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Fast Breaking Comments

By Kimberly Yarnall

ESI Special Topics, October 2004
Citing URL - http://www.esi-topics.com/fbp/2004/october04-KimberlyYarnall.html

Kimberly Yarnall answers a few questions about this month's fast breaking paper in the field of Clinical Medicine.


From •>>October 2004

Field: Clinical Medicine
Article Title: Primary care: Is there enough time for prevention?
Authors: Yarnall, KSH;Pollak, KI;Ostbye, T;Krause, KM;Michener, JL
Journal: AMER J PUBLIC HEALTH
Volume: 93
Page: 635-641
Year: APR 2003
* Duke Univ, Ctr Med, Dept Family & Community Med, Box 3886, Durham, NC 27710 USA.
* Duke Univ, Ctr Med, Dept Family & Community Med, Durham, NC 27710 USA.
* Duke Univ, Ctr Med, Canc Prevent Detect & Control Program, Durham, NC 27706 USA.

ST:  Why do you think your paper is highly cited?


“...be informed on what sorts of screening tests, such as pap tests or cholesterol checks, or health habit changes...”

"Primary care: Is there enough time for prevention?" is the first paper to measure physician workload. With each new health discovery the number of health issues per person increases. We evaluated whether a primary care physician had enough time to perform all the services recommended by the US Preventive Services Task Force and found it would take 7.4 hours a day. The idea that there may be more work to be done than a physician has time for is a new finding and points out some of the reasons patients don't get all the health care they need.

ST:  Could you summarize the significance of your paper in layman's terms?

Most people expect their doctor to be aware of all their health issues and help them stay healthy. They also expect that their doctor will discuss everything they need to know about their health when they go for a check-up. In fact your doctor doesn't have enough time to discuss all the important issues with you and they have even less time if you bring a list of medical concerns that you have saved up all year to discuss with him/her. It is important to go to your check-up and focus only on the things that will improve your health and keep you healthy. In addition, be informed on what sorts of screening tests, such as Pap tests or cholesterol checks, or health habit changes that you might need. That way you can make the most of your time with your doctor.

ST:  How did you become involved in this research?

The idea for this paper came from my own personal frustration as a family doctor that I wasn't able to give my patients all the time and information they needed. No matter how organized I was I still couldn't finish everything by the end of the day and often remembered things I should have done in the car going home. I began to wonder if the problem wasn't that the task of providing all the needed care wasn't bigger than I expected. So a group of physicians and researchers got together to measure the true workload of primary care physicians. We were surprised how much time it actually took.End

Kimberly Yarnall M.D.
Clinical Associate Professor
Department of Community and Family Medicine
Duke University Medical Center
Durham, NC, USA

ESI Special Topics, October 2004
Citing URL - http://www.esi-topics.com/fbp/2004/october04-KimberlyYarnall.html

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