Evolving General Practice Consultation in Britain: Issues of Length and Context
Open accessAbstract
In 1999 Shah 1 and others said that the Royal College of General Practitioners should advocate longer consultations in general practice as a matter of policy.The college set up a working group chaired by A P Hungin, and a systematic review of literature on consultation length in general practice was commissioned.The working group agreed that the available evidence would be hard to interpret without discussion of the changing context within which consultations now take place.For many years general practitioners and those who have surveyed patients' opinions in the United Kingdom have complained about short consultation time, despite a steady increase in actual mean length.Recently Mechanic pointed out that this is also true in the United States. 2 Is there any justification for a further increase in mean time allocated per consultation in general practice?We report on the outcome of extensive debate among a group of general practitioners with an interest in the process of care, with reference to the interim findings of the commissioned systematic review and our personal databases.The review identified 14 relevant papers. Summary pointsLonger consultations are associated with a range of better patient outcomes Modern consultations in general practice deal with patients with more serious and chronic conditions Increasing patient participation means more complex interaction, which demands extra time Difficulties with access and with loss of continuity add to perceived stress and poor performance and lead to further pressure on time Longer consultations should be a professional priority, combined with increased use of technology and more flexible practice management to maximise interpersonal continuity Research on implementation is needed
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Longer consultations allow for a more thorough assessment, which helps improve diagnoses and reduces the chance of missing important details.
“Longer consultations allow for a more thorough assessment, which helps improve diagnoses and reduces the chance of missing important details [283,284,285].”
From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [284]
The “Extended professional agenda” section says adequate time is needed to examine and consider patients with several problems. “Longer consultations: benefits for patients” reports an association with better recognition of psychosocial problems, but does not establish improved diagnoses generally or a reduced chance of missing important details. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease
Kaplan, S. H., Greenfield, S., & Ware, J. E. (1989) · Medical Care · doi:10.1097/00005650-198903001-00010 · Cited by 2,043 · see citing works
Square, T., London, & Wc, H. (1920) · British Journal of Ophthalmology · doi:10.1136/bjo.4.1.25 · Cited by 1,623 · see citing works
The Doctor, His Patient, and the Illness
BALINT, M. (1957) · Postgraduate Medical Journal · doi:10.1136/pgmj.33.382.417-a · Cited by 1,270 · see citing works
National service framework for coronary heart disease
Lloyd‐Mostyn, R. H. (2000) · BMJ · doi:10.1136/bmj.321.7261.634 · Cited by 833 · see citing works
THE DOCTOR, HIS PATIENT, AND THE ILLNESS
Bálint, M. (1955) · The Lancet · doi:10.1016/s0140-6736(55)91061-8 · Cited by 799 · see citing works
Meetings Between Experts: An Approach to Sharing Ideas in Medical Consultations
Brown, P., Tuckett, D., Boulton, M. G., Olson, C., & Williams, A. (1987) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2071607 · Cited by 406 · see citing works
Quality at general practice consultations: cross sectional survey
Howie, J. G., Heaney, D., Maxwell, M., Walker, J. J., Freeman, G. K., & Rai, H. (1999) · BMJ · doi:10.1136/bmj.319.7212.738 · Cited by 362 · see citing works
Self-citationThe exceptional potential in each primary care consultation.
Stott, N. C. H., & Davis, R. H. (1979) · PubMed · Cited by 303 · see citing works
Long to short consultation ratio: a proxy measure of quality of care for general practice.
Howie, J. G., Porter, A. M., Heaney, D., & Hopton, J. (1991) · PubMed Central · Cited by 206 · see citing works
Self-citationHjortdahl, P., & Borchgrevink, C. F. (1991) · BMJ · doi:10.1136/bmj.303.6811.1181 · Cited by 181 · see citing works
What future for continuity of care in general practice?
Freeman, G. K., & Hjortdahl, P. (1997) · BMJ · doi:10.1136/bmj.314.7098.1870 · Cited by 165 · see citing works
Self-citationMorrison, I., & Smith, R. W. (2000) · BMJ · doi:10.1136/bmj.321.7276.1541 · Cited by 103 · see citing works
How should hamsters run? Some observations about sufficient patient time in primary care
Mechanic, D. (2001) · BMJ · doi:10.1136/bmj.323.7307.266 · Cited by 93 · see citing works
Attitudes to medical care, the organization of work, and stress among general practitioners.
