Analysis of the services provided by the family doctor

Federica Arnone - DISPEA, Politecnico di Torino - luglio 2010

General information• Number of family doctors: 172.• Number of pediatricians: 15.• Average number of patients per family doctor: 744.• Average number of patients per pediatrician: 449.• Average number of patients per physician (family doctors and

pediatricians): 716. • Estimated percentage of patients that have not had any

interactions with the National Healthcare System: 34%. • Average number of healthcare services prescribed per physician

(family doctors and pediatricians): 7470.

2

Number of patients per physician

3

0%

5%

10%

15%

20%

25%

Pe

rce

nta

ge

of

ph

ys

icia

ns

<10patients

10÷100patients

100÷300patients

300÷500patients

500÷800patients

800÷1000patients

1000÷1300patients

1300÷1700patients

Number of patients

Number of patients per physician

4

0%

5%

10%

15%

20%

25%

Per

centa

ge

of p

hys

icia

ns

<100prescript.

100÷1000prescript.

1000÷5000prescript.

5000÷10000prescript.

1000÷15000prescript.

15000÷20000prescript.

20000÷30000prescript.

Number of prescriptions

Number of prescriptions per physician

Number of prescriptions per physician

Average age of patients per physician

5

0%

10%

20%

30%

40%

50%

60%

Pe

rce

nta

ge

of

ph

ys

icia

ns

<40 years 40÷50 years 50÷60 years 60÷70 years 70÷80 years >80 years

Patient age

Average age of patients per physician

Main medical exemptions for chronic diseases

6

0%

5%

10%

15%

20%

25%

30%

048-cancer 013-diabetes 031-hypertension 002-circulatory system diseases

019-glaucoma

Pe

rce

nta

ge

of

me

dic

al

ex

em

pti

on

s

Medical exemption codes

Main medical exemptions for chronic diseases

Main typologies of healthcare services prescribed

7

0%

5%

10%

15%

20%

25%

30%

Qu

an

tity

of

pre

sc

rip

tio

ns

cardiology ophthalmology obstetrics andgynecology

rehabilitation neurology

Medical specialties

Main typologies of healthcare services prescribed

0%

5%

10%

15%

20%

25%

30%

35%

>15000 prescript. 15000÷10000 prescript.

10000÷5000 prescript.

5000÷1000 prescript.

<1000 prescript.

Pe

rce

nta

ge

of

ph

ys

icia

ns

Number of prescriptions

Laboratory analysis tests prescribed

0%

5%

10%

15%

20%

25%

30%

35%

>1000 prescript.

1000÷750 prescript.

750÷500 prescript.

500÷250 prescript.

250÷100 prescript.

<100 prescript.

Pe

rce

nta

ge

of

ph

ys

icia

ns

Number of prescriptions

Diagnostic imaging tests prescribed

8

Laboratory analysis and diagnostic imaging tests prescribed

5%

13%

82%

Healthcare services prescribed: laboratory analysis and diagnostic imaging tests

Diagnostic imaging tests Other healthcare services Laboratory analysis tests

9%

91%

Healthcare services prescribed: physical examinations

Physical examinations Other healthcare services

9

Physical examinations prescribed

0%

10%

20%

30%

40%

50%

60%

70%

white green yellow red

Pe

rce

nta

ge

of

pa

tie

nts

Triage color

Admissions at the emergency department grouped by assigned triage color

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

>10 patients 10÷8 patients 8÷6 patients 6÷4 patients 4÷2 patients 1 patient 0 patients

Pe

rce

nta

ge

of

ph

ys

icia

ns

Number of patients transferred to the emergency department

Patients transferred to the emergency department per physician(triage color: white or green)

10

Patients transferred to the emergency department