RT Journal Article
T1 Communication with patients and the duration of family medicine consultations.
A1 Valverde Bolívar, Francisco Javier
A1 Pedregal González, Miguel
A1 Moreno Martos, Herminia
A1 Cózar García, Inmaculada
A1 Torío Durántez, Jesús
K1 Atención dirigida al paciente
K1 Atención primaria de salud
K1 Communication
K1 Comunicación
K1 Patient-centred care
K1 Physician–patient relations
K1 Primary health care
K1 Relaciones médico-paciente
K1 Tiempo
K1 Time
AB 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.
YR 2017
FD 2017-10-18
LK http://hdl.handle.net/10668/11708
UL http://hdl.handle.net/10668/11708
LA en
DS RISalud
RD Apr 19, 2025