Jg, H., Hopton, J., Heaney, D., & Porter, A. M. (1992) · Europe PMC (PubMed Central) · Cited by 75 · see citing works
Continuous quality improvement for continuity of care.
Kibbe, D. C., Bentz, E. J., & McLaughlin, C. P. (1993) · PubMed · Cited by 49 · see citing works
Expectations of health care: promoted, managed or shared?
Hart, J. T. (1998) · Health Expectations · doi:10.1046/j.1369-6513.1998.00001.x · Cited by 45 · see citing works
A New Kind of Doctor: The General Practitioner's Part in the Health of the Community (review)
Silverman, W. A. (1990) · Perspectives in biology and medicine · doi:10.1353/pbm.1990.0032 · Cited by 37 · see citing works
Longer booking intervals in general practice: effects on doctors' stress and arousal.
Wilson, A., McDonald, P. S., Hayes, L. J., & Cooney, J. (1991) · PubMed Central · Cited by 30 · see citing works
Self-citationFix what's wrong, not what's right, with general practice in Britain
Maeseneer, J. D. (2000) · BMJ · doi:10.1136/bmj.320.7250.1616 · Cited by 24 · see citing works
Time for a change? The process of lengthening booking intervals in general practice.
Williams, M., & Neal, R. D. (1998) · Europe PMC (PubMed Central) · Cited by 11 · see citing works
Arber, S., & Sawyer, L. (1982) · BMJ · doi:10.1136/bmj.284.6314.478 · Cited by 10 · see citing works
Murphy, D. (1982) · BMJ · doi:10.1136/bmj.284.6320.983-b · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Shah NC. Viewpoint: Consultation time-time for a change? Still the "perfunctory work of perfunctory men!" Br J Gen Pract 1999;49:497.
Cited by
Sorted by citations
Substitution of doctors by nurses in primary care
Laurant, M. G. H., Reeves, D., Hermens, R., Braspenning, J., Grol, R. P. T. M., & Sibbald, B. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001271.pub2 · Cited by 961 · see citing works
The OPTION scale: measuring the extent that clinicians involve patients in decision‐making tasks
Elwyn, G. J., Hutchings, H. A., Edwards, A., Rapport, F., Wensing, M., Cheung, W., & Grol, R. P. T. M. (2005) · Health Expectations · doi:10.1111/j.1369-7625.2004.00311.x · Cited by 494 · see citing works
Integrative Medicine and Patient-Centered Care
Maizes, V. H., Rakel, D. P., & Niemiec, C. (2009) · EXPLORE · doi:10.1016/j.explore.2009.06.008 · Cited by 402 · see citing works
Mauksch, L. B. (2008) · Archives of Internal Medicine · doi:10.1001/archinte.168.13.1387 · Cited by 287 · see citing works
Team structure, team climate and the quality of care in primary care: an observational study
Bower, P. (2003) · Quality and Safety in Health Care · doi:10.1136/qhc.12.4.273 · Cited by 277 · see citing works
(2002) · Europe PMC (PubMed Central) · Cited by 270 · see citing works
Self-citationWallace, P., Barber, J., Clayton, W. J., Currell, R., Fleming, K., Garner, P., Haines, A., Harrison, R., Jacklin, P., Jarrett, C., et al. (2004) · Health Technology Assessment · doi:10.3310/hta8500 · Cited by 236 · see citing works
Paternalism, participation and partnership—The evolution of patient centeredness in the consultation
Taylor, K. (2008) · Patient Education and Counseling · doi:10.1016/j.pec.2008.08.017 · Cited by 211 · see citing works
Rea, H. H., McAuley, S., Stewart, A. J., Lamont, C., Roseman, P., & Didsbury, P. (2004) · Internal Medicine Journal · doi:10.1111/j.1445-5994.2004.00672.x · Cited by 198 · see citing works
Croker, J. E., Swancutt, D. R., Roberts, M. J., Abel, G., Roland, M. O., & Campbell, J. L. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002762 · Cited by 190 · see citing works
Edwards, A. (2004) · Family Practice · doi:10.1093/fampra/cmh402 · Cited by 179 · see citing works
