Ayaktan tanı ve tedavi başvurularında hasta başına kaç dakika ayrılmalıdır?

Bu yazı, ayaktan tanı ve tedavi başvurularına ayrılan süreler ve bunun yol açtığı sonuçlar konusunda ulusal ve uluslararası düzeydeki bilgi birikimini derlemek ve ülkemizdeki ayaktan başvuru süreleri ile ilgili tartışmanın daha nesnel kanıtlar üzerinden yapılmasına olanak tanımak amacıyla hazırlanmıştır. Derlemede kaynaklar üç temel başlık altında incelenmiştir: İlk olarak birinci basamak sağlık hizmetlerindeki ayaktan tanı ve tedavi hizmetlerinde çeşitli ülkelerde, başvuru başına ayrılan süreler irdelenmiştir. İkinci başlık altında hizmet sunumunda ortaya çıkan nitel sorunlar incelenmiştir. Üçüncü başlık altında hekimler üzerindeki zaman baskısının, hekimlerin iş verimliliği, iş doyumu ve hasta hoşnutluğu üzerinde yol açtığı sonuçlar incelenmiştir. Uluslararası kaynaklara göre değerlendirildiğinde ayaktan başvuru sürelerinin 10 dakikadan az olmaması gerektiğini, ancak karmaşık tıbbi durumlar göz önüne alındığında bu sürenin daha da artması gerektiği sonucuna varılabilir.

Anahtar Kelimeler:

Tanı-tedavi, muayene süresi, sağlık bakım kalitesi

How many minutes should be reserved per patient in ambulatory care visits?

This report was prepared aiming to review national and international literature about outpatient visit length with leading consequences, as well as to stimulate an evidence based discussion on this topic in Turkey. The relevant literature was investigated under three topics: First topic was about the length of outpatient visits in different countries, the second topic was about quality of care. The last topic was related with the effects of time pressure on health care providers such as efficiency, job satisfaction and patient satisfaction. International literature showed that outpatient visit length should not be less than 10 minutes and in complex situations this span should be expanded.

Keywords:

Outpatient care, visit length, quality of care,

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