Who determines the patient mix of GP trainees? The role of the receptionist.

Abstract:

BACKGROUND:During their specialty training, Dutch GP trainees work at a GP under the supervision of a GP trainer. Research suggests that the patient mix of GP trainees differs from that of their trainers. Receptionists assign patients to either the trainee or the trainer, thereby influencing the patient mix of the trainees. The decision to which doctor to assign is complex and depends on the latitude the receptionists have. Their considerations when assigning patients are unknown. OBJECTIVE:To study receptionists' assigning behaviour. METHODS:This was a questionnaire survey. To design the questionnaire, topics about assigning behaviour were identified in a focus group. The resulting questionnaire was sent to 478 GP training practices in the Netherlands. RESULTS:Response rate was 68%. Of the receptionists, 95% asked for the reason for the consultation at least 'sometimes'. Most (86.3%) of the receptionists considered the patient mix of trainees and trainers to be similar. Almost all receptionists (97%) reported 'often' or 'always' assigning 'every possible problem' to the trainee and a similar picture arose regarding specific subpopulations. However, the receptionists reported that they assigned complex and new patients to the trainers more often than to trainees. CONCLUSION:With some exceptions, receptionists try to assign trainees a varied patient mix.

journal_name

Fam Pract

journal_title

Family practice

authors

de Jong J,Visser MR,Wieringa-de Waard M

doi

10.1093/fampra/cmq102

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

287-93

issue

3

eissn

0263-2136

issn

1460-2229

pii

cmq102

journal_volume

28

pub_type

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