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Expanding primary care capacity by reducing inefficiency
Date:11/11/2013

ients and guide treatment decisions without a visit can improve quality of care and reduce the burden on physicians' time.

  • Reexamination of policies Policies, ranging from having a computer automatically sign out a user for security reasons, requiring users to sign in recurrently, to limitations in nonclinicians' ability to assist in routine, protocol-driven care, should be reexamined and more efficient solutions standardized.

    For instance, "based on time-motion analysis and interviews and observations in site visits, we estimate that primary care physicians may waste and average 30 minutes for per day, and nurses 60 minutes per physician per day, on prescription renewal tasks that policy changes coupled with work flow modifications could reduce substantially," the authors said.

    "The notion that the physician should be directly in charge of every aspect of care is becoming increasingly outdated," the authors said. There is a great potential in primary care to increase capacity though enhanced efficiency without relying on more physicians, they concluded.


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  • Contact: Annmarie Christensen
    annmarie.christensen@dartmouth.edu
    603-653-0897
    Dartmouth-Hitchcock Medical Center
    Source:Eurekalert

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