This new study joins and builds on others that have found a discrepancy between guidelines and a physician’s time. The study, “Revisiting the Time Needed to Provide Adult Primary Care,” is published in the Journal of General Internal Medicine. This is a huge opportunity and partial solution to the time constraints currently faced in medical care.” There are other extremely important members of the healthcare team that are working together and often independently to provide care for patients. “Team-based care is a movement that has been around in medicine for a while and has gathered steam more recently,” said Porter. It found that team-based care reduced the time a physician needed to deliver care to 9.3 hours/day, broken into 2.0 hours/day for preventive care, 3.6 hours/day for chronic disease care, 1.1 hours/day for acute care, and 2.6 hours/day for documentation and inbox management. The study also looked at physician time as part of a team, where nurses, physician assistants, counselors and others help to deliver recommended care. “We have an ever-increasing set of guidelines, but clinic slots have not increased proportionately.” “There is this sort of disconnect between the care we’ve been trained to give and the constraints of a clinic workday,” said Justin Porter, MD, Assistant Professor of Medicine at the University of Chicago and lead author of the paper. The research, conducted by the University of Chicago, Johns Hopkins University, and Imperial College London, used a simulation study to compute time per patient based on data from the National Health and Nutrition Examination Survey. That breaks down to 14.1 hours/day for preventive care, 7.2 hours/day for chronic disease care, 2.2 hours/day for acute care, and 3.2 hours/day for documentation and inbox management. Following national recommendation guidelines for preventive, chronic disease and acute care would take a primary care physician 26.7 hours per day to see an average number of patients, a new study finds.
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