The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index; 2 of the 23 sources its claims cite were checked for support.
Consultation length in general practice: cross sectional study in six European countries
Open accessAbstract
Objectives : To compare determinants of consultation length discussed in the literature with those found in consultations with general practitioners from different European countries; to explore the determinants of consultation length, particularly the effect of doctors' and patients' perceptions of psychosocial aspects. Design : Analysis of videotaped consultations of general practitioners from the Eurocommunication study and of questionnaires completed by doctors and by patients. Setting : General practices in six European countries. Participants : 190 general practitioners and 3674 patients. Results : In a multilevel analysis with three levels (country, general practitioner, and patient), country and doctor variables contributed a similar amount to the total variance in consultation length (23% and 22%, respectively) and patient variables accounted for 55% of the variance. The variables used in the multilevel analysis explained 25% of the total variation. The country in which the doctor practised, combined with the doctors' variables, was as important for the variance in consultation length as the variation between patients. Consultations in which psychosocial problems were considered important by the doctor and the patient lasted longer than consultations about biomedical problems only. The doctor's perception had more influence in this situation than the patient's. Consultation length is influenced by the patients' sex (women got longer consultations), whether the practice was urban or rural, the number of new problems discussed in the consultation (the more problems the longer the consultation), and the patient's age (the older the patient the longer the consultation). As a doctor's workload increased, the length of consultations decreased. The general practitioner's sex or age and patient's level of education were not related to the length of consultation. Conclusion : Consultation length is determined by variables related to the doctor and the doctor's country as well as by those related to patients. Women consulting in an urban practice with problems perceived as psychosocial have longer consultations than other patients.
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TL;DR
Consultation length in six European countries varied substantially and was shaped by country, doctor, and patient factors, with patient-level variables accounting for 55% of total variance and country and doctor variables about 22–23% each. Consultations were longest for women in urban practices when psychosocial problems were perceived as important, especially by the doctor.
Key findings
- Mean consultation length overall was 10.7 (SD 6.7) minutes. Belgium (15.0 min) and Switzerland (15.6 min) had the longest consultations; Germany (7.6 min) and Spain (7.8 min) had the shortest; the Netherlands (10.2 min) and United Kingdom (9.4 min) were intermediate.
- In multilevel analysis, total variance in consultation length was 44.2, split into 24.4 (55%) at patient level, 9.8 (22%) at doctor level, and 10.0 (23%) at country level; the variables used explained 25% of total variation (R²=0.252).
- Consultations were longer in city practices by 1.5 minutes, for women patients by about 1 minute, for at least one new problem by 51 seconds, when the doctor perceived psychosocial problems as important by 50 seconds, when the patient perceived psychosocial aspects as important by 30 seconds, and when the GP diagnosed a psychosocial problem by 0.95 minutes.
- Consultation time increased by about 1 second per year of patient age and decreased by 0.6 seconds per additional weekly workload unit; GP sex or age, patient education, and prescribing behaviour were not significantly related to consultation length.
Methods
- Cross-sectional analysis of videotaped general practice consultations from the Eurocommunication study in six European countries, with questionnaires completed by doctors and patients.
- Participants were 190 general practitioners and 3674 patients; 20 consultations were videotaped per doctor and 15 per doctor were analysed. Consultation length was measured with a stopwatch, subtracting interruptions.
- Multilevel regression analysis with three levels (country, general practitioner, patient) using MLwiN 1.1; principal components analysis with Varimax rotation was used on patient questionnaire items, and SPSS 9.0 was used for data analysis.
Limitations
- The paper states that the general practitioner groups were not representative: they had lower workloads than doctors in the task profile study, more urban practices were included, and more women doctors took part.
- The paper states that all doctors agreed to have consultations videotaped, so they may have been more interested in communication and more experienced with research/training than average doctors, potentially biasing findings.
- The paper notes that only six countries were included, so country-level variation is subject to a large standard error; the text also makes evident that 976 of 4650 patients (21%) refused participation, with more women refusing and some problem types refusing more often, though age and education were similar between participants and refusers.
