PMID: 8596096Dec 1, 1995Paper

Outpatients revisited: subjective views and clinical decisions in the management of general surgical outpatients in south west England

Journal of Epidemiology and Community Health
A FaulknerS Frankel

Abstract

To assess the scope for reducing unnecessary outpatient reattendances, using a benchmark an acute specialty at a site recognised to have an especially low ratio of repeat to new attendances. This was a survey of the re-attendance workload at general surgery outpatient clinics over a three month period. Patient re-booking and discharge rates for different grades of staff; clinicians' perception of the ability of the GP to have managed the patient; perception of the value of individual re-attendances; reason given for discharging/re-booking; and outcome of attendance for patients in relation to diagnostic category were determined. General surgery outpatients clinics with re-attendance rates that were 50% below average, in Taunton and Somerset Hospital, a non-teaching district general hospital. Altogether 454 patients who made 470 second or subsequent visits (re-attendances) within the same episode of outpatient care. Thirty eight percent (178/470) of visits were perceived as manageable by the GP, 45% (79, 17% of total re-attendances) of which were also thought to have been of marginal or little value. A substantial group of patients was being followed up largely for reasons of convention and traditional policy. Re-booking rates w...Continue Reading

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Sep 11, 1979·Life Sciences·A BathijaS Trubowitz
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