Autor: |
A M, Ballesteros Pérez, A L, García González, J, Fontcuberta Martínez, F, Sánchez Rodríguez, C, Pérez-Crespo, F, Alcázar Manzanera |
Rok vydání: |
2003 |
Předmět: |
|
Zdroj: |
Aten Primaria |
ISSN: |
1578-1275 |
Popis: |
OBJECTIVE: To analyse the factors that affect patients’ wait at a health centre before they enter the doctor's consulting room (CD). DESIGN: Prospective full evaluative cycle of quality. SETTING: A teaching health centre in the Cartagena Health Area (Murcia). PARTICIPANTS: All those patients seen by the doctor during the weeks of the study (1st stage: 3823; 2nd stage: 4247). MAIN MEASUREMENTS: The dimensions evaluated were accessibility and patient satisfaction, through four criteria. Data were collected from the register of scheduled appointments and by telephone questionnaire. The intervention measures were: a) to create empty spaces without any appointments in the day's diary in order to avoid delays; b) to create spaces at the end of the day for emergency patients, and c) to avoid interruptions during the consultation. RESULTS: 1st stage: on 48.3% of days there were patients with a delay greater than 20 minutes on entering the CD, with a mean waitingtime of 21.3 minutes per patient. 63.1% of the consulting rooms had over 5% «unavoidable» appointments per day, of which 61.3% were «emergencies». 72.6% of the consulting rooms had 5 or more interruptions per day. 46.7% of patients thought that the time they waited before going into the consulting room was «a lot or enough». 2nd stage: after putting the improvement criteria into practice, the number of consultations with waiting time over 20 minutes dropped (37.1%) (P |
Databáze: |
OpenAIRE |
Externí odkaz: |
|