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NOT stictly necessary - a luxury for people where malaise pain or D and V
makes travel and surgery attendance extremely uncomfortable. Whether we can
afford that luxury as a culture any more remains to be seen. The reason
that they persist at all is that the majority of doctors are unassertive (
although sometimes aggressive) and let their receptionists act as a conduit
to the visits book. This list has many participants with a low VRate BUT
in my local non cyber GP community a lot of guys considering themselves hot
managers and delegators are doing 4+ visits per day. Educational need there
me thinks (telephone skills triage systems atc).
So what?
Being objective, and just, about home visits - and using discomfort in
travel as my criterion - I would do c 1 visit per day (list 2200) . I think
it's important to maintain a domiciliary service to people who are
expurgating large amounts of body fluid and are too scared to handle
telephone advice, as well as people with severe pain of low significance
who would have trouble getting into a taxi.
Rant over : )
Dave Young, Derby.
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