"I want more time with my doctor": a quantitative study of time and the consultation
Ogden, J. (2004) · Family Practice · doi:10.1093/fampra/cmh502 · Cited by 171 · see citing works
Pinnock, H., Bawden, R., Proctor, S., Wolfe, S., Scullion, J., Price, D. B., & Sheikh, A. (2003) · BMJ · doi:10.1136/bmj.326.7387.477 · Cited by 159 · see citing works
Howie, J. G. (2004) · Family Practice · doi:10.1093/fampra/cmh419 · Cited by 148 · see citing works
Self-citationWallace, P., Haines, A., Harrison, R., Barbour, J., Thompson, S., Jacklin, P., Roberts, J., Lewis, L., & Wainwright, P. (2002) · The Lancet · doi:10.1016/s0140-6736(02)08828-1 · Cited by 145 · see citing works
Laurant, M. G. H., Hermens, R., Braspenning, J. C. C., Akkermans, R., Sibbald, B., & Grol, R. P. T. M. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02288.x · Cited by 138 · see citing works
Bikker, A., Mercer, S. W., & Reilly, D. (2005) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2005.11.591 · Cited by 130 · see citing works
Hutton, C., & Gunn, J. M. (2007) · BMC Health Services Research · doi:10.1186/1472-6963-7-71 · Cited by 129 · see citing works
Furler, J., Chondros, P., Young, D. Y. L., Harris, E., Davies, P. G., & Harris, M. (2002) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2002.tb04673.x · Cited by 129 · see citing works
Mercer, S. W., Fitzpatrick, B., Gourlay, G., Vojt, G., McConnachie, A., & Watt, G. C. M. (2007) · British Journal of General Practice · doi:10.3399/096016407782604910 · Cited by 116 · see citing works
Consultation length, patient-estimated consultation length, and satisfaction with the consultation.
Cape, J. D. (2002) · Europe PMC (PubMed Central) · Cited by 111 · see citing works
Emery, J. D., Morris, H., Goodchild, R., Fanshawe, T. R., Prevost, A. T., Bobrow, M., & Kinmonth, A. L. (2007) · British Journal of Cancer · doi:10.1038/sj.bjc.6603897 · Cited by 106 · see citing works
Pollock, K., Mechanic, D., & Grime, J. (2002) · BMJ · doi:10.1136/bmj.325.7366.687 · Cited by 105 · see citing works
Mercer, S. W., Cawston, P. G., & Bikker, A. (2007) · BMC Family Practice · doi:10.1186/1471-2296-8-22 · Cited by 104 · see citing works
An assessment of patient waiting and consultation time in a primary healthcare clinic.
Ahmad, B. A., Khairatul, K., & Farnaza, A. (2017) · Europe PMC (PubMed Central) · Cited by 100 · see citing works
Good physicians from the perspective of their patients
Schattner, A., Rudin, D., & Jellin, N. (2004) · BMC Health Services Research · doi:10.1186/1472-6963-4-26 · Cited by 99 · see citing works
A randomized controlled trial in children with eczema: nurse practitioner vs. dermatologist
Schuttelaar, M. L. A., Vermeulen, K. M., Drukker, N., & Coenraads, P. J. (2009) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2009.09502.x · Cited by 97 · see citing works
Family physicians and dementia in Canada: Part 2. Understanding the challenges of dementia care.
Pimlott, N., Persaud, M., Drummond, N., Cohen, C. A., Silvius, J. L., Seigel, K., Hollingworth, G. R., & Dalziel, W. B. (2009) · PubMed Central · Cited by 86 · see citing works
Older patients and their GPs: shared decision making in enhancing trust
Butterworth, J. E., & Campbell, J. L. (2014) · British Journal of General Practice · doi:10.3399/bjgp14x682297 · Cited by 82 · see citing works
How much time does it take to prescribe a new medication?
Tarn, D. M., Paterniti, D. A., Kravitz, R. L., Heritage, J. C., Liu, H., Kim, S., & Wenger, N. S. (2008) · Patient Education and Counseling · doi:10.1016/j.pec.2008.02.019 · Cited by 72 · see citing works
Evaluation of advanced access in the national primary care collaborative.
