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Determinants of family physicians' workland = Elementi obremenitve zdravnikov družinske medicine z delomŽivčec Kalan, Gordana ; Petek Šter, Marija ; Kersnik, Janko, 1960-2015Methods: We performed a nationwide cross sectional study on a representative sample of 50 randomly selected family physicians in Slovenia; 41 out of 50, each collecting data from 300 consecutive ... encounters, participated in the study. We collected data from 12,297 office contacts and home visits. The workload was defined with activities and with a stopwatch-measured time spent during consultations with/for patients by a family physician on a typical working day. We analysed patientsć characteristics, physiciansć style of work and the influence of the working environment. Results: Practices differed 3.70times in the number of patients on the list, 3.84 times in population points, 2.44 times in average age of patients on the list and 2.51 times in the number of doctor-patient encounters per day. We calculated 1.97 time differences (from 0.67 to 1.32) in mean workload. The mean time used for direct work with patients per day was 390.04 minutes (min. 261.22 min, max. 516.67 min, SD 65.18 minutes). The highest impact on the length of work had visits with (p = 0.002) or without (p < 0.001) physical examination and performing medical procedures (p = 0.019) due to their frequency as well as home visits (p = 0.001) and performing coroner duties (p = 0.038) due to the length of time in delivering them. Conclusions: Our observations can be used to develop a model for predicting and/or planning family physiciansć workload in the Slovenian health care system. The model needs to be tested in other countries with a similar (capitation combined with fee for service) payment system in order to determine its universal applicability.Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 81, št. 6, jun. 2012, str. 461-469)Vrsta gradiva - članek, sestavni delLeto - 2012Jezik - angleškiCOBISS.SI-ID - 30108121
Avtor
Živčec Kalan, Gordana |
Petek Šter, Marija |
Kersnik, Janko, 1960-2015
Teme
Family Practice |
Workplace |
Workload |
Time Factors |
Physician-Patient Relations |
Questionnaires |
Cross-Sectional Studies |
Družinska medicina |
Časovni faktorji |
Zdravnik-bolnik, odnosi |
Delovno mesto |
Delovne naloge |
Presečne študije |
Ankete
vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 81, št. 6, jun. 2012, str. 461-469)
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Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Živčec Kalan, Gordana | 27798 |
Petek Šter, Marija | 26219 |
Kersnik, Janko, 1960-2015 | 18330 |
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