WORKING HOURS OF GENERAL PRACTITIONERS FOR ONE PATIENT VISIT TO A COMBAT VETERAN PATIENT
O.P. Kolesnikova1, V.I.Starodubov2, O.V. Khodakova2
1. State Budgetary Healthcare Organisation “War veterans Hospital №3 of the Moscow Healthcare Department”, Moscow, Russia
2. Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia
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Summary:
Introduction. The consequence of any armed conflict is the emergence of people with disabilities. The classical model of primary health care organization cannot meet their needs. Currently, there is an obvious need to create a new model that preserves the precinct-territorial principle of service, within which it is necessary to estimate the actual cost of working time of a general practitioner.
The aim of this survey is to established a measured average working time consumption of a general practitioner providing primary health care to participants of a special military operation on an outpatient basis; to determine time consumption of a patient visit; to assess the results of general practitioners work process time monitoring while providing health care to war veterans on an outpatient basis.
Materials and methods. For two weeks or 10 working days the photographic timekeeping has been held monitoring two general practitioners providing primary health care to participants of a special military on an outpatient basis in the Outpatient Center of “War veterans Hospital №3 of the Moscow Healthcare Department” according to the conventional methodology. 3052 measurements were performed as part of the photographic time consumption research.
Results and discussion. Average working time consumption of a general practitioner providing primary health care to a patient in the Center amounted to 67,2 minutes for a primary visit, 37,1 minutes - for the follow-up visit, 7,2 minutes - for a telemedical consultation. The largest share of a general practitioner’s working time spent on a patient fell on keeping medical records (49,3%). 43,7% of a doctor’s working time accounts for the core activity while dealing with one patient, to work with documentation 49,3% and 7,1% - to other activities. The doctor’s work with medical documentation was carried out electronically using the EMIAS service (Unified Medical Information and Analytical System).
Conclusion. As a result of the photographic timekeeping survey of the work process of general practitioners providing primary health care to war veterans, there has been determined the average general practitioner’s working time consumption: 67,2 minutes spent on a primary visit, 37,1 minutes - on the follow-up visit which in average amounts to 37,2 minutes. The telemedical consultation average time consumption is 7,2 minutes on a patient.
Keywords general practitioner, from the category of the special contingent, photographic timekeeping survey, core activity, telemedical consultation, keeping medical records, working time consumption on a patient visit
Bibliographic reference:
O.P. Kolesnikova, V.I.Starodubov, O.V. Khodakova, WORKING HOURS OF GENERAL PRACTITIONERS FOR ONE PATIENT VISIT TO A COMBAT VETERAN PATIENT // Scientific journal «Current problems of health care and medical statistics». - 2024. - №4;
URL: http://healthproblem.ru/magazines?textEn=1429 (date of access: 22.12.2024).
URL: http://healthproblem.ru/magazines?textEn=1429 (date of access: 22.12.2024).
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