Original scientific paper

Family medicine team administrative and medical scale of work

Davorka Vrdoljak ; Medicinski fakultet Sveučilišta u Splitu, Katedra obiteljske medicine
Biserka Bergman-Marković ; Zagreb University Faculty of Medicine, Family Medicine Department
Silvija Cikač ; General Practioner's surgery Silvija Cikač, M.D.

Abstract

Six general practitioners' (GP) practices (three of them located in Zagreb and three in Varaždin) were observed by analysing the work structure of the GP and nurse (N) during the period of charging administrative fee (AF) and right after its annulment, noting the kind and time duration of each procedure.
GPs spent 67.2% of their workday on medical activities and 32.7% on paperwork during the period of charging administrative fee. After the AF annulment, the time used attending to administrative and medical activities accounted for 68.9% and 31.1% of the total workday (t = 0.125, df = 5, p > 0.05). Nurses spent 84.9% of their workday on paperwork, and 15.1% on medical activities before the AF. After the AF annulment, they spent 69.8% and 30.2% of their working hours on paperwork and medical activities (t = 3.021, df = 5, p = 0.01). GPs, and Ns particularly, spent a large portion of their time on paperwork, reducing their time for medical procedures, in particular for health care counselling. It is necessary to make fundamental structural changes in N's work (reducing the administrative burden while increasing the share of medical activities, thus creating time and space for GPs to implement other activities including systemic prevention, which is missing at the moment).

Keywords

general practitioner; nurse; work structure

Hrčak ID:

83882

URI

https://hrcak.srce.hr/83882

Publication date:

4.6.2012.

Article data in other languages: croatian

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