Primary care: Is there enough time for prevention?

被引:1196
作者
Yarnall, KSH
Pollak, KI
Ostbye, T
Krause, KM
Michener, JL
机构
[1] Duke Univ, Ctr Med, Dept Family & Community Med, Durham, NC 27710 USA
[2] Duke Univ, Ctr Med, Canc Prevent Detect & Control Program, Durham, NC 27706 USA
关键词
D O I
10.2105/AJPH.93.4.635
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel. Methods. We used published and estimated times per service to determine the physician time required to provide all services recommended by the US Preventive Services Task Force (USPSTF), at the recommended frequency, to a patient panel of 2500 with an age and sex distribution similar to that of the US population. Results. To fully satisfy the USPSTF recommendations, 1773 hours of a physician's annual time, or 7.4 hours per working day, is needed for the provision of preventive services. Conclusions. Time constraints limit the ability of physicians to comply with preventive services recommendations.
引用
收藏
页码:635 / 641
页数:7
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