Pickin, M., O’Cathain, A., Sampson, F. C., & Dixon, S. (2004) · Europe PMC (PubMed Central) · Cited by 72 · see citing works
"Trust Me...": Psychological and Behavioral Predictors of Perceived Physician Empathy.
Silvester, J., Patterson, F., Koczwara, A., & Ferguson, E. (2007) · Journal of Applied Psychology · doi:10.1037/0021-9010.92.2.519 · Cited by 69 · see citing works
Göpfert, A., Deeny, S. R., Fisher, R. F., & Stafford, M. (2020) · British Journal of General Practice · doi:10.3399/bjgp20x714029 · Cited by 68 · see citing works
Burt, J., Campbell, J., Abel, G., Aboulghate, A., Ahmed, F., Asprey, A., Barry, H. E., Beckwith, J., BENSON, J. A., Boiko, O. V., et al. (2017) · Programme Grants for Applied Research · doi:10.3310/pgfar05090 · Cited by 65 · see citing works
What do patients want from high-quality general practice and how do we involve them in improvement?
Coulter, A., & Elwyn, G. J. (2002) · Europe PMC (PubMed Central) · Cited by 63 · see citing works
Desborough, J., Bagheri, N., Banfield, M., Mills, J., Phillips, C. B., & Korda, R. (2016) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2016.10.004 · Cited by 50 · see citing works
Jin, G., Zhao, Y., Chen, C., Wang, W., Du, J., & Lu, X. (2015) · PLoS ONE · doi:10.1371/journal.pone.0135121 · Cited by 60 · see citing works
Effects of interventions aimed at changing the length of primary care physicians' consultation
Wilson, A., & Childs, S. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003540.pub2 · Cited by 56 · see citing works
Self-citationMermod, J., Fischer, L., Staub, L., & Busato, A. R. (2008) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-8-33 · Cited by 54 · see citing works
Continuity of Care : Literature review and implications
Al-Azri, M. H., Heywood, P., Neal, R. D., & Leese, B. (2007) · Sultan Qaboos University medical journal · doi:10.18295/2075-0528.2668 · Cited by 52 · see citing works
Consultation in general practice: a standard operating procedure?
Deveugele, M. I., Derese, A., Bacquer, D. D., van den Brink-Muinen, A., Bensing, J. M., & Maeseneer, J. D. (2003) · Patient Education and Counseling · doi:10.1016/s0738-3991(03)00239-8 · Cited by 51 · see citing works
Adžić, Z. O., Katić, M., Kern, J., Lazić, Đ. K., Nekić, V. C., & Soldo, D. (2008) · Croatian Medical Journal · doi:10.3325/cmj.2008.49.813 · Cited by 49 · see citing works
Hamrosi, K. K., Raynor, D. K., & Aslani, P. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-183 · Cited by 47 · see citing works
Promoting Continuity of Care in General Practice
Hill, A. P., & Freeman, G. K. (2011) · Cited by 46 · see citing works
Self-citationPatient knowledge in inflammatory bowel disease
Wardle, R. A., & Mayberry, J. F. (2013) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0b013e328365d21a · Cited by 45 · see citing works
Ahluwalia, S., & Offredy, M. (2005) · BMC Family Practice · doi:10.1186/1471-2296-6-39 · Cited by 45 · see citing works
Quality Patient Care and Pharmacists' Role in Its Continuity—A Systematic Review
Ellitt, G. R., Brien, J.-A. E., Aslani, P., & Chen, T. F. (2009) · Annals of Pharmacotherapy · doi:10.1345/aph.1l505 · Cited by 44 · see citing works
Holism in primary care: the views of Scotland's general practitioners
Hasegawa, H., Reilly, D. T., Mercer, S. W., & Bikker, A. (2005) · Primary Health Care Research & Development · doi:10.1191/1463423605pc248oa · Cited by 43 · see citing works
The Unexpected in Primary Care: A Multicenter Study on the Emergence of Unvoiced Patient Agenda
Peltenburg, M. (2004) · The Annals of Family Medicine · doi:10.1370/afm.241 · Cited by 42 · see citing works
Al-Azri, M. H., Neal, R. D., Heywood, P., & Leese, B. (2006) · PubMed Central · Cited by 40 · see citing works
Pollock, K., & Grime, J. (2003) · Family Practice · doi:10.1093/fampra/cmg306 · Cited by 39 · see citing works
Structure and duration of consultations in Estonian family practice
Tähepõld, H., Maaroos, H., Kalda, R., & van den Brink-Muinen, A. (2003) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813430310000708 · Cited by 38 · see citing works
Norton, J. L., de Roquefeuil, G., Boulenger, J., Ritchie, K. A., MANN, A. H., & Tylee, A. T. (2007) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2007.02.005 · Cited by 38 · see citing works
Consultation length in first opinion small animal practice
Robinson, N. J., Dean, R. S., Cobb, M., & Brennan, M. L. (2014) · Veterinary Record · doi:10.1136/vr.102713 · Cited by 37 · see citing works
Kerr, J., Engel, J., Schlesinger‐Raab, A., Sauer, H., & Hölzel, D. (2003) · Diseases of the Colon & Rectum · doi:10.1007/s10350-004-7278-6 · Cited by 37 · see citing works
de Lusignan, S., Chan, T., Parry, G., Kim, D.-B., & Kendrick, T. (2011) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2011.139873 · Cited by 39 · see citing works
Is Burnout in Family Physicians in Croatia Related to Interpersonal Quality of Care?
