Hdl Handle:
http://hdl.handle.net/10147/206281
Title:
Shared consultant physician posts.
Authors:
Cooke, J; Molefe, C; Carew, S; Finucane, P; Clinch, D
Affiliation:
Department of Medicine for the Elderly, Mid Western Regional Hospital,, Dooradoyle, Limerick. johncooke_cork@yahoo.com
Citation:
Ir Med J. 2009 Jul-Aug;102(7):209-12.
Journal:
Irish medical journal
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206281
PubMed ID:
19772000
Abstract:
Our aim was to assess the acceptability and cost-efficiency of shared consultancy posts. Two consultant physicians worked alternate fortnights for a period of twelve months. Questionnaires were distributed to general practitioners, nurses, consultants and junior doctors affected by the arrangement. Patients or their next of kin were contacted by telephone. 1/17 of consultants described the experience as negative. 14/19 junior doctors reported a positive experience. 11 felt that training had been improved while 2 felt that it had been adversely affected. 17/17 GPs were satisfied with the arrangement. 1/86 nurses surveyed reported a negative experience. 1/48 patients were unhappy with the arrangement. An extra 2.2 (p<0.001) patients were seen per clinic. Length of stay was shortened by 2.49 days (p<0.001). A saving of 69,212 was made due to decreased locum requirements. We present data suggesting structured shared consultancy posts can be broadly acceptable and cost efficient in Ireland.
Language:
eng
MeSH:
Cost-Benefit Analysis; Health Personnel/*economics/*psychology/statistics & numerical data; Humans; Ireland; Job Satisfaction; Length of Stay/statistics & numerical data; Nurses/economics/psychology/statistics & numerical data; *Physician's Practice Patterns; Physicians/economics/psychology; Physicians, Family/economics/psychology/statistics & numerical data; Quality of Health Care; Questionnaires; Referral and Consultation/*economics/*statistics & numerical data; Time Factors
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorCooke, Jen_GB
dc.contributor.authorMolefe, Cen_GB
dc.contributor.authorCarew, Sen_GB
dc.contributor.authorFinucane, Pen_GB
dc.contributor.authorClinch, Den_GB
dc.date.accessioned2012-01-31T16:48:05Z-
dc.date.available2012-01-31T16:48:05Z-
dc.date.issued2012-01-31T16:48:05Z-
dc.identifier.citationIr Med J. 2009 Jul-Aug;102(7):209-12.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid19772000en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206281-
dc.description.abstractOur aim was to assess the acceptability and cost-efficiency of shared consultancy posts. Two consultant physicians worked alternate fortnights for a period of twelve months. Questionnaires were distributed to general practitioners, nurses, consultants and junior doctors affected by the arrangement. Patients or their next of kin were contacted by telephone. 1/17 of consultants described the experience as negative. 14/19 junior doctors reported a positive experience. 11 felt that training had been improved while 2 felt that it had been adversely affected. 17/17 GPs were satisfied with the arrangement. 1/86 nurses surveyed reported a negative experience. 1/48 patients were unhappy with the arrangement. An extra 2.2 (p<0.001) patients were seen per clinic. Length of stay was shortened by 2.49 days (p<0.001). A saving of 69,212 was made due to decreased locum requirements. We present data suggesting structured shared consultancy posts can be broadly acceptable and cost efficient in Ireland.en_GB
dc.language.isoengen_GB
dc.subject.meshCost-Benefit Analysisen_GB
dc.subject.meshHealth Personnel/*economics/*psychology/statistics & numerical dataen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshJob Satisfactionen_GB
dc.subject.meshLength of Stay/statistics & numerical dataen_GB
dc.subject.meshNurses/economics/psychology/statistics & numerical dataen_GB
dc.subject.mesh*Physician's Practice Patternsen_GB
dc.subject.meshPhysicians/economics/psychologyen_GB
dc.subject.meshPhysicians, Family/economics/psychology/statistics & numerical dataen_GB
dc.subject.meshQuality of Health Careen_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshReferral and Consultation/*economics/*statistics & numerical dataen_GB
dc.subject.meshTime Factorsen_GB
dc.titleShared consultant physician posts.en_GB
dc.contributor.departmentDepartment of Medicine for the Elderly, Mid Western Regional Hospital,, Dooradoyle, Limerick. johncooke_cork@yahoo.comen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceMunster-
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