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Claims the paper makes
2 of 23 cited sources checked · 0 supported · 0 flagged · accuracy not yet measured
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“When the doctor perceived a psychosocial problem, the increase in consultation time was nearly twice as long as that when the patient perceived a psychosocial problem.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Psychosocial problems
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Consultations were longer when the doctor or patient felt that psychosocial problems were important (by 50 seconds for the doctor's perception and 30 seconds for the patient's perception) than when they did not.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The length of consultation was not significantly longer for consultations in which psychosocial aspects were given as a reason for the encounter by the patient.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Psychosocial problems
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Consultations in city practices lasted 1.5 minutes longer than those in rural practices”
- Also stated in: § Other determinants · plain
“Consultations lasted longer in city based practices than in rural practices.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Also stated in: § Other determinants · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“those with women patients lasted about 1 minute longer than those with men”
- Also stated in: § Other determinants · plain
“Consultation times were longer for women patients than for men.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Also stated in: § Other determinants · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“From the patient's perspective, the consultation time was longer when the patient expected some help on psychosocial aspects from the doctor than when they did not.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Psychosocial problems
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“those about at least one new problem lasted 51 seconds longer than those about known problems.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The mean length of consultation for all consultations was 10.7 (SD 6.7) minutes (table 4).”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Consultation length in different countries
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Consultations were longer when the doctor or patient felt that psychosocial problems were important (by 50 seconds for the doctor's perception and 30 seconds for the patient's perception) than when they did not.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The variables used in the multilevel analysis at the different levels accounted for 25% of the explained variation (R_=0.252).”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
- Probably not a substantial claim. 11
- It may state two separate claims as one. 22
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Doctors spend more time with patients who have new problems than those with already discussed problems.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Introduction
What the sources say
- Partly supportedcites [8] Morell, 1986, The “five minute” consultation: effect of time constraint on clinical content and patient satisfaction., BMJ sourceExperimental — accuracy not yet measured
The Introduction (p. 1) says that whether a consultation concerns a new problem or is a follow-up can affect its duration. It does not say that doctors spend more time on new problems than on previously discussed ones; the reported time comparisons concern appointment-booking intervals instead. (LLM, conf=0.77)
- Could not verifycites [9] Morell, 1987, How can good GP care be achieved?, BMJ sourceExperimental — accuracy not yet measured
The Introduction discusses immediate and continuing problems, and the ‘How many patients can a general practitioner look after?’ section discusses consultation duration. Neither compares time spent with patients presenting new problems against time spent on previously discussed problems. Searches for that comparison and for follow-up consultation duration found no supporting passage in our copy. (LLM, conf=0.76)
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
- Partly supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The six countries could be divided into three pairs that differed significantly from each other with respect to total consultation time.Belgium and Switzerland had the longest consultation times, Germany and Spain had the shortest consultation times, and consultation times for the Netherlands and the United Kingdom were in between.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Consultation length in different countries
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The presence of psychosocial problems in a consultation was related to the consultation's duration only when a psychosocial problem was diagnosed by the general practitioner, but not when it was mentioned by the patient as a reason for the consultation.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“As the patient's age increased by one year, the consultation time increased by one second.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For four countries (Belgium, the United Kingdom, the Netherlands, and Switzerland), we compared our results with those from other studies in which consultation times were measured; for no country did the length of consultation in our study differ significantly from that in other studies from that country.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Consultation length in different countries
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The total variance in consultation length was 44.2.Multilevel analysis showed that this variance split into 24.4 (55%) at the patient level, 9.8 (22%) at the doctor level, and 10.0 (23%) at the country level.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“When doctors perceived a psychosocial problem, the duration of the consultation increased; this was as true when the doctor thought that a psychosocial element was important, even if it was not mentioned in during the consultation, as when he or she made a psychosocial diagnosis.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Psychosocial problems
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Length of consultation was not significantly correlated with the educational level of the patient, the patient's sex or age, or the experience or prescribing behaviour of the doctor (table 5).”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The consultation time decreased as the doctor's workload increased-the consultation time reduced by 0.6 seconds for every additional unit of workload in a week.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Workload had a negative influence on consultation time, but this relation was weak when calculated as seconds.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Of doctors' characteristics reported as important in the literature, our study confirmed only the positive orientation to psychosocial problems; the age and sex of the doctor had no impact on the duration of the consultation.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Age seemed to influence the length of consultation, but its influence was too small to take into account-doctors spent about 1.2 seconds more time with patients for every year increase in the patients' age.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
Strength:hedged· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“The patient's age and social class are determinants of consultation length-the older the patient or the higher their social class, the longer the consultation.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Introduction
What the sources say
- Not matchedcites [2] Buchnan IC Richardson IM .Time study of consultations in general practice. In: Scottish health services statistics, no 27. Edinburgh:Scottish Home and Health Department,1973.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
- Not matched
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“The size of a doctor's list is not an important determinant of consultation length, except when lists are extremely large or extremely small.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Introduction
What the sources say
- Not checked — no full text of the sourcecites [6] Butler J Calnan M .Too many patients? A study of the economy of time and standards of care in general practice. Aldershot:Avebury,1987. source
- Not checked — no full text of the sourcecites [7] Knight, 1987, The importance of list size and consultation length as factors in general practice., J R Coll Gen Pract
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Doctors are less likely to prescribe during long consultations.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Introduction
What the sources say
- Not checked — no full text of the sourcecites [12] Hughes, 1983, Consultation length and outcome in two group general practices., J R Coll Gen Pract
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“A sample size of a minimum of 27 general practitioners in each country and 15 patients for each general practitioner was needed to detect an effect size of 0.30 at a significance level of 0.05 with a power of 0.80.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Methods
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
In the paper
“Important differences in consultation length exist between countries because of differences in the structure of healthcare organisations and the role of general practitioners.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Introduction
What the sources say
- Not checked — no full text of the sourcecites [1] Wilson, 1991, Consultation length in general practice: a review., Br J Gen Pract
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Older doctors, women doctors, and doctors with positive attitudes to mental health problems tend to have longer consultations.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Introduction
What the sources say
- Not matchedcites [2] Buchnan IC Richardson IM .Time study of consultations in general practice. In: Scottish health services statistics, no 27. Edinburgh:Scottish Home and Health Department,1973.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Not checked — no full text of the sourcecites [3] Gray, 1982, The effect of the doctor's sex on the doctor patient relationship., J R Coll Gen Pract
- Not matchedcites [4] Whitehous, 1987, A survey of the management of psychosocial illness in general practice in Manchester., J R Coll Gen Pract
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Not matched
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The presence of psychosocial problems in the consultation was an important factor influencing the length of consultation, and doctors' and patients' perceptions about psychosocial problems affected the length of the consultation.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Psychosocial problems
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“This analysis produced two subscales-a biomedical scale with six items and a psychosocial scale with four items (table 3).Cronbach's was 0.84 for the biomedical scale and 0.83 for the psychosocial scale.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Preliminary analysis
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“Stopwatches accurately measure the length of consultations, and videotaping is accurate and valid and does not alter doctors' behaviour in consultations.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Introduction
What the sources say
- Not checked — no full text of the sourcecites [1] Wilson, 1991, Consultation length in general practice: a review., Br J Gen Pract
- Not checked — no full text of the sourcecites [13] Pringle, 1990, Does the awareness of being video recorded affect doctors' consultation behaviour?, Br J Gen Pract
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The country in which general practitioners work and the individual variation between general practitioners seem to be important determinants of the length of consultations.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Discussion
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Our general practitioners had lower workloads than the average doctor in the same country in the task profile study, there was a higher proportion of urban practices in our study, and more women doctors took part.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“This contradicted a previous study, which showed that women doctors had longer consultations than men doctors.23”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
What the sources say
- Not checked — no full text of the sourcecites [23] Roter, 1991, Sex differences in patients' and physicians' communication during primary care visits., Med Care source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“All of the doctors in our study agreed to have their consultations videotaped.This may mean that they were more interested in communication and had more experience with research and training than the average doctor.This positive attitude towards communication could have biased our findings.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Studies based on observations of real encounters contradict, or at least tone down, conclusions from other types of research.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Conclusion
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✗ Checkable: fails✓ Load-bearing: passes✗ Based: failsProbably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For new problems the doctor needs to explore the problem, but for follow up consultations the doctor can rely on information from earlier encounters.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“This contradicts results from several studies that reported an influence of social class on consultation length.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
What the sources say
- Not checked — no full text of the sourcecites [1] Wilson, 1991, Consultation length in general practice: a review., Br J Gen Pract
- Not matchedcites [2] Buchnan IC Richardson IM .Time study of consultations in general practice. In: Scottish health services statistics, no 27. Edinburgh:Scottish Home and Health Department,1973.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Although the patients in our study probably were representative of the population of the participating countries, the groups of general practitioners were not.”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Women patients are often described as more talkative than men, and they are more likely to discuss psychosocial problems.23”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Other determinants
What the sources say
- Not checked — no full text of the sourcecites [23] Roter, 1991, Sex differences in patients' and physicians' communication during primary care visits., Med Care source
Strength:hedged· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
The paper relies on this without support.
General practitioners in Belgium and Switzerland are paid mostly by direct payment from the patient at the end of the consultation.
“Moreover, general practitioners in Belgium and Switzerland are paid mostly by direct payment from the patient at the end of the consultation.”
The paper relies on this without support.
The United Kingdom and the Netherlands have well organised primary healthcare systems, with restricted patient lists and gatekeeping.
“The United Kingdom and the Netherlands, which had intermediate consultation times, have well organised primary healthcare systems, with restricted patient lists and gatekeeping.”
The paper relies on this without support.
General practitioners in the United Kingdom and the Netherlands are predominantly paid by capitation.
“General practitioners in these countries are predominantly paid by capitation (the government supplies a fee per patient).”
The paper relies on this without support.
In urban practices, patients presented more problems within one consultation.
“In urban practices, patients presented more problems within one consultation.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Overall doctor sex ratio conflicts with the doctor counts
MinorTable 2 gives the overall men:women ratio as 76:34, whereas table 1 counts 127 men and 63 women among 190 doctors-approximately 67:33.
“Eurocommunication study | 190 | 44.5 (6.8) | 76:34 | 29:71 | 212 (106.7) |”
“| | Men | Women | Total | Men | Women | Total | | Country | (n=127) | (n=63) | (n=190) | (n=1503) | (n=2171) | (n=3674) |”
Patient sex and age are reported as both significant and not significant
MinorThe results say consultation length was not significantly correlated with patient sex or age, but table 5 reports positive coefficients for both, with 95% confidence intervals that exclude zero. The paper also describes longer consultations for women and older patients.
“Length of consultation was not significantly correlated with the educational level of the patient, the patient's sex or age, or the experience or prescribing behaviour of the doctor (table 5).”
“| Woman patient | 0.99 (0.40 to 1.58) | | At least one new problem | 0.86 (0.27 to 1.46) | | Patient's age (years) | 0.02 (0.01 to 0.04) |”
Citations
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Self-citationQuality and the use of time in general practice: widening the discussion.
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Flagged first, then by citations
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Sorted by citations
Items 101–200 of 513
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
“Consultation length is shorter in the UK than in many other parts of Europe (Deveugele et al., 2002) and a growing body of evidence suggests that longer consultations are associated with better quality care (Howie et al., 1999; Freeman et al., 2002; Howie et al., 2004).”
Background“It Is Not Easy”: Challenges for Provider-Initiated HIV Testing and Counseling in Flanders, Belgium
Manirankunda, L., Loos, J., Debackaere, P., et al. (2012) · AIDS Education and Prevention · doi:10.1521/aeap.2012.24.5.456 · Cited by 42
Cals, J., Scheppers, N. A. M., Hopstaken, R., Hood, K., Dinant, G., Goettsch, H., & Butler, C. (2007) · Patient Education and Counseling · doi:10.1016/j.pec.2007.06.014 · Cited by 41
“Consultations at all three time points (T1–T3) remained within the bounds of usual primary care consultation length for European countries and the US [27,28].”
BackgroundQuality of care: the need for medical, contextual and policy evidence in primary care
van Driel, M., Sutter, A. I. D., Christiaens, T., & Maeseneer, J. M. D. (2005) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2005.00549.x · Cited by 41
Vaillancourt, H., Légaré, F., Lapointe, A., Deschênes, S., & Desroches, S. (2012) · Health Expectations · doi:10.1111/j.1369-7625.2012.00783.x · Cited by 38
Anthierens, S., Pasteels, I., Habraken, H., Steinberg, P., Declercq, T., & Christiaens, T. (2010) · PubMed Central · Cited by 40
Stevens, S., Bankhead, C. R., Mukhtar, T. K., Perera, R., Holt, T., Salisbury, C., & Hobbs, R. F. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-018261 · Cited by 39
Forsblom, E., Renkonen, S., Kortela, E., Ahava, M. J., Kreivi, H., Holmberg, V., Järvinen, A., Hästbacka, J., Kivivuori, S., & Meretoja, A. (2021) · Scandinavian Journal of Infectious Diseases · doi:10.1080/23744235.2021.1936157 · Cited by 38
“A recent report concluded that men pursue Covid-19 testing less frequently than women [28] and studies have shown that women seek healthcare service more frequently than men [29,30].”
BackgroundStructure 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
“Similar results have been found in other studies (14).”
ResultZantinge, E. M., Verhaak, P. F. M., de Bakker, D. H., van der Meer, K., & Bensing, J. M. (2009) · BMC Family Practice · doi:10.1186/1471-2296-10-60 · Cited by 38
Self-citationRayess, H. M., Zuliani, G. F., Gupta, A., Svider, P. F., Folbe, A. J., Eloy, J. A., & Carron, M. A. (2016) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2016.1219 · Cited by 39
Process quality indicators in family medicine: results of an international comparison
Pavlič, D. R., Sever, M., Klemenc–Ketiš, Z., & Švab, I. (2015) · BMC Family Practice · doi:10.1186/s12875-015-0386-7 · Cited by 37
“Much is known about specific parameters, such as specific disease management [13–15], guidelines, and outcomes of treatment [16], and researchers have insight into the workload [17, 18], but there is a lack of complex multilevel comparisons between countries.”
BackgroundFeasibility and acceptability of a physical activity promotion programme in general practice
van Sluijs, E. M. F. (2004) · Family Practice · doi:10.1093/fampra/cmh414 · Cited by 37
The Insomnia Patient Perspective, A Narrative Review
Cheung, J. M. Y., Bartlett, D. J., Armour, C. L., & Saini, B. (2013) · Behavioral Sleep Medicine · doi:10.1080/15402002.2012.694382 · Cited by 37
“An average general practice consultation typically lasts between 10 and 15 minutes depending on the country of practice ( Deveugele, Derese, van den Brink-Muinen, Bensing, & De Maeseneer, 2002 ; Dyas, et al, 2010 ; Pierce & Gunn, 2011 ).”
BackgroundGerman health care: a bit of Bismarck plus more science
Sawicki, P. T., & Bastian, H. (2008) · BMJ · doi:10.1136/bmj.a1997 · Cited by 36
“With some of the highest caseloads in Europe and no payment structure for longer consultations, German general practitioners spend less than eight minutes on average with a patient.”
BackgroundWitt, C., Lüdtke, R., & Willich, S. (2009) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/j.1468-3083.2009.03116.x · Cited by 36
Salisbury, C., Lay-Flurrie, S. L., Bankhead, C. R., et al. (2020) · British Journal of General Practice · doi:10.3399/bjgp.2020.0486 · Cited by 35
Attalin, V., Romain, A. J., & Avignon, A. (2012) · Diabetes & Metabolism · doi:10.1016/j.diabet.2011.12.004 · Cited by 42
Monz, B. U., Hampel, C., Porkess, S., et al. (2005) · Maturitas · doi:10.1016/j.maturitas.2005.09.007 · Cited by 35
Labrie, N., & Schulz, P. J. (2014) · Argumentation · doi:10.1007/s10503-014-9331-5 · Cited by 33
“Communication Style In order to code the doctor’s perceived communication style, use was made of the validated, twelve-item OPTION-scale developed by Elwyn et al. (2003). Using this scale, it was aimed to measure the extent to which the doctor involves the patient in the treatment decision-making process.”
MethodResultInfluentialvan den Bussche, H., Kaduszkiewicz, H., Schäfer, I., Koller, D., Hansen, H., Scherer, M., & Schön, G. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1357-y · Cited by 33
“Other authors forwarded that in gatekeeping countries (with fixed lists of patients) GP consultations are longer, more time is spent talking with patients, especially about psychosocial aspects of their conditions, and the workload of general practitioners is lower [46].”
BackgroundBurnier, M., Prejbisz, A., Weber, T., Azizi, M., Cunha, V., Versmissen, J., Gupta, P., Václavík, J., Januszewicz, A., Persu, A., et al. (2021) · Blood Pressure · doi:10.1080/08037051.2021.1963209 · Cited by 33
“6 and 15min in 2002 with large differences between countries [21] and a trend to increase in recent years in some countries [22].”