Adžić, Z. O., Katić, M., Kern, J., Soler, J. K., Cerovečki, V., & Polašek, O. (2013) · Archives of Industrial Hygiene and Toxicology · doi:10.2478/10004-1254-64-2013-2307 · Cited by 34 · see citing works
The effect of continuing professional development on public complaints: a case–control study
Wenghofer, E. F., Campbell, C. B., Marlow, B. A., Kam, S. M., Carter, L., & McCauley, W. (2015) · Medical Education · doi:10.1111/medu.12633 · Cited by 34 · see citing works
Ethical principles and the rationing of health care: a qualitative study in general practice.
Berney, L., Kelly, M. J., Doyal, L., Feder, G. S., Griffiths, C., & Jones, I. R. (2005) · Europe PMC (PubMed Central) · Cited by 34 · see citing works
Doctor-patient communication: results of a four-year prospective study in rectal cancer patients.
Kerr, J., Engel, J., Schlesinger‐Raab, A., Sauer, H., & Hölzel, D. (2003) · PubMed · doi:10.1097/01.dcr.0000074690.73575.99 · Cited by 34 · see citing works
Cunningham, C. E., Deal, K., Rimas, H. L., Campbell, H., Russell, A., Henderson, J., Matheson, A., & Melnick, B. (2008) · Patient · doi:10.2165/1312067-200801040-00013 · Cited by 33 · see citing works
Wenghofer, E. F., Marlow, B. A., Campbell, C. B., Carter, L., Kam, S. M., McCauley, W., & Hill, L. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000243 · Cited by 31 · see citing works
Bolin, K., Lindgren, A., Lindgren, B., & Lundborg, P. (2008) · International Journal of Health Care Finance and Economics · doi:10.1007/s10754-008-9048-9 · Cited by 31 · see citing works
Lado, E. U., Vacariza, M., Fernández‐González, C., Gestal, J. J., & Figueiras, A. (2008) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2007.00901.x · Cited by 30 · see citing works
Impact of a pay for performance programme on French GPs’ consultation length
Saint‐Lary, O., & Sicsic, J. (2014) · Health Policy · doi:10.1016/j.healthpol.2014.10.001 · Cited by 29 · see citing works
Witt, C. M., Lüdtke, R., Wegscheider, K., & Willich, S. N. (2010) · Journal of Pain · doi:10.1016/j.jpain.2009.08.010 · Cited by 29 · see citing works
Kelly, M. J., Egbunike, J., Kinnersley, P., Hood, K., Owen-Jones, E., Button, L. A., Shaw, C., Porter, A. M., Snooks, H. A., Bowden, S., et al. (2010) · Family Practice · doi:10.1093/fampra/cmq057 · Cited by 28 · see citing works
Melchiorre, M. G., Socci, M., Quattrini, S., Lamura, G., & D’Amen, B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159063 · Cited by 27 · see citing works
Hamrosi, K. K., Raynor, D. K., & Aslani, P. (2013) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2013.02.006 · Cited by 26 · see citing works
Utility of COPD Assessment Test (CAT) in primary care consultations: a randomised controlled trial
Gruffydd‐Jones, K., Marsden, H., Holmes, S., Kardos, P., Escamilla, R., Negro, R. D., Roberts, J. A., Nadeau, G. A., Vasselle, M., Leather, D. A., et al. (2013) · Primary Care Respiratory Journal · doi:10.4104/pcrj.2013.00001 · Cited by 26 · see citing works
The evaluation of training in patient-centred interviewing skills for psychiatric residents
Rimondini, M., Piccolo, L. D., Goss, C., Mazzi, M. A., Paccaloni, M., & Zimmermann, C. (2009) · Psychological Medicine · doi:10.1017/s0033291709990730 · Cited by 26 · see citing works
