Much to do with nothing: microsimulation study on time management in primary care.

ABSTRACT:

Objective

To investigate the credibility of claims that general practitioners lack time for shared decision making and preventive care.

Design

Monte Carlo microsimulation study.

Setting

Primary care, United States.

Participants

Sample of general practitioners (n=1000) representative of annual work hours and patient panel size (n=2000 patients) in the US, derived from the National Health and Nutrition Examination Survey.

Main outcome measures

The primary outcome was the time needed to deliver shared decision making for highly recommended preventive interventions in relation to time available for preventive care-the prevention-time-space-deficit (ie, time-space needed by doctor exceeding the time-space available).

Results

On average, general practit

SUBMITTER: Caverly TJ 

PROVIDER: S-EPMC6292456 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature