Year: 2001
Type: article
Abstract: How should hamsters run? Some observations about sufficient patient time in primary care David MechanicIn a recent editorial in this journal Ian Morrison and Richard Smith commented on doctors' dissatisfaction with not having sufficient time for their patients and suggested the need to redesign care to better meet the needs of patients.1 Yet to address such a redesign requires a sound factual basis.Although the consensus in the United States has been that managed care has required substantial reductions in the time that patients spend with their doctor, consultation time increased between 1989 and 1998 for prepaid and non-prepaid visits, primary and specialty care, new and repeat visits, and visits for common problems as well as for serious illness. 2 Studies of how primary care doctors worked in the United States and in the United Kingdom over the past several decades can contribute to a more refined diagnosis.
Source: BMJ
Author: David Mechanic
Institution: Rutgers, The State University of New Jersey
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2070320507