Evidence map›Paper›PMID 32482628›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020

A real-time measurement of general practice workload in the Republic of Ireland: a prospective study.

Brendan Crosbie, Michael Edmund O'Callaghan, Stuart O'Flanagan, David Brennan, Gavin Keane, William Behan

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

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  10. Access systems in general practice: a systematic scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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  11. Article
  12. The real work of general practice: understanding our hidden workload.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Brendan CrosbieCastle Street Surgery, Roscommon.
Michael Edmund O'CallaghanDepartment of General Practice, University of Limerick, Limerick.
Stuart O'FlanaganAranleigh Health Centre, Rathfarnham, Dublin.
David BrennanBallyhale Health Centre, Ballyhale, Kilkenny.
Gavin KeaneMorehampton Clinic, Dublin.
William BehanTrinity College Dublin GP Training Scheme, Dublin.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDemand for GP services in the Republic of Ireland (RoI) is increasing, and the resultant escalation in workload demands is an issue of growing concern. Accordingly, the accurate measurement and description of GP workload is essential to inform future healthcare planning.

aimTo provide a real-time measurement of GP workload with respect to hours worked and of proportional time expenditure on typical workload activities. DESIGN AND

settingA prospective study among GPs in the RoI that took place from January 2019 to March 2019.

methodParticipants were invited to enrol in the study by direct email invitation and via notifications posted within GP-specific monthly journals; online forums; and a social media platform. Participants used a time-management software program to self-record workload activity in real time over 6 weeks.

resultsIn total, 123 GPs were included for final analyses with a total of 8930 hours of activity recorded. The mean duration of a two-session day (excluding break-time) was 9.9 hours (95% confidence interval [CI] = 9.7 to 10.0; interquartile range [IQR] 7.9 to 13.9). Of this time, 64% was spent on clinical consultations. In total, 25.4% of activity was recorded outside the hours of 9.00 am and 5.00 pm. An average of 12.4 face-to-face consultations were completed per session of activity. The mean duration of a 10-session week was greatest for the partner (50.8 hours; 95% CI = 49.8 to 51.9) and >55-year-old (50.8 hours; 95% CI = 49.3 to 52.2) demographics, relative to their respective colleagues.

conclusionTo the authors' knowledge, this is the first study to provide an objective, accurate, and granular real-time measurement of GP workload in the RoI, demonstrating the significant volume and variety of work undertaken by GPs in the RoI.

Indexed as

General PracticeWorkloadFamily PracticeHumansIrelandMiddle AgedProspective Studiescomputerised medical records systemsgeneral practiceplanning techniquesreal-time recordingreferral and consultationworkload

Identifiers

PMID32482628
PMCPMC7274543

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.