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Text
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URL Address
<a href="http://doi.org/10.1370/afm.391" target="_blank" rel="noreferrer noopener">http://doi.org/10.1370/afm.391</a>
Pages
494–499
Issue
6
Volume
3
Dublin Core
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Title
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Physician activities during time out of the examination room.
Publisher
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Annals of family medicine
Date
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2005
2005-12
Subject
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Adult; Female; Humans; Male; Middle Aged; Ohio; Aged; *Family Practice; *Patient Care; Task Performance and Analysis; Time and Motion Studies; Medical; *Practice Management
Creator
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Gilchrist Valerie; McCord Gary; Schrop Susan Labuda; King Bridget D; McCormick Kenelm F; Oprandi Allison M; Selius Brian A; Cowher Michael; Maheshwary Rishi; Patel Falguni; Shah Ami; Tsai Bonny; Zaharna Mia
Description
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PURPOSE: Comprehensive medical care requires direct physician-patient contact, other office-based medical activities, and medical care outside of the office. This study was a systematic investigation of family physician office-based activities outside of the examination room. METHODS: In the summer of 2000, 6 medical students directly observed and recorded the office-based activities of 27 northeastern Ohio community-based family physicians during 1 practice day. A checklist was used to record physician activity every 20 seconds outside of the examination room. Observation excluded medical care provided at other sites. Physicians were also asked to estimate how they spent their time on average and on the observed day. RESULTS: The average office day was 8 hours 8 minutes. On average, 20.1 patients were seen and physicians spent 17.5 minutes per patient in direct contact time. Office-based time outside of the examination room averaged 3 hours 8 minutes or 39% of the office practice day; 61% of that time was spent in activities related to medical care. Charting (32.9 minutes per day) and dictating (23.4 minutes per day) were the most common medical activities. Physicians overestimated the time they spent in direct patient care and medical activities. None of the participating practices had electronic medical records. CONCLUSIONS: If office-based, medically related activities were averaged over the number of patients seen in the office that day, the average office visit time per patient would increase by 7 minutes (40%). Care delivery extends beyond direct patient contact. Models of health care delivery need to recognize this component of care.
Identifier
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<a href="http://doi.org/10.1370/afm.391" target="_blank" rel="noreferrer noopener">10.1370/afm.391</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Family Practice
*Patient Care
*Practice Management
2005
Adult
Aged
Annals of family medicine
Cowher Michael
Department of Family & Community Medicine
Female
Gilchrist Valerie
Humans
King Bridget D
Maheshwary Rishi
Male
McCord Gary
McCormick Kenelm F
Medical
Middle Aged
NEOMED College of Medicine
Ohio
Oprandi Allison M
Patel Falguni
Schrop Susan Labuda
Selius Brian A
Shah Ami
Task Performance and Analysis
Time and Motion Studies
Tsai Bonny
Zaharna Mia