 2 New Consultation types Phone consultations Using phone consultations Use of the telephone for consulting with patients has been growing for several years.

Used appropriately it appears safe and popular with patients. It also offers the potential to release GP time, providing the practice considers all the changes required. Online services provide a new way of consulting in general practice.

Use of text based or video digital technologies has some advantages over established ways of consulting such as face-to-face meetings or the use of the telephone. It also carries risks.

Our e-books collection has many titles which general practitioners will find useful. Below are two lists of the titles, one covering clinical matters and the other non-clinical, which will be particularly helpful to those BMA members working in general practice.

If you have a query about our E-Books Collection please email: [email protected]. general practice care. Within a case study research approach mixed methods were mean consultation time length of minutes is comparable with studies of general practitioners.

The participants’ perceptions of nurse practitioner consultation communication processes and social interactions were represented through six themes; Consulting File Size: 9MB. consultation as an alternative for face-to-face general practice visits.

A systematic review (of systematic re-views) in failed to identify any publications for telephone consultation as a replacement to general practice visits [1]. The aim of this study was to undertake a systematic review of the evidence on the use of telephone consult-Cited by: Consultation is a problem-solving process in which advice and knowledge as well as reflection on the social worker's practice is offered by someone possessing specialized expertise.

Consultants may be engaged to help social workers identify gaps in knowledge or blocks in understanding or explore other ways of seeing issues, etc. Typically. 3 Presentations in general practice This section is divided into two subsections: acute minor illness and acute major illness.

Acute minor illness One of the distinguishing features of the clinical content of primary and general practice care, compared with secondary care, is the undifferentiated nature of the problems presented by patients to GPs.

Purchase The Discourse of Negotiation - 1st Edition. Print Book & E-Book. ISBNCited by: Models of the consultation give a framework for learning and teaching the consultation.

Models Byrne and Long’s study also analysed the range of verbal behaviours doctors used when talking to their patients. Many general practice consultations are conducted between a Parental doctor and a Child‐like patient.

This File Size: KB. General practitioners in Australia are responsible for providing primary care to patients across all age groups. In response to recent demographic trends, current government healthcare workforce strategies are focused on meeting the needs of the ageing population.

1 At the same time, while the proportion of children aged 0–19 years in the population has fallen from 38% in to. Contextual statement The GP consultation in practice For the competence area of Primary Care Management, Learning Outcome lists the knowledge required of a GP.

In particular, GPs should. Understand the common models of the consultation that have been proposed and how [they] can use these. practice. Secondly, attempts can be made to capture current thinking in documentary form. Annual busi-ness plans and longer term strategic direction state- ments are tangible expressions of the organisation's vision.

These manifestations of the organisational vision are complementary rather than interchangeable approaches. Too great a reliance on documents runs the risk Cited by:   NHS England is committed to stabilising and supporting general practice, to allow it to fulfil more of its potential at the heart of the NHS.

Ina study was therefore commissioned to identify the chief areas where reducing bureaucracy and reshaping demand could help practices in England.

A face-to-face consultation was more likely for patients presenting a new condition than a pre-existing condition. When symptoms were complex or new, clinicians felt it was best to arrange a face-to-face consultation. Practice staff felt these cases were using more GP time than if there had just been a usual face-to-face appointment.

In the medical profession, a general practitioner (GP) is a medical doctor who treats acute and chronic illnesses and provides preventive care and health education to patients. A general practitioner manages types of illness that present in an undifferentiated way at an early stage of development, which may require urgent intervention.

The holistic approach of general practice. Many general practice consultations are conducted between a Parental doctor and a Child-like patient.

This transaction is not always in the best interests of either party, and a familiarity with TA introduces a welcome flexibility into the doctor's repertoire which can break out of the repetitious cycles of behaviour ('games') into which some.

The initial consultation is the time to explain to the client working methods and techniques. It is the time to dispel misunderstandings about therapy in general and hypnotherapy in particular.

It is the opportunity for the client to ask questions about the therapy and the therapist. (Hewitt, William W, p20).

The Royal College of General Practitioners has been “working with a group of Patients, GPs, health service managers and academics to develop a set of questions that you might want to consider if you are a patient, clinician, practice or commissioner” interested in using these online consulting services.

Download the “Online consultations in general practice: the questions .General Practice Development Programme; Releasing time for care; Releasing time for care.

At the heart of our development programme is Time for Care, a programme to help practice teams manage their workload, adopt and spread innovations that free-up clinical time for care, and develop the skills and confidence to lead local improvement. To examine the association between different consulting styles in general practice (defined according to the average length of doctor-patient contact time in surgery consultations) and the process of care for those patients presenting with new episodes of respiratory illness, consultations conducted by 85 general practitioner principals in Lothian from Cited by: