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Title: Communication with patients and the duration of family medicine consultations.
Authors: Valverde Bolívar, Francisco Javier
Pedregal González, Miguel
Moreno Martos, Herminia
Cózar García, Inmaculada
Torío Durántez, Jesús
Keywords: Atención dirigida al paciente;Atención primaria de salud;Communication;Comunicación;Patient-centred care;Physician–patient relations;Primary health care;Relaciones médico-paciente;Tiempo;Time
metadata.dc.subject.mesh: Adult
Cross-Sectional Studies
Family Practice
Middle Aged
Office Visits
Physician-Patient Relations
Primary Health Care
Time Factors
Issue Date: 18-Oct-2017
Abstract: To determine the distribution of consultation times, the factors that determine their length, and their relationship with a more participative, patient-centred consulting style. Cross-sectional multicentre study. Primary Healthcare Centres in Andalusia, Spain. A total of 119 tutors and family medicine physician residents. Consultation length and communication with the patient were analysed using the CICCAA scale (Connect, Identify, Understand, Consent, Help) during 436 interviews in Primary Care. The mean duration of consultations was 8.8min (sd: 3.6). The consultation tended to be longer when the physician had a patient-centred approach (10.37±4.19min vs 7.54±2.98min; p=0.001), and when there was joint decision-making (9.79±3.96min vs 7.73±3.42min: p=0.001). In the multivariable model, longer consultations were associated with obtaining higher scores on the CICAA scale, a wider range of reasons for consultation, whether they came accompanied, in urban centres, and a smaller number of daily visits (r2=0.32). There was no correlation between physician or patient gender, or problem type. A more patient centred medical profile, increased shared decision-making, a wider range of reasons for consultation, whether they came accompanied, in urban centres, and less professional pressure all seem to be associated with a longer consultation.
metadata.dc.identifier.doi: 10.1016/j.aprim.2017.07.001
Appears in Collections:Producción 2020

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