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>What is the best way of measuring workload in GP and balancing it between
partners...
<
You need to have decent partners for starters! I know of a local practice
where one guy is seriously overburdened with the grots who the others never
had the bottle to remove. But his partners moan++++ about his behaviour!
Why? Because he shows them up is why. ANd they won't give him the support
he needs to sort the problems out. Remember remember remember that awful
grotty patients are like excess pressure in a balloon----it leaks at the
"weakest " spot and will always find that spot.
then you need partners who are willing to use some kind of scoring
system---there is a system called Canadian work units which was used in
labs (similar problem----how do you compare doing a FBC in a
top-of-the-line Coulter cell counter with a CSF on call? )
and they may work.
then you have the five-minute doctors who feel that they are working hard
because their numbers are high and the ten-minute doctors who collapse
after surgery because of the emotional drain on them. Each group
criticises the other instead of criticising the system and the patients.
So look at how willing the partners are to do this. If they are then any
system should work within reason. If not, then don't waste your time
trying to change them.
Declan
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