Do minutes count ? Consultation lenghts in general practice.
To document the variability in consultation length and to examine the relative weight of different kinds of characteristics (of the patients, of the general practitioner (GP), or of the practice) in affecting consultation lenght, and, thus, to assess whether consultation lenght can legitimately be used as a quality marker.
A multilevel statistical analysis of 836 consultations across 51 GPs in ten practices.
Setting and subjects
Ten general practices across four regions in England with varying list sizes, number of partners and fundholding status.
Main outcome measures
Lenght of time face-to-face with patients in consultation measured in minutes and fractions of minutes.
There is substantial inter-practice variation in consultation length, from a mean of 5.7 minutes to one of 8.5 minutes.
In some practices the longest average GP consultation time is about twice that of the shortest.
Trainees and new partners spend, on average, about 1 minute less than their longer-serving colleagues.
Consultation lengths for individual GPs range from a mean of 4.4 minutes to 11 minutes.
Late middle-aged women (55-64 years) receive the longest consultations, followed by elderly people, with children receiving the shortest consultations.
The number of topics raised affects the length of the consultation by about 1 minute per additional topic.
When female patients consult female GPs, approximately 1 minute is added to the average consultation. (...)
Mots-clés Pascal : Consultation, Médecin, Pratique professionnelle, Médecine générale, Spécialité médicale, Médecin généraliste, Personnel sanitaire, Travailleur social, Qualité, Méthodologie, Royaume Uni, Europe, Monde, Femme, Sexe, Population, Démographie, Personne âgée, Adulte, Age, Enfant, Angleterre, Grande Bretagne, Europe Ouest, Aspect politique, Géographie, Classe âge
Mots-clés Pascal anglais : Consultation, Physician, Professional practice, Internal medicine, Medical specialty, General practitioner, Health staff, Social worker, Quality, Methodology, United Kingdom, Europe, World, Woman, Sex, Population, Demography, Elderly, Adult, Age, Child, England, Great Britain, Western Europe, Political aspect, Geography, Age distribution
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 19/02/1999.