BackgroundWang, Q., Adhikari, S. P., Wu, Y., Sunil, T., Mao, Y., Ye, R., Sun, C., Shi, Y., Zhou, C., Sylvia, S., et al. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.08.006 · Cited by 34
“Furthermore, the consultation length found in our study was also much shorter than that of many other countries [36,37].”
ResultChronically ill Australians' satisfaction with accessibility and patient-centredness
Jayasinghe, U. W., Proudfoot, J., Holton, C. H., Davies, G. P., Amoroso, C. L., Bubner, T., Beilby, J., & Harris, M. (2007) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzm071 · Cited by 32
Online Medical Consultation Service–Oriented Recommendations: Systematic Review
Jiang, H., Mi, Z., & Xu, W. X. (2024) · Journal of Medical Internet Research · doi:10.2196/46073 · Cited by 39
“Deveugele et al [73] analyzed questionnaire data from 6 European countries and studied video recordings of consultations and found that the location of a physician’s hospital affected the length of the online consultation.”
The Relationship Between Consultation Length and Patient Satisfaction: A Systematic Review
Surbakti, E. F., & Sari, K. I. (2018) · KnE Life Sciences · doi:10.18502/kls.v4i9.3556 · Cited by 32
“The 2nd ICHA of effective communication for patients are (1) patients problem can be identified more accurately; (2) helping patients to recall information and comply with treatment instruction; thereby, providing patient satisfaction; (3) increasing patients understanding about the treatment; (4) increasing complianc…”
BackgroundThe Japanese Society of Hypertension Working Group on the COmparison of Self-measured home, A. U. O. A. C. A. O. B. P. (. S., Asayama, K., Ohkubo, T., Rakugi, H., Miyakawa, M., Mori, H., Katsuya, T., Ikehara, Y., Ueda, S., Ohya, Y., et al. (2019) · Hypertension Research · doi:10.1038/s41440-019-0287-6 · Cited by 33
Blood pressure lowering efficacy of diuretics as second-line therapy for primary hypertension
Chen, J. M., Heran, B. S., & Wright, J. M. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007187.pub2 · Cited by 32
Adams, J. (2003) · Health & Place · doi:10.1016/j.healthplace.2003.10.001 · Cited by 32
The clinical context and patient participation in post-diagnostic consultations
Street, R. L., & Gordon, H. S. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2006.02.004 · Cited by 32
Chan, J. C. N., Ozaki, R., Luk, A. O. Y., Kong, A. P. S., Ronald, C. W., Chow, F. C. C., Wong, P., Wong, R. Y. M., Chung, H. H. Y., Chiu, C., et al. (2014) · Diabetes Research and Clinical Practice · doi:10.1016/s0168-8227(14)70733-8 · Cited by 32
“This was in stark contrast to the average consultation time of 10 minutes for most medical visits [22].”
ResultCortisone replacement therapy in endocrine disorders – quality of self‐care
Harsch, I. A., Schuller, A., Hahn, E. G., & Hensen, J. (2010) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2009.01149.x · Cited by 31
Sannemann, L., Müller, T., Waterink, L., Zwan, M. D., Wimo, A. B., Stomrud, E., Pinó, S., Arrufat, J., Rodríguez‐Gómez, O., Benaque, A., et al. (2021) · Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring · doi:10.1002/dad2.12130 · Cited by 32
Helbig, M., Helbig, S., Kahla-Witzsch, H. A., et al. (2009) · BMC Health Services Research · doi:10.1186/1472-6963-9-21 · Cited by 31
“Thorough measurements of time consumption of several most common consultation reasons made time planning considerably more reliable [13].”
BackgroundBolin, 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
“While Germany and Spain have quite short visits of around seven to eight minutes, visits in Switzerland tend to last longer than fifteen minutes (Deveugele et al. 2002).”
An Integrative Review of Enablement in Primary Health Care
Frost, J. S., Currie, M. J., & Cruickshank, M. (2015) · Journal of Primary Care & Community Health · doi:10.1177/2150131915598373 · Cited by 31
van Dijk, I., Lenferink, N. S. M., Lucassen, P. L., Mercer, S. W., van Weel, C., Hartman, T. O., & Speckens, A. E. M. (2016) · Family Practice · doi:10.1093/fampra/cmw116 · Cited by 31
“Different aspects of the clinical encounter such as doctor–patient communication (13), patient expectations (14) and consultation length (15) are influenced by the cultural background of patient and doctor (13).”
BackgroundCherry, M. G., Fletcher, I. J., Berridge, D. M., & O’Sullivan, H. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.10.017 · Cited by 30
Rasool, B. K. A., Fahmy, S., Abu‐Gharbieh, E., & Ali, H. S. (2010) · Pharmacy Practice · doi:10.4321/s1886-36552010000100009 · Cited by 30
Strohal, R., Prinz, J. C., Girolomoni, G., & Nast, A. (2015) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/jdv.13248 · Cited by 31
Anthroposophic medical therapy in chronic disease: a four-year prospective cohort study
Hamre, H. J., Witt, C. M., Glockmann, A., et al. (2007) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-7-10 · Cited by 30
Le développement du repérage des pratiques addictives en médecine générale en France
Beck, F., Guignard, R., Obradović, I., Gautier, A., & Karila, L. (2011) · Revue d Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2011.03.059 · Cited by 30
Asymmetrical Talk between Physicians and Patients: A Quantitative Discourse Analysis
Li, H. Z., Desroches, N. G., Yum, Y.-O., Koehn, C., & Deagle, G. (2007) · Canadian Journal of Communication · doi:10.22230/cjc.2007v32n3a1959 · Cited by 26
Medical consultation, time and duration
Torres, A., Soto, E. C. J., & Patiño, D. C. (2018) · Medwave · doi:10.5867/medwave.2018.05.7264 · Cited by 29
Patients' views on optimal visit length in primary care.
