Specialist outreach clinics in general practice
| Autor: | Mary E Black, J J Bailey, David Wilkin |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
Outpatient Clinics Hospital Waiting Lists Referral Attitude of Health Personnel Interprofessional Relations Specialty Primary care Health Services Accessibility Appointments and Schedules Postal questionnaire medicine Humans Ease of Access Referral and Consultation General Environmental Science Wales Primary Health Care business.industry Public health General Engineering Community Health Centers General Medicine Community-Institutional Relations United Kingdom Outreach England Patient Satisfaction Family medicine General practice Medicine General Earth and Planetary Sciences Family Practice business Research Article Specialization |
| Zdroj: | BMJ. 308:1083-1086 |
| ISSN: | 1468-5833 0959-8138 |
| Popis: | Objectives : To establish the extent and nature of specialist outreach clinics in primary care and to describe specialists9 and general practitioners9 views on outreach clinics. Design : Telephone interviews with hospital managers. Postal questionnaire surveys of specialists and general practitioners. Setting : 50 hospitals in Englands and Wales. Subjects : 50 hospital managers, all of whom responded. 96 specialists and 88 general practitioners involved in outreach clinics in general practice, of whom 69 (72%) and 46 (52%) respectively completed questionnaires. 122 additional general practitioner fundholders, of whom 72 (59%) completed questionnaires. Main outcome measures : Number of specialist outreach clinics; organisation and referral mechanism; waiting times; perceived benefits and problems. Results : 28 of the hospitals had a total of 96 outreach clinics, and 32 fundholders identified a further 61 clinics. These clinics covered psychiatry (43), medical specialties (38), and surgical specialties (76). Patients were seen by the consultant in 96% (107) of clinics and general practitioners attended at only six clinics. 61 outreach clinics had shorter waiting times for first outpatient appointment than hospital clinics. The most commonly reported benefits for patients were ease of access and shorter waiting times. Conclusions : Specialist outreach clinics cover a wide range of specialties and are popular, especially in fundholding practices. These clinics do not seem to have increased the interation between general practitioners and specialists. |
| Databáze: | OpenAIRE |
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