Revisiting the Time Needed to Provide Adult Primary Care - Journal of General Internal Medicine

There are lots of ways to slice 60 minutes. 1 × 60 = 60 2 × 30 = 60 4 × 15 = 60 25 + 10 + 5 + 15 + 5 = 60 All of the above equal 60, but they’re different kinds of hours entirely. The number might be the same, but the quality isn’t. The quality hour we’re after is 1 × 60. A fractured hour isn’t really an hour—it’s a mess of minutes. It’s really har

in hours of work. For time-stressed households with adequate incomes, it likely means making trade-offs of income for time. Reclaiming time frees up resources to invest in ecologically restorative activities and creates the opportunity to replenish the human connections that were depleted in the boom years.

Until the 20th century, wealthy households in China retained a well-known physician to be on constant call for the entire family, much as major corporations today retain renowned attorneys. The physician would visit the household regularly to check everyone’s health, dispense preventive advice and formulas, check on diets and personal habits, and g

typical proportion of time required from professionals at different levels—has not been a variable that is routinely monitored by firm management.

I tried to think what could be accomplished in this visit. She was in good condition for her age, but she faced everything from advancing arthritis and incontinence to what might be metastatic colon cancer. It seemed to me that, with just a forty-minute visit, Bludau needed to triage by zeroing in on either the most potentially life-threatening pro

The second key finding is that our bodies follow what are known as ultradian rhythms—ninety-minute periods at the end of which we reach the limits of our capacity to work at the highest level.