Factors influencing consultation length in general/family practice

Family Practice

Volumn 33, Issue 5, 2016, Pages 529-534

  Orton, Peter K ^a   Pereira Gray, Denis ^b  

^a St Thomas Medical Group   (United Kingdom)

^b UNIVERSITY OF EXETER   (United Kingdom)

Author keywords

Burnout; Consultation length; Doctor gender; General family practice; Patient centredness; Primary care

Indexed keywords

BURNOUT; CLINICAL STUDY; CONSULTATION; DOCTOR PATIENT RELATION; EMOTIONAL STRESS; ENGLAND; FEMALE; GENDER; GENERAL PRACTICE; HUMAN; MALE; MULTIPLE REGRESSION; NATIONAL HEALTH SERVICE; PARTICIPANT OBSERVATION; PRIMARY MEDICAL CARE; EPIDEMIOLOGY; GENERAL PRACTITIONER; MULTIVARIATE ANALYSIS; PATIENT REFERRAL; PATIENT SATISFACTION; PSYCHOLOGY; QUESTIONNAIRE; REGRESSION ANALYSIS; SEX FACTOR; STATISTICS AND NUMERICAL DATA; TIME FACTOR;

BURNOUT, PROFESSIONAL; ENGLAND; FEMALE; GENERAL PRACTICE; GENERAL PRACTITIONERS; HUMANS; MALE; MULTIVARIATE ANALYSIS; PATIENT SATISFACTION; PHYSICIAN-PATIENT RELATIONS; REFERRAL AND CONSULTATION; REGRESSION ANALYSIS; SEX FACTORS; SURVEYS AND QUESTIONNAIRES; TIME FACTORS;

EID: 84991206959     PISSN: 02632136     EISSN: 14602229     Source Type: Journal    
DOI: 10.1093/fampra/cmw056     Document Type: Article

References (20)

1. Buchan IC, Richardson IM. Time Study of Consultations in General Practice Scottish Health Service Studies No 27. Edinburgh, UK: Scottish Home and Health Department, 1973.
2. Wilson A. Consultation length in general practice: a review. Br J Gen Pract 1991; 41: 119-22.
3. Hippisley-Co J, Vinogradova Y. Trends in Consultation Rates in General Practice 1995 to 2008: Analysis of the QResearch® Database. Final Report to the NHS Information Centre and Department of Health. London: NHS Information Centre.
4. Deveugle M, Derese A, van den Brink-Nuinen A, Bensing J, de Maesseneer J. Consultation length in general practice: cross-sectional study in six European Countries. Br Med J 2002; 325: 472.
5. Hull FM, Hull FS. Time and the general practitioner the patient's view. J Roy Coll Gen Pract 1984; 34: 71-5.
6. Howie JGR, Porter AM, Forbes JF. Quality and the use of time in general practice: widening the discussion. Br Med J 1989; 298: 1008-10.
7. Wilson A, Childs S. The relationship between consultation length, process and outcomes in general practice: a systematic review. Br J Gen Pract 2002; 52: 1012-20.
8. Westcott R. The length of consultations in general practice. J Roy Coll Gen Pract 1977; 27: 552-5.
9. Roter D, Lipkin M Jr, Korsgaard A. Sex differences in patients' and physicians' communication during primary care medical visits. Med Care 1991; 29: 1083-93.
10. Wiggers JH, Sanson-Fisher R. Duration of general practice consultations: association with patient occupational and educational status. Soc Sci Med 1997; 44: 925-34.
11. Orton P, Orton C, Pereira Gray D. Depersonalised doctors: a cross-sectional study of 564 doctors, 760 consultations and 1876 patient reports in UK general practice. BMJ Open 2012; 2: e000274.
12. Maslach C, Jackson S, Leiter M. Maslach Burnout Inventory. 3rd edn. Palo Alto, CA: Consulting Psychologists, 1996.
13. Schaufeli WB, Bakker AB, Hoogduin K, Schaap C, Kladler A. On the clinical validity of the Maslach Burnout Inventory and the burnout measure. Psychol Health 2001; 16: 565-82.
14. Brown D, Stewart M, Tessier S. Assessing Communication Between Patients and Doctors: A Manual for Scoring Patient-Centred Communication Working Paper Series. London, Ontario, Canada: Department of Family Medicine, 1995, 95-102.
15. Stewart M, Belle Brown J, Weston WW et al. Patient-Centred Medicine; Transforming the Clinical Method Thousand Oaks. New York: Sage, 1995.
16. R Development Team Core. R: A Language and Environment for Statistical Computing. Foundation for Statistical Computing, 2008 R Foundation for Statistical Computing.
17. Bates DM, Mächler M, Bolker BM, Walker SC. Fitting Linear Mixed-Effects Models Using lme4. http://arxiv.org/abs/1406.5823 (accessed on 23 Jun 2014).
18. National Clinical Assessment Service Analysis of the First Four Years' Referral Data Report 2006. London: NCAS.
19. Jefferson L. Effect of physicians' gender and consultation length: a systematic review and meta-analysis. J Health Serv Res Policy 2013; 18: 242-8.
20. Irving GJ, Holden J. 15-minute consultations-benefit patients and GPs. Br Med J 2012; 344: e3704.