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

2.50
Hdl Handle:
http://hdl.handle.net/10545/621058
Title:
Investigating the relationship between consultation length and patient experience: a cross-sectional study in primary care
Authors:
Elmore, Natasha; Burt, Jenni; Abel, Gary; Maratos, Frances A. ( 0000-0001-5738-6491 ) ; Montague, Jane; Campbell, John; Roland, Martin
Abstract:
Background Longer consultations in primary care have been linked with better quality of care and improved health-related outcomes. However, there is little evidence of any potential association between consultation length and patient experience. Aim To examine the relationship between consultation length and patient-reported communication, trust and confidence in the doctor, and overall satisfaction. Design and setting Analysis of 440 videorecorded consultations and associated patient experience questionnaires from 13 primary care practices in England. Method Patients attending a face-to-face consultation with participating GPs consented to having their consultations videoed and completed a questionnaire. Consultation length was calculated from the videorecording. Linear regression (adjusting for patient and doctor demographics) was used to investigate associations between patient experience (overall communication, trust and confidence, and overall satisfaction) and consultation length. Results There was no evidence that consultation length was associated with any of the three measures of patient experience (P >0.3 for all). Adjusted changes on a 0–100 scale per additional minute of consultation were: communication score 0.02 (95% confidence interval [CI] = −0.20 to 0.25), trust and confidence in the doctor 0.07 (95% CI = −0.27 to 0.41), and satisfaction −0.14 (95% CI = −0.46 to 0.18). Conclusion The authors found no association between patient experience measures of communication and consultation length, and patients may sometimes report good experiences from very short consultations. However, longer consultations may be required to achieve clinical effectiveness and patient safety: aspects also important for achieving high quality of care. Future research should continue to study the benefits of longer consultations, particularly for patients with complex multiple conditions.
Affiliation:
University of Derby
Citation:
Elmore, N. et al (2016) 'Investigating the relationship between consultation length and patient experience: a cross-sectional study in primary care', British Journal of General Practice, 66 (653): e896-e903, DOI: 10.3399/bjgp16X687733
Publisher:
Royal College of General Practitioners
Journal:
British Journal of General Practice
Issue Date:
2016
URI:
http://hdl.handle.net/10545/621058
DOI:
10.3399/bjgp16X687733
Additional Links:
http://bjgp.org/cgi/doi/10.3399/bjgp16X687733; http://bjgp.org/content/66/653/e896/tab-article-info
Type:
Article
Language:
en
ISSN:
0960-1643
Sponsors:
National Institute for Health Research Programme Grants for Applied Research (NIHR PGfAR) Programme (RP-PG-0608-10050).
Appears in Collections:
Centre for Psychological Research; Department of Life Sciences

Full metadata record

DC FieldValue Language
dc.contributor.authorElmore, Natashaen
dc.contributor.authorBurt, Jennien
dc.contributor.authorAbel, Garyen
dc.contributor.authorMaratos, Frances A.en
dc.contributor.authorMontague, Janeen
dc.contributor.authorCampbell, Johnen
dc.contributor.authorRoland, Martinen
dc.date.accessioned2016-11-25T09:45:57Z-
dc.date.available2016-11-25T09:45:57Z-
dc.date.issued2016-
dc.identifier.citationElmore, N. et al (2016) 'Investigating the relationship between consultation length and patient experience: a cross-sectional study in primary care', British Journal of General Practice, 66 (653): e896-e903, DOI: 10.3399/bjgp16X687733en
dc.identifier.issn0960-1643-
dc.identifier.doi10.3399/bjgp16X687733-
dc.identifier.urihttp://hdl.handle.net/10545/621058-
dc.description.abstractBackground Longer consultations in primary care have been linked with better quality of care and improved health-related outcomes. However, there is little evidence of any potential association between consultation length and patient experience. Aim To examine the relationship between consultation length and patient-reported communication, trust and confidence in the doctor, and overall satisfaction. Design and setting Analysis of 440 videorecorded consultations and associated patient experience questionnaires from 13 primary care practices in England. Method Patients attending a face-to-face consultation with participating GPs consented to having their consultations videoed and completed a questionnaire. Consultation length was calculated from the videorecording. Linear regression (adjusting for patient and doctor demographics) was used to investigate associations between patient experience (overall communication, trust and confidence, and overall satisfaction) and consultation length. Results There was no evidence that consultation length was associated with any of the three measures of patient experience (P >0.3 for all). Adjusted changes on a 0–100 scale per additional minute of consultation were: communication score 0.02 (95% confidence interval [CI] = −0.20 to 0.25), trust and confidence in the doctor 0.07 (95% CI = −0.27 to 0.41), and satisfaction −0.14 (95% CI = −0.46 to 0.18). Conclusion The authors found no association between patient experience measures of communication and consultation length, and patients may sometimes report good experiences from very short consultations. However, longer consultations may be required to achieve clinical effectiveness and patient safety: aspects also important for achieving high quality of care. Future research should continue to study the benefits of longer consultations, particularly for patients with complex multiple conditions.en
dc.description.sponsorshipNational Institute for Health Research Programme Grants for Applied Research (NIHR PGfAR) Programme (RP-PG-0608-10050).en
dc.language.isoenen
dc.publisherRoyal College of General Practitionersen
dc.relation.urlhttp://bjgp.org/cgi/doi/10.3399/bjgp16X687733en
dc.relation.urlhttp://bjgp.org/content/66/653/e896/tab-article-infoen
dc.rightsArchived with thanks to British Journal of General Practiceen
dc.subjectAppointments and schedulesen
dc.subjectCommunicationen
dc.subjectGeneral practiceen
dc.subjectPhysician-patient relationsen
dc.subjectPrimary health careen
dc.titleInvestigating the relationship between consultation length and patient experience: a cross-sectional study in primary careen
dc.typeArticleen
dc.contributor.departmentUniversity of Derbyen
dc.identifier.journalBritish Journal of General Practiceen
All Items in UDORA are protected by copyright, with all rights reserved, unless otherwise indicated.