Working time costs of doctors-therapists of divisionals on a patient

• Main Authors: V V Liutsko, I M Son, M A Ivanova, L I Dezhurny, V G Kudrina
• Format: Article
• Language: Russian
• Published: "Consilium Medicum" Publishing house 2019-01-01
• Series: Терапевтический архив
• Subjects: fotohronometra research; workflow; physician district; main activities; working with documents; costs of time for receiving one patient
• Online Access: https://ter-arkhiv.ru/0040-3660/article/viewFile/32877/pdf
• ISSN: 0040-3660; 2309-5342

The aim of this article is to establish a weighted average costs of the workflow of the doctor-the therapist of the district, providing primary health care to the population in the outpatient setting to determine the costs when you visit one patient. Materials and methods. Held fotohronometra working process research 39 physicians in the 17th precinct pilot areas from all Federal districts. Within fotohronometra research conducted 6474 measurement. Results and discussions. The average time a physician of the district while visiting a patient in a medical organization made up of 15.30±2.0 min, while visiting at home - 32.5±2.0 min the Largest proportion of the working time of the doctor-the therapist of the district while visiting a patient in the outpatient setting is necessary to work with medical records (47.31%). On core activities while visiting a patient in the practitioner, the district spends to 45.54% of the time. For other activities - 7.15%. Conclusion. As a result fotohronometra research workflow of doctors-therapists of district, providing primary health care in outpatient settings, set the average time a physician of the district while visiting one patient (15.30±2.0 min), while visiting at home (32.5±2.0 min).