Chan, W.-S., Whitford, D. L., Conroy, R. M., Gibney, D., & Hollywood, B. (2011) · BMC Health Services Research · doi:10.1186/1472-6963-11-15 · Cited by 24 · see citing works
What determines the income gap between French male and female GPs - the role of medical practices
Dumontet, M., Vaillant, M. L., & Franc, C. (2012) · BMC Family Practice · doi:10.1186/1471-2296-13-94 · Cited by 25 · see citing works
Johar, M., Jones, G., & Savage, E. (2014) · Health Economics · doi:10.1002/hec.3071 · Cited by 24 · see citing works
Sinnott, C., Ansari, A., Price, E., Fisher, R. F., Beech, J., Alderwick, H., & Dixon‐Woods, M. (2024) · British Journal of General Practice · doi:10.3399/bjgp.2024.0033 · Cited by 26 · see citing works
The process of patient enablement in general practice nurse consultations: a grounded theory study
Desborough, J., Banfield, M., Phillips, C. B., & Mills, J. E. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.13199 · Cited by 24 · see citing works
Reaching the Hard-to-Reach: Conceptual Puzzles and Challenges for Policy and Practice
Mackenzie, M., Reid, M., Turner, F., Wang, Y., Clarke, J., Sridharan, S., Platt, S. D., & O’Donnell, C. A. (2012) · Journal of Social Policy · doi:10.1017/s0047279412000074 · Cited by 23 · see citing works
Sharing control of appointment length with patients in general practice: a qualitative study
Sampson, R., O’Rourke, J., Hendry, R., Heaney, D., Holden, S., Thain, A., & MacVicar, R. (2013) · British Journal of General Practice · doi:10.3399/bjgp13x664234 · Cited by 22 · see citing works
Differences in the quality of interpersonal care in complementary and conventional medicine
Busato, A. R., & Künzi, B. (2010) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-10-63 · Cited by 22 · see citing works
Eliciting patients' concerns: a randomised controlled trial of different approaches by the doctor.
McLean, M., & Armstrong, D. (2004) · Europe PMC (PubMed Central) · Cited by 22 · see citing works
Chevalier, B. A. M., Watson, B. M., Barras, M. A., & Cottrell, N. (2017) · International Journal of Pharmacy Practice · doi:10.1111/ijpp.12423 · Cited by 22 · see citing works
Norton, J. L., de Roquefeuil, G., David, M., Boulenger, J., Ritchie, K. A., & MANN, A. H. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.12.009 · Cited by 20 · see citing works
Udonwa, N. E., & Ogbonna, U. K. (2012) · International Journal of Family Medicine · doi:10.1155/2012/517027 · Cited by 20 · see citing works
Busato, A. R., Eichenberger, R., & Künzi, B. (2006) · BMC Health Services Research · doi:10.1186/1472-6963-6-132 · Cited by 20 · see citing works
Revitalizing the History and Clinical Examination
Schattner, A. (2012) · The American Journal of Medicine · doi:10.1016/j.amjmed.2011.05.013 · Cited by 19 · see citing works
Recorded quality of care for depression in general practice: an observational study
Vedavanam, S., Steel, N., Broadbent, J., Maisey, S., & Howe, A. C. (2009) · British Journal of General Practice · doi:10.3399/bjgp09x395085 · Cited by 19 · see citing works
Whole-person care in general practice: Factors affecting the provision of whole-person care
Thomas, H., Best, M. C., & Mitchell, G. K. (2020) · Australian Journal of General Practice · doi:10.31128/ajgp-05-19-49503 · Cited by 19 · see citing works
Is Time Spent With the Physician Associated With Parent Dissatisfaction Due to Long Waiting Times?
