Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 35
Mais filtros

Base de dados
Intervalo de ano de publicação
Br J Gen Pract ; 70(691): 84-85, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32001474
Br J Gen Pract ; 69(685): 378, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31345798
Br J Gen Pract ; 69(682): e356-e362, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30803982


BACKGROUND: Despite patient preference and many known benefits, continuity of care is in decline in general practice. The most common method of measuring continuity is the Usual Provider of Care (UPC) index. This requires a number of appointments per patient and a relatively long timeframe for accuracy, reducing its applicability for day-to-day performance management. AIM: To describe the St Leonard's Index of Continuity of Care (SLICC) for measuring GP continuity regularly, and demonstrate how it has been used in service in general practice. DESIGN AND SETTING: Analysis of appointment audit data from 2016-2017 in a general practice with 8823-9409 patients and seven part-time partners, in Exeter, UK. METHOD: The percentage of face-to-face appointments for patients on each doctor's list, with the patient's personal doctor (the SLICC), was calculated monthly. The SLICC for different demographic groupings of patients (for example, sex and frequency of attendance) was compared. The UPC index over the 2 years was also calculated, allowing comparisons between indices. RESULTS: In the 2-year study period, there were 35 622 GP face-to-face appointments; 1.96 per patient per year. Overall, 51.7% (95% confidence interval = 51.2 to 52.2) of GP appointments were with the patients' personal doctor. Patients aged ≥65 years had a higher level of continuity with 64.9% of appointments being with their personal doctor. The mean whole-practice UPC score was 0.61 (standard deviation 0.23), with 'usual provider' being the personal GP for 52.8% and a trainee or locum for 8.1% of patients. CONCLUSION: This method could provide working GPs with a simple way to track continuity of care and inform practice management and decision making.

Agendamento de Consultas , Continuidade da Assistência ao Paciente/estatística & dados numéricos , Medicina de Família e Comunidade , Medicina Geral , Adulto , Idoso , Demografia , Medicina de Família e Comunidade/normas , Medicina de Família e Comunidade/estatística & dados numéricos , Feminino , Medicina Geral/normas , Medicina Geral/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Relações Médico-Paciente , Indicadores de Qualidade em Assistência à Saúde , Reino Unido
Br J Gen Pract ; 67(656): 108-109, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28232337
Br J Gen Pract ; 66(645): 179, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27033483
Br J Gen Pract ; 65(635): e409-17, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26009536


BACKGROUND: Health care is increasingly provided in general practice. To meet this demand, the English Department of Health recommends that 50% of all medical students should train for general practice after qualification. Currently 19% of medical students express general practice as their first career choice. Undergraduate exposure to general practice positively influences future career choice. Appropriate undergraduate exposure to general practice is therefore highly relevant to workforce planning AIM: This study seeks to quantify current exposure of medical students to general practice and compare it with past provision and also with postgraduate provision. DESIGN AND SETTING: A cross-sectional questionnaire in the UK. METHOD: A questionnaire regarding provision of undergraduate teaching was sent to the general practice teaching leads in all UK medical schools. Information was gathered on the amount of undergraduate teaching, how this was supported financially, and whether there was an integrated department of general practice. The data were then compared with results from previous studies of teaching provision. The provision of postgraduate teaching in general practice was also examined. RESULTS: General practice teaching for medical students increased from <1.0% of clinical teaching in 1968 to 13.0% by 2008; since then, the percentage has plateaued. The total amount of general practice teaching per student has fallen by 2 weeks since 2002. Medical schools providing financial data delivered 14.6% of the clinical curriculum and received 7.1% of clinical teaching funding. The number of departments of general practice has halved since 2002. Provision of postgraduate teaching has tripled since 2000. CONCLUSION: Current levels of undergraduate teaching in general practice are too low to fulfil future workforce requirements and may be falling. Financial support for current teaching is disproportionately low and the mechanism counterproductive. Central intervention may be required to solve this.

Currículo , Educação de Graduação em Medicina , Medicina Geral/educação , Estudantes de Medicina/estatística & dados numéricos , Escolha da Profissão , Estudos Transversais , Educação de Graduação em Medicina/métodos , Humanos , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários , Reino Unido/epidemiologia