Investigating the relationship between consultation length and patient experience: A cross-sectional study in primary care

British Journal of General Practice

Volumn 66, Issue 653, 2016, Pages e896-e903

  Elmore, Natasha ^a   Burt, Jenni ^a   Abel, Gary ^b   Maratos, Frances A ^c   Montague, Jane ^c   Campbell, John ^b   Roland, Martin ^a  

^a UNIVERSITY OF CAMBRIDGE   (United Kingdom)

^b UNIVERSITY OF EXETER MEDICAL SCHOOL   (United Kingdom)

^c UNIVERSITY OF DERBY   (United Kingdom)

Author keywords

Appointments and schedules; Communication; General practice; Physician patient relations; Primary health care

Indexed keywords

CASE REPORT; CONFIDENCE INTERVAL; CONSULTATION; CROSS-SECTIONAL STUDY; DOCTOR PATIENT RELATION; ENGLAND; GENERAL PRACTICE; HOSPITAL MANAGEMENT; HUMAN; LINEAR REGRESSION ANALYSIS; PATIENT SAFETY; PRIMARY HEALTH CARE; QUESTIONNAIRE; SATISFACTION; TRUST; VIDEORECORDING; FEMALE; MALE; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PATIENT REFERRAL; PATIENT SATISFACTION; STATISTICS AND NUMERICAL DATA; TIME FACTOR;

APPOINTMENTS AND SCHEDULES; CROSS-SECTIONAL STUDIES; ENGLAND; FEMALE; HUMANS; MALE; MIDDLE AGED; PATIENT SATISFACTION; PHYSICIAN-PATIENT RELATIONS; PRIMARY HEALTH CARE; REFERRAL AND CONSULTATION; SURVEYS AND QUESTIONNAIRES; TIME FACTORS;

EID: 85002033480     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp16X687733     Document Type: Article

References (49)