Feddock, C. A., Seals, P. D. B., Griffith, C. H., Lineberry, M. J., & Wilson, J. F. (2010) · Evaluation & the Health Professions · doi:10.1177/0163278710361930 · Cited by 18 · see citing works
Frequent attenders in family practice in Croatia: retrospective study.
Botica, M. V., Kovačić, L., Tiljak, M. K., Katić, M., Botica, I., Rapić, M., Novaković, D., & Lovasić, S. (2004) · PubMed · Cited by 18 · see citing works
Reeder, S. C., Rixon, S., Williams, A. F., Lieu, D., & Manias, E. (2015) · The International Journal of Person Centered Medicine · doi:10.5750/ijpcm.v4i2.446 · Cited by 17 · see citing works
Khori, V., Changizi, S., Biuckians, E., Keshtkar, A., Alizadeh, A., Mohaghgheghi, A. M., & Rabie, M. R. (2012) · Eastern Mediterranean Health Journal · doi:10.26719/2012.18.5.480 · Cited by 17 · see citing works
Clerc‐Urmès, I., L’Haridon, O., Paraponaris, A., Protopopescu, C., & Ventelou, B. (2011) · Applied Economics · doi:10.1080/00036846.2011.572858 · Cited by 16 · see citing works
Family physicians and dementia in Canada
Pimlott, N., Persaud, M., Drummond, N., Cohen, C. A., Silvius, J. L., Seigel, K., Hollingworth, G. R., & Dalziel, W. B. (2009) · Canadian Family Physician · Cited by 16 · see citing works
Videau, Y., Saliba‐Serre, B., Paraponaris, A., & Ventelou, B. (2010) · Journal of Health Services Research & Policy · doi:10.1258/jhsrp.2009.009034 · Cited by 17 · see citing works
Patients' perceptions and related behaviours on role of primary care physician in Italy
Pileggi, C. (2004) · European Journal of Public Health · doi:10.1093/eurpub/14.3.258 · Cited by 15 · see citing works
A new marker of primary care utilization - annual accumulated duration of time of visits
Nathan, T. A., Cohen, A. D., & Vinker, S. (2017) · Israel Journal of Health Policy Research · doi:10.1186/s13584-017-0159-y · Cited by 15 · see citing works
The journey towards patient-centredness.
Freeman, G. K., Car, J., & Hill, A. (2004) · Europe PMC (PubMed Central) · Cited by 15 · see citing works
Self-citationEngaging nurses in smoking cessation: Challenges and opportunities in Turkey
Nichter, M., Çarkoğlu, A., Nichter, M., Özcan, Ş., & Uysal, M. A. (2017) · Health Policy · doi:10.1016/j.healthpol.2017.12.007 · Cited by 14 · see citing works
Harrison‐Blount, M., Nester, C., & Williams, A. E. (2019) · Journal of Foot and Ankle Research · doi:10.1186/s13047-019-0333-2 · Cited by 18 · see citing works
Lari, S. M., Attaran, D., & Tohidi, M. R. (2014) · Patient Related Outcome Measures · doi:10.2147/prom.s54484 · Cited by 13 · see citing works
- Authors
- Freeman, G. K., Horder, J. P., Howie, J. G. R., Hungin, A. P., Hill, A. P., Shah, N. C., & Wilson, A.
- Affiliations
- Imperial College London (GB)
- Corresponding author
- Freeman, George K
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2002-04-13
- Volume
- 324
- Issue
- 7342
- Pages
- 880-882
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC101402
- OpenAlex
- W2151816860
- Cited by
- 195
- References
- 22
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 1 · 2020: 5 · 2019: 5 · 2018: 2 · 2017: 11 · 2016: 3 · 2015: 6 · 2014: 15 · 2013: 10 · 2012: 7
- FWCI
- 36.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed (publishedVersion)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- Royal College of General Practitioners
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- consultation time, general practice, primary care, patient outcomes, patient participation, continuity of care, health care access, general practitioners, practice management, health technology, Royal College of General Practitioners
- MeSH terms
- Family Practice, United Kingdom, Humans, Office Visits, State Medicine, Time Factors, Patient Satisfaction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
