The need for physicians to see more people in less time is a stressor.
The reduction in resources in healthcare means that such trends are set to
continue and probably worsen. In a recent paper in BMJ Open (of which I’m a
co-author) using an experimental approach, we found that under time
pressure, adherence to guidelines concerning history taking and advice giving
is compromised [BMJ Open 2013;3:e002700. doi:10.1136/bmjopen-2013-002700]. The
research also found that GPs were less compliant with guidelines on giving
advice on lifestyle, especially, concerning smoking habits. We should be
mindful of how efficiency and effectiveness can travel in opposite directions.
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