1. NHS Information Centre, Primary Care Statistics. 2006/07 UK general practice workload survey. 2007. http://www.hscic.gov.uk/pubs/gpworkload (accessed 21 Sep 2016).
2. Royal College of General Practitioners. The 2022 GP compendium of evidence. London: RCGP, 2013.
3. Hobbs FD, Bankhead C, Mukhtar T, et al. Clinical workload in UK primary care: a retrospective analysis of 100 million consultations in England, 2007-14. Lancet 2016: 387(10035): 2323-2330.
4. ICM Unlimited on behalf of the British Medical Association. British Medical Association national survey of GPs: the future of general practice 2015. Full report. London: BMA, 2015.
5. Lemon TI, Smith RH. Consultation content not consultation length improves patient satisfaction. J Family Med Prim Care 2014; 3(4): 333-339.
6. Britt H, Valenti L, Miller G. Determinants of consultation length in Australian general practice. Med J Aust 2005; 183(2): 68-71.
7. Andersson SO, Ferry S, Mattsson B. Factors associated with consultation length and characteristics of short and long consultations. Scand J Prim Health Care 1993; 11(1): 61-67.
8. Morrell D, Evans M, Morris R, Roland M. The 'five minute' consultation: effect of time constraint on clinical content and patient satisfaction. Br Med J (Clin Res Ed) 1986; 292(6524): 870-873.
9. Howie J, Porter A, Forbes J. Quality and the use of time in general practice: widening the discussion. BMJ 1989; 298(6679): 1008-1010.
10. Baker R. Characteristics of practices, general practitioners and patients related to levels of patients' satisfaction with consultations. Br J Gen Pract 1996; 46(411): 601-605.
11. Andersson S-O, Mattsson B. Features of good consultation in general practice: is time important? Scand J Prim Health Care 1994; 12(4): 227-232.
12. Sampson R, O'Rourke J, Hendry R, et al. Sharing control of appointment length with patients in general practice: a qualitative study. Br J Gen Pract 2013; DOI: 10.3399/bjgp13X664234.
13. Howie J, Porter A, Heaney D, Hopton J. Long to short consultation ratio: a proxy measure of quality of care for general practice. Br J Gen Pract 1991; 41(343): 48-54.
14. Orth JE, Stiles WB, Scherwitz L, et al. Patient exposition and provider explanation in routine interviews and hypertensive patients' blood pressure control. Health Psychol 1987; 6(1): 29-42.
15. Campbell J, Howie J. Changes resulting from increasing appointment length: practical and theoretical issues. Br J Gen Pract 1992; 42(360): 276-278.
16. Wilson AD, Childs S. Effects of interventions aimed at changing the length of primary care physicians' consultation. Cochrane Database Syst Rev 2006; (1): CD003540. DOI: 10.1002/14651858.CD003540.pub2.
17. Wilson AD, Childs S, Gonçalves-Bradley DC, Irving GJ. Interventions to increase or decrease the length of primary care physicians' consultation. Cochrane Database Syst Rev 2016; (8): CD003540. DOI: 10.1002/14651858.CD003540.pub3.
18. Department of Health. NHS patient experience framework. London: Department of Health, 2011.
19. HM Government. Health and Social Care Act. Norwich: TSO, 2012.
20. Paddison C, Elliott M, Parker R, et al. Should measures of patient experience in primary care be adjusted for case mix? Evidence from the English General Practice Patient Survey. BMJ Qual Saf 2012; 21(8): 634-640.
21. Roland M, Campbell J, Burt J, et al. Improving patient experience in primary care: a multi-method programme of research on the measurement and improvement of patient experience final report. NIHR Journals Library 2016; in press.
22. Wilson A, McDonald P, Hayes L, Cooney J. Longer booking intervals in general practice: effects on doctors' stress and arousal. Br J Gen Pract 1991; 41(346): 184-187.
23. Knight R. The importance of list size and consultation length as factors in general practice. J R Coll Gen Pract 1987; 37(294): 19-22.
24. Andersson S-O, Mattsson B. Length of consultations in general practice in Sweden: views of doctors and patients. Fam Pract 1989; 6(2): 130-134.
25. Westcott R. The length of consultations in general practice. J R Coll Gen Pract 1977; 27(182): 552-555.
26. Deveugele M, Derese A, van den Brink-Muinen A, et al. Consultation length in general practice: cross sectional study in six European countries. BMJ 2002; 325(7362): 472.
27. Coleman T. Using videorecorded consultations for research in primary care: advantages and limitations. Fam Pract 2000; 17(5): 422-427.
28. Pringle M, Stewart-Evans C. Does awareness of being video recorded affect doctors'consultation behaviour? Br J Gen Pract 1990; 40(340): 455-458.
29. Ipsos MORI on behalf of NHS England. The GP Patient Survey. http://gp-patient.co.uk (accessed 21 Sep 2016).
30. Campbell J, Smith P, Nissen S, et al. The GP Patient Survey for use in primary care in the National Health Service in the UK-development and psychometric characteristics. BMC Fam Pract 2009; 10: 57.
31. Roberts MJ, Campbell JL, Abel GA, et al. Understanding high and low patient experience scores in primary care: analysis of patients' survey data for general practices and individual doctors. BMJ 2014; 349: g6034.
32. Deveugele M. Doctor-patient communication in general practice: an observational study in six European countries. Ghent: Ghent University, 2003.
33. Lyratzopoulos G, Elliott M, Barbiere JM, et al. Understanding ethnic and other socio-demographic differences in patient experience of primary care: evidence from the English General Practice Patient Survey. BMJ Qual Saf 2012; 21(1): 21-29.
34. Tähepõld H, Maaroos HI, Kalda R, van den Brink-Muinen A. Structure and duration of consultations in Estonian family practice. Scand J Prim Health Care 2003; 21(3): 167-170.
35. Ipsos MORI. GP Patient Survey-national summary report: July 2016 publication. London: Ipsos MORI, 2016.
36. ® hospital survey scores. Health Serv Res 2009; 44(2 Pt 1): 501-518.
37. Campbell J, Smith P, Nissen S, et al. The GP Patient Survey for use in primary care in the National Health Service in the UK-development and psychometric characteristics. BMC Fam Pract 2009; 10: 57.
38. Bjertnaes OA, Sjetne IS, Iversen HH. Overall patient satisfaction with hospitals: effects of patient-reported experiences and fulfilment of expectations. BMJ Qual Saf 2012; 21(1): 39-46.
39. Skudal KE, Garratt AM, Eriksson B, et al. The Nordic Patient Experiences Questionnaire (NORPEQ): cross-national comparison of data quality, internal consistency and validity in four Nordic countries. BMJ Open 2012; 2: e000864.
40. Edwards C, Staniszewska S, Crichton N. Investigation of the ways in which patients' reports of their satisfaction with healthcare are constructed. Sociol Health Illn 2004; 26(2): 159-183.
41. Williams B, Coyle J, Healy D. The meaning of patient satisfaction: an explanation of high reported levels. Soc Sci Med 1998; 47(9): 1351-1359.
42. Salisbury C, Procter S, Stewart K, et al. The content of general practice consultations: cross-sectional study based on video recordings. Br J Gen Pract 2013; DOI: 10.3399/bjgp13X674431.
43. Martin E, Martin PM. The reactions of patients to a video camera in the consulting room. J R Coll Gen Pract 1984; 34(268): 607-610.
44. Howe A. Refusal of videorecording: what factors may influence patient consent? Fam Pract 1997; 14(3): 233-237.
45. Coleman T, Manku-Scott T. Comparison of video-recorded consultations with those in which patients' consent is withheld. Br J Gen Pract 1998; 48(427): 971-974.
46. Hutton C, Gunn J. Do longer consultations improve the management of psychological problems in general practice? A systematic literature review. BMC Health Serv Res 2007; 7: 71.
47. Videau Y, Saliba-Serre B, Paraponaris A, Ventelou B. Why patients of low socioeconomic status with mental health problems have shorter consultations with general practitioners. J Health Serv Res Polic 2010; 15(2): 76-81.
48. Ogden J, Bavalia K, Bull M, et al. 'I want more time with my doctor': a quantitative study of time and the consultation. Fam Pract 2004; 21(5): 479-483.
49. Mercer SW, Fitzpatrick B, Gourlay G, et al. More time for complex consultations in a high-deprivation practice is associated with increased patient enablement. Br J Gen Pract 2007; 57(545): 960-966.