Landau, D., Bachner, Y. G., Elishkewitz, K., et al. (2007) · PubMed · Cited by 29
the predictD group, Bellón, J. Á., Moreno‐Küstner, B., Torres‐González, F., Montón-Franco, C., GildeGómez-Barragán, M. J., Sánchez-Celaya, M., Díaz-Barreiros, M. Á., Vicens, C., Luna, J. D. D., et al. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-256 · Cited by 31
A Practical Guide to Engaging Individuals with Obesity
McGowan, B. M. (2016) · Obesity Facts · doi:10.1159/000445193 · Cited by 28
The sexual health approach in postmenopause: The five-minutes study
Cuerva, M. J., Gonzalez, D. C., Canals, M., Otero, B., Espinosa, J. A., Molero, F., Senturk, L. M., & Mendoza, N. (2017) · Maturitas · doi:10.1016/j.maturitas.2017.11.009 · Cited by 30
The elicitation and management of multiple health concerns in GP consultations
Stuart, B. L., Leydon, G., Woods, C. J., Gennery, E., Elsey, C., Summers, R. H., Stevenson, F. A., Chew-Graham, C. A., Barnes, R., Drew, P., et al. (2018) · Patient Education and Counseling · doi:10.1016/j.pec.2018.11.009 · Cited by 31
“If given appropriate opportunity, research suggests that patients with multiple issues will raise an average of 1 to 3 problems/concerns per consultation [4-7].”
BackgroundScreening Instruments and Brief Batteries for Dementia
Mast, B. T., & Gerstenecker, A. T. (2010) · Elsevier eBooks · doi:10.1016/b978-0-12-374961-1.10019-3 · Cited by 27
Exploring pharmacists’ communication with customers through screening services
Cavaco, A. M. D. N., & Romano, J. P. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.06.028 · Cited by 27
“11 min) [32].”
Finbråten, H. S., Nowak, P., Griebler, R., Bíró, É., Vrdelja, M., Charafeddine, R., Griese, L., Bøggild, H., Schaeffer, D., Link, T., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191811592 · Cited by 27
“Experiences of having sufficient time in consultation with a physician may depend on other things in addition to COM-HL, such as the number and type of health issues that the patient would like to discuss and the patients’ age [68].”
BackgroundGidebo, K. D., Sidamo, T., Kanche, Z. Z., & Woticha, E. W. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1882-8 · Cited by 28
“7 min and in the United Arab Emirates it was 10 min [15, 16].”
BackgroundUtility 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
“Physicians were selected non-randomly, and our population is certainly biased towards those with town-based practices compared with previous reports.(10) This was due to the practicalities of conducting the study, where 12 physicians willing to participate in the study needed to be within travelling distance of suitab…”
ResultThe Good Doctor: A Qualitative Study of German Homeopathic Physicians
Kliems, H., & Witt, C. M. (2011) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2010.0158 · Cited by 26
“The average overall duration of physician–patient interactions is reported as 7.6 minutes for general physicians in Germany, 9 and the initial introductory sequence averages between 11 and 24 seconds.”
InfluentialRegeniter, A., Freidank, H., Dickenmann, M., et al. (2009) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2009.03.006 · Cited by 26
“A general practitioner has, however, on average just 9minutes to see a patient [5].”
Communicating End-of-Life Preferences
McDonald, D. D., Deloge, J.-A., Joslin, N., et al. (2003) · Western Journal of Nursing Research · doi:10.1177/0193945903254062 · Cited by 26
STUDYING HEALTH-SEEKING BEHAVIOURS: COLLECTING RELIABLE DATA, CONDUCTING COMPREHENSIVE ANALYSIS
Shaikh, B. T., Haran, D., Hatcher, J., et al. (2007) · Journal of Biosocial Science · doi:10.1017/s0021932007002118 · Cited by 26
“Sample sizes for the health care provider were determined to detect differences in consultation times of 3 minutes (Deveugele et al., 2002); and three-fold differences in costs between health care providers (Chisholm et al.”
BackgroundVoraussetzungen für ein neues Versorgungsmodell für ältere Menschen mit Multimorbidität
Thiem, U., Hinrichs, T., Mueller, C. A., Holt-Noreiks, S., Nagl, A., Bucchi, C., Trampisch, U. S., Moschny, A., Platen, P., Penner, E., et al. (2011) · Zeitschrift für Gerontologie und Geriatrie · doi:10.1007/s00391-011-0246-6 · Cited by 30
The English version of the Verona medical interview classification system (VR-MICS)
Piccolo, L. D., Mead, N., Gask, L., et al. (2005) · Patient Education and Counseling · doi:10.1016/j.pec.2005.01.001 · Cited by 26
First Patient-Centered Drug Information Service in Germany—A Descriptive Study
Maywald, U., Schindler, C., Krappweis, J., & Kirch, W. (2004) · Annals of Pharmacotherapy · doi:10.1345/aph.1e210 · Cited by 27
Determinants of preventive services in general practice
Pelletier‐Fleury, N., Vaillant, M. L., Hebbrecht, G., & Boisnault, P. (2006) · Health Policy · doi:10.1016/j.healthpol.2006.06.003 · Cited by 31
Shin, D. W., Park, J., Park, J.-H., et al. (2011) · Supportive Care in Cancer · doi:10.1007/s00520-011-1299-1 · Cited by 25
Hitz, F., Ribi, K., Li, Q., Klingbiel, D., Cerny, T., & Koeberle, D. (2013) · Supportive Care in Cancer · doi:10.1007/s00520-013-1886-4 · Cited by 43
“In Switzerland, an average of 15 min is general practice [31].”
