Continuity of care: influence of general practitioners' knowledge about their patients on use of resources in consultations.

Title

Continuity of care: influence of general practitioners' knowledge about their patients on use of resources in consultations.

Creator

Hjortdahl P; Borchgrevink CF

Publisher

British Medical Journal

Date

1991

Subject

Child; Cross-Sectional Studies; Female; Humans; Male; Adult; Aged; Middle Aged; Physicians; Time Factors; adolescent; Preschool; infant; referral and consultation; Norway; Continuity of Patient Care; Drug Prescriptions; Family/psychology; Health Resources/utilization; Physician-Patient Relations

Description

OBJECTIVE--To examine the relation between general practitioners' knowledge about their patients and the use of resources in consultations. DESIGN--A cross sectional evaluation of consultations. SETTING AND SUBJECTS--A representative sample of 133 Norwegian general practitioners were each asked to record 30 consecutive consultations. 131 did so, and of 3990 possible registrations, 3918 (98%) were evaluated. MAIN OUTCOME MEASURES--The influence, as assessed by the doctor, of accumulated knowledge on the use of laboratory tests, expectant management, prescriptions, sickness certification, referrals, and time spent in the consultation. RESULTS--Accumulated knowledge was a substantial factor in saving time, especially in consultations with children, the elderly, patients with psychosocial problems, and those with chronic diseases. It also influenced the overall use of laboratory tests, expectant management, sickness certification, and referrals, and to a lesser degree the use of medication. CONCLUSION--The findings imply strong but complex associations between accumulated knowledge and the use of resources in the consultation.
1991

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

1181-1184

Issue

6811

Volume

303

Citation

Hjortdahl P; Borchgrevink CF, “Continuity of care: influence of general practitioners' knowledge about their patients on use of resources in consultations.,” Pediatric Palliative Care Library, accessed August 4, 2021, https://pedpalascnetlibrary.omeka.net/items/show/11898.

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