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CCBY-NCSA_V3.0_US, Open Access
Thesis
The Validity of the Fifteen-Minute Office Visit
Washington State University
Master of Nursing (MN), Washington State University
08/2010
Handle:
https://hdl.handle.net/2376/3425
Abstract
Objective: To examine the adequacy of the time limit of the fifteen-minute office visit for a primary care provider who follows evidence based practice recommendations to properly assess, evaluate, and treat a complex patient. Methods: The databases of CINAHL, Medline, Economics, Business Source Complete, Business and Management practices, and AHRQ for the last ten years were reviewed including sources abroad. Results: Inadequate amounts of time to see patients seems to be a world wide phenomenon and a common complaint where patients were given office time based on diagnosis as opposed to acuity. Studies demonstrate that providers are failing to deliver all the care evidence based practice requires in the allotted 15 minutes, and that patient's trust and satisfaction are also on the decline. Conclusions: The whole concept of how to determine how much time clinic patients need should be revisited. The focus for nurse practitioners is holistic, evidence based patient care with an emphasis on health promotion and prevention. Further research needs to be done to develop a care model where providers can effectively and cost efficiently provide holistic care to patients with complex problems and the providers need to include nurse practitioners and physician assistants in the research team. Developing an acuity-based model for outpatient settings, such as the one mandated in acute care facilities, could yield improved health care delivery for complex patients and decrease the burden on the health care system.
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Details
- Title
- The Validity of the Fifteen-Minute Office Visit
- Creators
- Mary-Beth Carnaghan
- Contributors
- Renee Hoeksel (Advisor)
- Awarding Institution
- Washington State University
- Academic Unit
- Research Projects, College of Nursing
- Theses and Dissertations
- Master of Nursing (MN), Washington State University
- Publisher
- Washington State University; Spokane, Washington
- Identifiers
- 99900590527401842
- Copyright
- http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)
- Language
- English
- Resource Type
- Thesis