BackgroundMahé, G., Comets, E., Nouni, A., Paillard, F., Dourmap, C., Faucheur, A. L., & Jaquinandi, V. (2017) · Scientific Reports · doi:10.1038/s41598-017-12775-9 · Cited by 25
Benign tumors in myotonic dystrophy type I target disease‐related cancer sites
Alsaggaf, R., George, D. M. M. S., Zhan, M., Pfeiffer, R. M., Wang, Y., Anderson, L. A., Liu, Z., Koshiol, J. E., Bauer, A. J., Wagner, K. R., et al. (2019) · Annals of Clinical and Translational Neurology · doi:10.1002/acn3.50856 · Cited by 25
“Gender-specific phenotypic variations in DM1 patients have been previously described, but the biological mechanisms behind such differences are not known.(37) In a small number of DM1 patients, downregulation of the microRNA 200c/141 tumor suppressor family was reported in women, but a slight elevated expression in me…”
BackgroundThe Impact of Electronic Health Records on the Duration of Patients’ Visits: Time and Motion Study
Jabour, A. M. (2020) · JMIR Medical Informatics · doi:10.2196/16502 · Cited by 26
“The amount of time spent in a waiting area is strongly associated with patients’ satisfaction and willingness to revisit [8-10 , 18-20 The duration of users’ experience with EHR can contribute to the duration of tasks at EHR-based facilities.”
Patient consultation in family medicine
Tähepõld, H. (2006) · DSpace repository (University of Tartu) · Cited by 25
Bienkowska-Gibbs, T., King, S., Saunders, C. L., et al. (2015) · Cited by 25
Poppe, L., Plaete, J., Huys, N., Verloigne, M., Deveugele, M., Bourdeaudhuij, I. D., & Crombez, G. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15071475 · Cited by 25
“In Belgium, there is an “open market” system, which allows patients to consult more than one GP. Typically, a consultation with the GP lasts about fifteen minutes, which is comparable to consultations in Switzerland but longer than consultations in Germany or Spain [21].”
BackgroundSelf-citationHomeopathic Treatment of Patients With Chronic Low Back Pain
Witt, C. M., Lüdtke, R., Baur, R., & Willich, S. N. (2009) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e31819050bb · Cited by 24
Wooldridge, A. N., Arató, N., Sen, A., Amenomori, M., & Fetters, M. D. (2010) · Asia Pacific Family Medicine · doi:10.1186/1447-056x-9-11 · Cited by 24
“In contrast to Deveugele et al’s findings on gender differences, we found consultations with men to be longer in absolute time, but not at statistical significance, than consultations with women [20].”
BackgroundResultInfluentialWatanabe, S., Yoshida, T., Kono, T., et al. (2018) · PLoS ONE · doi:10.1371/journal.pone.0203970 · Cited by 24
Actividades preventivas en los mayores
Lesende, I. M., Hidalgo, J. D. L.-T., Iturbe, A. G., et al. (2014) · Atención Primaria · doi:10.1016/s0212-6567(14)70052-6 · Cited by 24
Working with patients’ treatment expectations – what we can learn from homeopathy
Wilhelm, M., Hermann, C., Rief, W., Schedlowski, M., Bingel, U., & Winkler, A. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1398865 · Cited by 23
“A cross-sectional study in six European countries reported a mean length of consultation in general practice of 10.7 min, varying from 7.6 min in Germany to 15.6 min in Switzerland (Deveugele et al., 2002).”
BackgroundInfluentialAvaliação de serviços de assistência ambulatorial em aids, Brasil: estudo comparativo 2001/2007
Nemes, M. I. B., Alencar, T. M. D., Basso, C. R., et al. (2013) · Revista de Saúde Pública · doi:10.1590/s0034-89102013000100018 · Cited by 23
(2008) · Clinical Medicine Insights Geriatrics · doi:10.4137/cmger.s916 · Cited by 23
“The time to administer screening tests is often cited as a barrier, especially in high volume specialties with marked time pressures such as emergency medicine, general practice or family medicine.(4,15,16) Here, the Mini-Mental State Examination (MMSE)(17) has been described as impractical as it takes 10 minutes to a…”
BackgroundInfluence of rurality on diagnosing dementia in Australian general practice
Greenway‐Crombie, A. M., Snow, P. C., Disler, P. B., Davis, S. J., & Pond, D. C. (2012) · Australian Journal of Primary Health · doi:10.1071/py12008 · Cited by 23
Do list size and remuneration affect GPs' decisions about how they provide consultations?
van den Berg, M. J., de Bakker, D. H., Westert, G. P., et al. (2009) · BMC Health Services Research · doi:10.1186/1472-6963-9-39 · Cited by 23
Mohammed, M. A., Clements, G., Edwards, E., & Lester, H. E. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-430 · Cited by 23
“A key driver of cost and hence as a candidate performance indicator [11,12], in the face-to-face consultation is the length of the consultation; but whilst studies internationally have provided insight into factors which influence the length of faceto-face consultations in primary care [13-17], much less”
BackgroundWitt, C. M., Lüdtke, R., & Willich, S. N. (2009) · BMC Ear Nose and Throat Disorders · doi:10.1186/1472-6815-9-7 · Cited by 23
Is the communicative behavior of GPs during the consultation related to the diagnosis?
