An Audit of Clinic Consultation Times in a Cancer Centre: Implications for National Manpower Planning

Benson, Richard; Burnet, N.G.; Williams, Mark V.; Tan, Li Tee

doi:10.1053/clon.2001.9238

Cited by 8 publications

(10 citation statements)

References 7 publications

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“…Oncologists, who generally have little time available,1 need to help patients find the right balance between chemotherapy and radiotherapy and supportive care2 in ambulatory clinics, where the infrastructure and organisation is not adequate to deal with increasingly sick patients who traditionally have been admitted as inpatients 3. Under such circumstances, effective and timely services are essential to allow for informed patient centred decisions 4.…”

Section: Contextmentioning

confidence: 99%

Improving the quality of palliative care for ambulatory patients with lung cancer

Plessen

Aslaksen

2005

BMJ

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Problem Most patients with advanced lung cancer currently receive much of their health care, including chemotherapy, as outpatients. Patients have to deal with the complex and time consuming logistics of ambulatory cancer care. At the same time, members of staff often waste considerable time and energy in organisational aspects of care that could be better used in direct interaction with patients. Design Quality improvement study using direct observation and run and flow charts, and focus group meetings with patients and families regarding perceptions of the clinic and with staff regarding satisfaction with working conditions. Setting Thoracic oncology outpatient clinic at a Norwegian university hospital where patients receive chemotherapy and complementary palliative care. Key measures for improvement Waiting time and time wasted during consultations; calmer working situation at the clinic; satisfaction among patients. Strategies for change Rescheduled patients' appointments, automated retrieval of blood test results, systematic reporting in patients' files, design of an information leaflet, and refurnishing of the waiting area at the clinic. Effects of change Interventions resulted in increased satisfaction for patients and staff, reduced waiting time, and reduced variability of waiting time. Lessons learnt Direct observation, focus groups, questionnaires on patients' satisfaction, and measurement of process time were useful in systematically improving care in this outpatient clinic. The description of this experience can serve as an example for the improvement of a microsystem, particularly in other settings with similar problems.

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Section: Contextmentioning

confidence: 99%

Improving the quality of palliative care for ambulatory patients with lung cancer

Plessen

Aslaksen

2005

BMJ

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“…The study of Benson and Burnet (2000) showed that specialists of clinics devoted 37 min to new patients and 29 min to re-visiting patients, which is moderate. Also, in public clinics, physicians spent 23 min for new patients (Benson & Burnet, 2001). In the study of Aaeenparast et al (Ayinparast, Tabibi, Shahanaqi, & Arianajad, 2009), total mean of examination time was 3.92 min.…”

Section: Discussionmentioning

confidence: 99%

“…The results of a study in England showed that specialists of clinics devoted 37 min to new patients and 29 min to patients visiting again, which is moderate. Also, in public clinics, physicians spent 23 min for new patients (Benson & Burnet, 2001). …”

Section: Introductionmentioning

confidence: 99%

Relationship between Outpatients’ Visit Time and Physicians’ Prescription Quality in Teaching Hospitals of Ahvaz: 2015

Khiavi¹,

Qolipour²,

Farouji³

et al. 2016

GJHS

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Background: Examination time is a key factor determining the relative value of clinical physicians' examination and care quality. Whereas commitment to standard prescription principles by physicians increases the likelihood of proper treatment, its effectiveness and patients' improvement. This study aimed to determine the relationship between outpatients' examination time and physicians prescribing quality in teaching hospitals of Ahvaz. Methods:This cross-sectional study was conducted in 550 outpatients who visited teaching hospitals of Ahvaz in 2015. The quality of the prescriptions was assessed by WHO checklist. Each prescription was scored with a score range from 0 to 21, they were divided into four equal score categories including low (0-5.25), low intermediate (5.26-10.5), high intermediate (10.5-15.75) and good (15.76-21) and using correlation and regression was analyzed. Results:The total mean of examination time and commitment to prescription principles was 4.88±0.12 min and 15.92±1.14, respectively. Correlation coefficients between outpatients' examination time and dimensions of "legibility", "pharmaceutical form" and "medical orders", and the total quality of prescription were significant (p˂0.005). The relationship between examination time and prescription quality confirmed with the fitting linear regression model. Increase per minute in patient's examination by a physician, which is about 0.33 points, was added to the basic quality scores of prescription. Conclusion:There was a relationship between Examination time and dimensions of legibility, pharmaceutical form, and medical order. Considering commitment to standard prescription principles, examination time, which was declared by the Health Sector Evolution Guideline, improve physicians' prescription quality and quality of provided services of hospitals. Therefore, providing an internet schedule for examination will be extremely helpful in organizing physicians' examination.

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“…Waiting time can be measured as an indicator of hospital performance (7). Long waiting time indicates poor management, lack of coordination, and insufficient resources (8,9), which impedes the provision of quality services in hospitals, wastes patients' time, and reduces their satisfaction (10).…”

Section: Introductionmentioning

confidence: 99%

“…Long waiting time indicates poor management, lack of coordination, and insufficient resources (8,9), which impedes the provision of quality services in hospitals, wastes patients' time, and reduces their satisfaction (10). Given that patients' satisfaction with the waiting time plays an important role in improving the quality of services (11), it is necessary to review it as one of the most common problems in the hospitals (7).…”

Section: Introductionmentioning

confidence: 99%

Optimizing the Performance of Magnetic Resonance Imaging Department Using Queuing Theory and Simulation

et al. 2017

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An Audit of Clinic Consultation Times in a Cancer Centre: Implications for National Manpower Planning

Cited by 8 publications

References 7 publications

Improving the quality of palliative care for ambulatory patients with lung cancer

Improving the quality of palliative care for ambulatory patients with lung cancer

Relationship between Outpatients’ Visit Time and Physicians’ Prescription Quality in Teaching Hospitals of Ahvaz: 2015

Optimizing the Performance of Magnetic Resonance Imaging Department Using Queuing Theory and Simulation

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