Outpatients revisited : subjective views and clinical decisions in the management of general surgical outpatients in south west England.
To assess the scope for reducing unnecessary outpatient re-attendances, using as a benchmark an acute specialty at a site recognised to have an especially low ratio of repeat to new attendances.
This was a survey of the re-attendance workload at general surgery outpatient clinics over a three month period.
Patient re-booking and discharge rates for different grades of staff ; clinicians'perception of the ability of the GP to have managed the patient ; perception of the value of individual re-attendances ; reasons given for discharging/re-booking ; and outcome of attendance for patients in relation to diagnostic category were determined.
General surgery outpatient clinics with re-attendance rates that were 50% below average, in Taunton and Somerset Hospital, a non-teaching district general hospital.
Altogether 454 patients who made 470 second or subsequent visits (re-attendances) within the same episode of outpatient care.
Thirty eight percent (178/470) ofvisits were perceived as manageable by the GP, 45% (79,17% of total re-attendances) of which were also thought to have been of marginal or little value.
A substantial group of patients was being followed up largely for reasons of convention and traditional policy.
Re-booking rates were higher among junior staff.
Subjective views of the value of attendance at the hospital outpatient clinic and the ability of the GP to have seen the patient varie...
Mots-clés Pascal : Consultation hospitalière, Ambulatoire, Homme, Répétition, Organisation santé, Planification, Médecin généraliste, Chirurgie, Système santé, Hôpital, Royaume Uni, Europe
Mots-clés Pascal anglais : Hospital consultation, Ambulatory, Human, Repetition, Public health organization, Planning, General practitioner, Surgery, Health system, Hospital, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0064831
Code Inist : 002B30A04D. Création : 199608.