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Size of practice | |
How many general practitioners, including those working part time, currently work at your clinic? | |
Presence of nurses | |
How many nurses currently work at your clinic? | |
Information technologies used in the practice | |
In your clinic, do you use… | |
access to the health and social services telecommunications network? | |
a Web-based appointment system for patients? | |
computerized tools for continuing professional education? | |
electronic medical records? | |
electronic interface to diagnostic imaging laboratory services? | |
computerized tools to aid medical decision-making? | |
Blood taking service available in the same building | |
Are the following services available in the building where your clinic is located… | |
Blood samples taking? | |
Radiology available in the same building | |
Are the following services available in the building where your clinic is located… | |
Radiology? | |
Collaboration with other PHC practices | |
Does your clinic have formal or informal arrangements with other PHC clinics… | |
to schedule services offered? | |
to access to technical services? | |
to exchange resources? | |
Collaboration with hospitals | |
Does your clinic have formal or informal arrangements with hospitals… | |
to schedule services offered? | |
to access to technical services? | |
to exchange resources? | |
Predominant type of visits in the practice | |
What percentage of walk-in visits to all visits do you provide at your clinic? | |
0% to 25% = By-appointment visits | |
26 to 75% = Mixed | |
51% or more = Walk-in visits | |
Quantity of diagnostic or therapeutic services available in the practice | |
At your clinic, are the following services available… | |
Strep-test? | |
Skin biopsy? | |
IUD insertion? | |
Musculo-skeletal injection/aspiration? | |
Suture/minor surgery? | |
Cervical smear (Pap test)? | |
Childhood vaccination? | |
Influenza vaccination? | |
3 or less among these = Few | |
4 or 5 among these = A fair number | |
6 or more among these = Several | |
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