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There were also concerns about adding more and more into consultations: 'The consensus among a lot of the GP's was that it moved away from being patient centred to doctor centred consultations in that we never actually got round to why the patient really had come to see us if we spent so much time on QOF.
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He observed all events at the health centre; consultations with the doctor and nutritionist, the various roles of the nurses, the pharmacy, the waiting room and the reception areas.
Apart from 11 pm to 8 am when only one GP is on call, two GPs work alongside, one making home visits and one taking care of centre consultations or telephone calls.
Apart from 11 pm until 8 am when only one GP is on call, two GPs work alongside, one making home visits and one taking care of centre consultations and telephone calls.
Porcheret et al studied the use of Read codes in a UK region and found that the coding completeness for all primary care centre consultations with a physician ranged from 5%to97%7% between practices when the system did not demand a code for the storage of clinical narratives [ 6].
Numbers of the different types of contact following the phone-calls (telephone consultation, centre consultation, home visit) were obtained from the Annual Reports of the GP co-operative.
10 When patients expected a treatment centre consultation or a home visit but only received a nurse telephone consultation, they were less satisfied overall 9 and more negative about the accessibility of the service and the nurse telephone consultation, specifically.
Question 4: Type of contact with the locum (telephone consultation, centre consultation, home visit) and care provided by the locum (prescription or change of medication, advice only, referral for hospital admission) The data were analyzed with SPSS 15.0.
Of those patients who contacted the GP cooperative in both periods combined (n = 11,375), 4741 (41.7%) received a telephone advice, 5408 (47.5%) a centre consultation, and 1222 (10.7%) a home visit.
By and large, telephone nurses decide on the subsequent type of contact, the moment at which a patient's call is passed through to the GP: a telephone call to the patient, a centre consultation, or a home visit.
Another 102 hospital referrals took place via the GP, 2.3% after telephone contact, 6.7% after a centre consultation and 29.1% after a home visit (p < 0.01 for all differences).
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