Analyse tageszeitlicher Häufungen von Beratungsanlässen ohne Termin in der Allgemeinarztpraxis
Doctors' consultations occurring without an appointment in a general practice lead to disruptions in everyday activities and the dissatisfaction of patients, employees and caregivers. It was studied if, when and why unscheduled consultations occur more frequently, with the goal of determining concrete recommendations valid for all practices. After establishment of the criteria for participation (teaching practice, consultation by appointment, sufficient number of patients), practices were
... ractices were selected by lottery. With the aid of a patient survey developed specially for the six participating practices, 1125 patients were subsequently polled anonymously on, among other things, date, time and purpose for their visit. The data collection took place from the end of May 2008 until the beginning of November 2008. The patient survey contained multiple choice as well as open-ended questions. All patients who wanted a doctors' consultation without a previously scheduled appointment were supposed to take part in the survey. Fifty percent of the surveys came from urban practices; the others were conducted in rural practices. Each practice was evaluated individually, for the urban group and the rural group accordingly, and for all practices as a whole. The analysis showed that the highest frequency of unscheduled patient visits occurred on Mondays and Thursdays. The other weekdays showed a nearly identical amount. The frequency during certain times of day differed on different days of the week so much that a general analysis of the hourly frequency without consideration of the day made no sense. It could be determined, however, that more patients without appointments showed up in the morning than the afternoon. This was valid for urban and rural practices alike.