Appointments in General Practice

Fry, John; Dillane, J.B.; Fry, Lionel; Blake, Peggy Lehman; Fry, J.

doi:10.1016/s0140-6736(63)93074-5

Cited by 7 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also asked 240 of our patients whether or not they wanted us to continue to work an appointment system: 84.2% said they wanted us to continue; 7.7% said they would prefer us not to make appointments; 8.1 % said they did not mind what we did. These proportions are remarkably similar to those found by my brother in his practice (Carne and Dell, 1965), and by others (Fry et al, 1963 ;Dean et al, 1965 ;Stevenson, 1966).…”

Section: Unkept Appointmentssupporting

confidence: 90%

See 1 more Smart Citation

An appointment system in a practice with immigrant patients.

Carne¹

1967

BMJ

View full text Add to dashboard Cite

In the group practice of which I am a partner patients have been seen by appointment for over six years. We adopted an appointment system when the two previously separate parts of the practice joined on 1 January 1962. It was essential to do something of this nature because of the shortage of space in the waiting-room. The premises now used by the group were those originally occupied by a single-handed general practitioner with a list of 1,600 patients. The space available was barely adequate for his needs. We were able to convert two rooms into extra consulting-rooms, so that at any one time three doctors can now consult, but there was no one room bigger than that used as the waiting-room. Unless we had two waiting-spaces, which would have been difficult to administer, we had no alternative but to restrict the number of patients waiting to be seen at any one time. In that the waiting-room, which has seats for only 12 people, has rarely been full to capacity, and patients no longer have to wait in the street outside ; and in spite of there being three doctors, each seeing up to 12 patients an hour; and notwithstanding the fact that some patients (children always) come accompanied by at least one relative, the appointment system has worked.I have described elsewhere the mechanics of our system of arranging appointments (Came, 1963). We in our group believe that patients should, whenever possible, have choice of doctor. Even more important, we believe that one doctor should normally treat every member of each family. Most important of all, we aim to arrange our bookings so that each illness episode is dealt with by the same G.P. To assist the receptionists (we need two working full-time on a shift system plus a full-time secretary) we have colour-coded our appointment cards, and we colour-code the family medical record envelopes where one member of the group deals with their personal problems.A high proportion of the patients in the practice are immigrants (Came, 1967). Some of the social difficulties, with particular reference to the poverty of their housing, have been described elsewhere (Came, 1962 It was (and still is) our practice to offer such patients an appointment either later at that consulting session or at another session.' If the patients express a preference to be seen then and there they are invited to wait until there is a gap. If in the opinion of the receptionist they look ill or she thinks it unwise to keep them waiting-for example, some mothers stiH bring children with a rash to the surgery rather than call for a visit (Came, 1967)-she will send them through to a doctor ahead of waiting patients who have an appointment. In the rare event of an emergency-for example, a child carried in from a street accident outside-she will even " buzz " one doctor on the intercom and ask him to clear his surgery at once. We rely very heavily on our receptionists for the success of the appointment system. Arrival and Waiting TimesIn Table I are given the waiting and arrival times for all the patients who attend...

show abstract

Section: Unkept Appointmentssupporting

confidence: 90%

“…On the other hand, far fewer of our patients wait more than 30 minutes, so that perhaps we have had time to get ourselves better organized. The waiting time is less than that found by Fry et al (1963).…”

Section: Medical Journalcontrasting

confidence: 57%

An appointment system in a practice with immigrant patients.

Carne¹

1967

BMJ

View full text Add to dashboard Cite

show abstract

“…In the UK, a law was enacted in 1911 defining the standards of how to keep medical records concerning social insurance mandatory for working men between 16 and 70 years of age. A system of envelopes and color-coded cards was introduced and used until the 1970s [ 4 , 73 , 88 , 92 ]. It is impossible to establish, based on the resources available, whether Europe was the first continent where medical records were firmly established for use.…”

Section: Recent Centuriesmentioning

confidence: 99%

“…Joel D. Howell, who described the modern hospital as an institution, considered medical records a part of modern medical technology. He noted that the development of specializations produced professionalized health records, which was necessitated by an increasing number of diagnostic and therapeutic procedures and documentation engaging more employees [ 92 ]. An opinion circulated among American surgeons, the first physicians who implemented the gathering of health records, that affiliation with academic environments provides superior qualifications.…”

Section: Recent Centuriesmentioning

confidence: 99%

Medical Records: A Historical Narrative

Lorkowski

Pokorski

2022

Biomedicines

View full text Add to dashboard Cite

The history of medical records is thousand-year-long, with earlier roots in ancient civilizations. Until the 19th century, medical records mainly served educational purposes, later assuming other roles such as in insurance or legal procedures. This article comprehensively describes and reviews the development of medical records from ancient to modern times in Europe and North America, reflecting alterations and adaptations compliant with the mental and technological capabilities of a given period. We searched PubMed and Google Scholar databases to collect pertinent articles. English articles or those having English abstracts were considered. The search terms included “Medical Records,” “Health Records,” “History of Medicine,” and “eHealth” and covered the last hundred years. References were also picked out from the identified articles. Overall, 600 articles were identified, 158 of which were judged thematically relevant. The general conclusion is that medical records undergo a revolutionary change from paper-based to electronic format, which reflects the development of eHealth systems. The migration process to eHealth records involves the use of artificial intelligence (AI) algorithms that streamline medical services by using faster and simpler working methods. AI benefits both patients and providers as it improves patient management and communication among medical centers, spares resources, identifies contamination or infections, and limits health costs. These advantages have become pointedly apparent during the recent COVID-19 scourge.

show abstract

“…In Great Britain, for example, the 1911 Compulsory Social Security Act for working men between the ages of 16 and 70 required their medical records to be kept to a certain standard. A system of colour-coded envelopes and cards was introduced at that time, which lasted for decades, at least until 1970 (Fry & Blake, 1956;Gillum, 2013;Tait, 1981). In 1916 in the United States it was recommended to save basic disease data in a standard form (the prototype of today's ICD 10) (Reiser, 2009;Siegler, 2010).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Time Spent by Doctors on Medical Documentation- Initial Analysis and Preliminary Study

Lorkowski¹,

Grzegorowska²

2020

EEiM

View full text Add to dashboard Cite

The aim of the article is evaluation of time needed to spend on filling medical records by Polish surgeons. An anonymous questionnaire concerning time needed to spend on creating particular parts of medical documentation affecting one patient was filled by 80 doctors (40 specialists and 40 residents). 100% of respondents stated that the time spent on medical records is excessive. In the whole study the group time spent on records of one patient was as follows: without patterns and medical secretary 75.62 min (SD 7,4), with patterns – 53.3 min (SD 6.8), with help of medical secretary 36.72 min (SD 5.1). Results in the resident group were as follows: without patterns and medical secretary 110 min (SD 12.4), with patterns – 69.87 min (SD 9.4), with help of medical secretary 46.15 min (SD 6.5). In conclusion, taking legal, formal and logistics measures, could help to reduce the time spent on administrative procedures while generating medical documentation.

show abstract

Appointments in General Practice

Cited by 7 publications

References 0 publications

An appointment system in a practice with immigrant patients.

An appointment system in a practice with immigrant patients.

Medical Records: A Historical Narrative

Assessment of Time Spent by Doctors on Medical Documentation- Initial Analysis and Preliminary Study

Contact Info

Product

Resources

About