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Informing patients on planned consultation time–a randomised controlled intervention study of consultation time in primary care

Lindfors, Oskar ; Holmberg, Sara and Rööst, Mattias LU (2019) In Scandinavian Journal of Primary Health Care 37(4). p.402-408
Abstract

Objective: To investigate whether patients’ pre-consultation knowledge of the time frames for the consultation influences the actual consultation time and/or patient and physician related outcomes; satisfaction and enablement. Design: Randomised controlled blinded intervention study. Setting: Four strategically chosen Primary Health Care Centres (PHCC:s) in Kronoberg county in Sweden participated. Intervention: Pre-consultation information on planned consultation time. During one week in each PHCC consecutive patients were randomised to intervention group or control group, when booking an appointment with a physician. Subjects: Patients >18 years of age. Main outcome measures: Consultation time, patient satisfaction, patient... (More)

Objective: To investigate whether patients’ pre-consultation knowledge of the time frames for the consultation influences the actual consultation time and/or patient and physician related outcomes; satisfaction and enablement. Design: Randomised controlled blinded intervention study. Setting: Four strategically chosen Primary Health Care Centres (PHCC:s) in Kronoberg county in Sweden participated. Intervention: Pre-consultation information on planned consultation time. During one week in each PHCC consecutive patients were randomised to intervention group or control group, when booking an appointment with a physician. Subjects: Patients >18 years of age. Main outcome measures: Consultation time, patient satisfaction, patient enablement and physician satisfaction. Results: No significant difference in consultation time was found between the intervention group and control group. No differences were seen between intervention group and control group regarding any of the other measures. Stratified data showed significantly shorter consultation time for the intervention group in one of the PHCC:s and for employed physicians. Employed physicians also rated consultations as being easier and were more satisfied with their consultations compared to non-employed physicians. Conclusion: Information on the planned consultation time has a potential to decrease consultation time in certain settings. No negative side effects were found in this study. Key points Patients prepare before their consultation but to influence its contents and length is difficult. Informing patients on estimated consultation time can influence actual consultation time. Informing patients on planned consultation time has no adverse effects in this study.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
appointments and schedule, general practice, Mesh terms, patient centred care, patient satisfaction, physician patient relations, primary health care
in
Scandinavian Journal of Primary Health Care
volume
37
issue
4
pages
402 - 408
publisher
Taylor & Francis
external identifiers
  • pmid:31496331
  • scopus:85072045898
ISSN
0281-3432
DOI
10.1080/02813432.2019.1663581
language
English
LU publication?
yes
id
ae3d3191-25dc-4067-bf27-0c11911c0e04
date added to LUP
2019-09-23 13:58:38
date last changed
2024-02-15 22:17:28
@article{ae3d3191-25dc-4067-bf27-0c11911c0e04,
  abstract     = {{<p>Objective: To investigate whether patients’ pre-consultation knowledge of the time frames for the consultation influences the actual consultation time and/or patient and physician related outcomes; satisfaction and enablement. Design: Randomised controlled blinded intervention study. Setting: Four strategically chosen Primary Health Care Centres (PHCC:s) in Kronoberg county in Sweden participated. Intervention: Pre-consultation information on planned consultation time. During one week in each PHCC consecutive patients were randomised to intervention group or control group, when booking an appointment with a physician. Subjects: Patients &gt;18 years of age. Main outcome measures: Consultation time, patient satisfaction, patient enablement and physician satisfaction. Results: No significant difference in consultation time was found between the intervention group and control group. No differences were seen between intervention group and control group regarding any of the other measures. Stratified data showed significantly shorter consultation time for the intervention group in one of the PHCC:s and for employed physicians. Employed physicians also rated consultations as being easier and were more satisfied with their consultations compared to non-employed physicians. Conclusion: Information on the planned consultation time has a potential to decrease consultation time in certain settings. No negative side effects were found in this study. Key points Patients prepare before their consultation but to influence its contents and length is difficult. Informing patients on estimated consultation time can influence actual consultation time. Informing patients on planned consultation time has no adverse effects in this study.</p>}},
  author       = {{Lindfors, Oskar and Holmberg, Sara and Rööst, Mattias}},
  issn         = {{0281-3432}},
  keywords     = {{appointments and schedule; general practice; Mesh terms; patient centred care; patient satisfaction; physician patient relations; primary health care}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{4}},
  pages        = {{402--408}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Primary Health Care}},
  title        = {{Informing patients on planned consultation time–a randomised controlled intervention study of consultation time in primary care}},
  url          = {{http://dx.doi.org/10.1080/02813432.2019.1663581}},
  doi          = {{10.1080/02813432.2019.1663581}},
  volume       = {{37}},
  year         = {{2019}},
}