Family doctors and change in practice strategy since 1986.
Objectives-To investigate the changes in practice strategy that have taken place since 1986.
Design-Comparison of practices in 1986 and 1992
Setting-93% of group practices (26 practices) in a single family health services authority.
Main outcome measures-Changes in staffing, premises, equipment, clinic services, and incomes between 1986 and 1992.
In 1986,28% of practices employed a nurse ; in 1992,92% did so.
Between 1986 and 1992,14 cost-rent schemes costing more than £10 000 had been started.
Certain practices, designated innovators, were more likely to possess specified items of equipment than other practices.
Computer ownership was widespread : 77% of practices had a computer, compared with 36% in 1986.
In 1992,16 practices had a manager, compared with 10 in 1986.
Clinic services provided by more than half of practices were well established services (antenatal, for example), new services for which a payment had been introduced (such as diabetes, asthma, minor surgery), or the more readily provided « new » clinic services (diet, smoking cessation).
Mots-clés Pascal : Médecin, Etude familiale, Pratique professionnelle, Evolution, Etats Unis, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Physician, Family study, Professional practice, Evolution, United States, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0226897
Code Inist : 002B30A05. Création : 09/06/1995.