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Family Practice Vol. 20, No. 4, 474-477
© Oxford University Press 2003

International Health Care Research

Time use during acute and chronic illness visits to a family physician

Barbara Yawn, Meredith A Goodwina,b,e, Stephen J Zyzanskia,b,d,e and Kurt C Stangea,b,c,d,e

Department of Research, Olmsted Medical Center,
a Department of Family Medicine,
b Department of Epidemiology and Biostatistics and
c Department of Sociology, Case Western Reserve University,
d Ireland Comprehensive Cancer Center at the University Hospitals of Cleveland and Case Western Reserve University and
e Center for Research in Family Prac-tice and Primary Care, Rochester, MN, USA.

Correspondence to Barbara Yawn, MD MSc, Department of Research, Olmsted Medical Center, 210 Ninth St SE, Rochester, MN 55904, USA; E-mail: yawnx002{at}tc.umn.edu

Objective. To identify differences in time use during acute and chronic care visits.

Population. Patients coming to outpatient offices of physician members of a practice-based research network in Ohio.

Measures. Direct observation and coding of physician activities during acute and chronic care visits.

Results. Time use varied by visit type with more time spent on compliance assessment, negotiation, and nutrition advice during chronic care visits. Acute care visits included more time for procedures, physical examination, feedback on test results and health education.

Conclusion. Physicians structure their use of time to fit the differing goals of acute and chronic care visits.

Keywords. Acute care, chronic care, chronic disease management, family medicine, multi-methods research.


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