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Table 4 Incremental time of healthcare providers in CVD management cases

From: Estimated cost for cardiovascular disease risk-based management at a primary healthcare center in Nepal

Clinical encounter

Time per case per year (minutes)

Patients needing services annually

Time to treat the population per year (minutes)

Physiciana

Nurse

Physician

Nurses

First visit-clinical exam

5

0

865

4325

0

First visit-risk profiling

4

0

815

3264

0

Management for risk < 10%

0

5

566

0

2832

Management for risk 10–20% with high blood pressure

10

10

60

600

600

Management for risk 10–20% with high cholesterol

10

10

60

600

600

Management for risk 20–30%

10

10

52

520

520

Management for risk > 30%

20

20

77

1540

1540

Management of diabetic patients

20

20

29

580

580

Annual incremental time (minutes)

11,429

6675

(hours)

190

111

Annual incremental time (workdays)b

28.5

16.7

  1. aPhysician provides medical treatment and nurse conducts counselling sessions
  2. bAnnual incremental time calculated based on healthcare staff members working 40 h per week and 6 days a week