Profiling outpatient workload : practice variations between consultant firms and hospitals in south west England.
Objectives-To describe the variation in outpatient new to old ratios between consultants and between providers for seven high volume specialties (four surgical, three medical).
Design-This was a descriptive study at consultant and provider unit level based upon patient administration system data from the South and West Regional Health Authority for the financial year 1992-93.
Additional components of variance analysis was used to distinguish individual consultant effects from host institution effects.
Setting-The former South Western Regional Health Authority area from Gloucestershire to Cornwall.
Subjects-Altogether 345 consultant firms in seven specialties grouped into 13 provider unit groups.
Main measures-New to old ratio, omitting elective inpatients followed up as outpatients.
Variation between consultants is greater in surgical than in medical specialties, while absolute levels of new to old ratios tend to be higher in surgical specialties than in medical.
Variation between provider unit groups is also greater in surgical specialties.
Analysis ofvariance shows that more total variance is attributable to provider unit group in gynaecology than in other specialties.
Conclusions-Within individual specialties there is evidence of substantial variation that is not attributable to underlying differences in morbidity patterns. (...)
Mots-clés Pascal : Système santé, Organisation santé, Ambulatoire, Charge travail, Temps attente, Spécialité médicale, Hôpital, Pratique professionnelle, Angleterre, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Health system, Public health organization, Ambulatory, Workload, Waiting time, Medical specialty, Hospital, Professional practice, England, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0402434
Code Inist : 002B30A01B. Création : 19/12/1997.