Deveugele, M. I., Derese, A., Bacquer, D. D., van den Brink-Muinen, A., Bensing, J. M., & Maeseneer, J. D. (2004) · Patient Education and Counseling · doi:10.1016/j.pec.2004.02.004 · Cited by 23
“In another analysis of the same material we showed that psychosocial problems are a major determinant of consultation length and that the doctor’s perception of psychosocial problems is more dominant than the patient’s [27,28].”
BackgroundSelf-citationTeckle, P., Hannaford, P. C., & Sutton, M. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-43 · Cited by 23
“Structural characteristics of general practices, such as: the partnership size [31-33]; whether the practitioner works single-handedly; the age and sex of the general practitioner [34-36]; whether the practice provides vocational training [37] or engages in undergraduate medical education [38]; the size and characteri…”
BackgroundSinnott, 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 27
“27,95,96,125 137 Adjudications Once someone has made an appearance at a service, the Candidacy Framework suggests that professional judgements (‘adjudications’) are made about their eligibility for different forms of care — for example, interventions like prescriptions or referrals, or, as is often…”
BackgroundAltiner, A., Schäfer, I., Mellert, C., Löffler, C., Mortsiefer, A., Ernst, A., Stolzenbach, C.-O., Wiese, B., Scherer, M., van den Bussche, H., et al. (2012) · BMC Family Practice · doi:10.1186/1471-2296-13-118 · Cited by 23
“Preliminary data of the baseline assessment in the MultiCare Cohort Study [9] show that patients included along the above listed criteria averagely use 7.26 medications (median 7).”
MethodInfluentialSalter, C., Brainard, J. S., McDaid, L., & Loke, Y. K. (2014) · PLoS ONE · doi:10.1371/journal.pone.0112041 · Cited by 22
“(Keith, retired HP:FG3) Similarly, GPs believed that it was their job to act as a conduit or filter to the ‘reams of information’ available to patients: We here get quite a lot of people who actually come with their reams [of information].”
BackgroundInfluentialAzizam, N. A., & Shamsuddin, K. (2015) · PubMed · Cited by 22
Prazeres, F., & Santiago, L. M. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13111097 · Cited by 22
“In Portugal, the average consultation length in general practice is approximately 15 min [49,50], similar to Belgium and Switzerland, and longer than Germany, Spain, the Netherlands, and the United Kingdom [51].”
BackgroundÄrztliche Edukation und Kommunikation in der primären Schmerzbehandlung
Nobis, H., & Pielsticker, A. (2013) · Der Schmerz · doi:10.1007/s00482-012-1289-3 · Cited by 21
Validación de una versión española del Test Your Memory
Ferrero-Arias, J., & Turrión-Rojo, M. Á. (2014) · Neurología · doi:10.1016/j.nrl.2013.12.009 · Cited by 22
Tian, W., Yuan, J., Yang, D. K., & Zhang, L. (2016) · PLoS ONE · doi:10.1371/journal.pone.0162795 · Cited by 21
Counseling overweight patients: analysis of preventive encounters in primary care
Sonntag, U., Henkel, J., Renneberg, B., Bockelbrink, A., Braun, V., & Heintze, C. (2010) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzq060 · Cited by 21
“[27, 28] reported that the length of talks depended on physicians’ perceptions of psychosocial problems.”
BackgroundUsefulness of short tests in dementia screening
Villarejo‐Galende, A., & Puertas‐Martín, V. (2011) · Neurología (English Edition) · doi:10.1016/j.nrleng.2010.12.001 · Cited by 20
Casals-Coll, M., Sánchez‐Benavides, G., Meza‐Cavazos, S., et al. (2013) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/act085 · Cited by 20
Hours worked by general practitioners and waiting times for primary care
Swami, M., Gravelle, H. S. E., Scott, A., & Williams, J. (2018) · Health Economics · doi:10.1002/hec.3782 · Cited by 20
“It is also affected by GP characteristics such as age, gender and medical training, and by practice type and location (Bensing, Roter, & Hulsman, 2003; H. C. Britt et al., 2005; Deveugele et al., 2002) and can be thought as a measure of exogenous practice style (Schurer, Kuehnle, Scott, & Cheng, 2016).”
BackgroundSauceda-Valenzuela, A. L., Wirtz, V. J., Santa‐Ana‐Téllez, Y., & Kageyama-Escobar, M. D. L. L. (2010) · BMC Health Services Research · doi:10.1186/1472-6963-10-178 · Cited by 23
“4 minutes, in Belgium 15 minutes and in India 5 minutes [27,28].”
BackgroundResultInfluentialPredictors of the Level of Shared Decision Making in Vascular Surgery: A Cross Sectional Study
Peters, L. J., Stubenrouch, F. E., Thijs, J. B., Klemm, P. L., Balm, R., & Ubbink, D. T. (2022) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2022.05.002 · Cited by 18
Mamen, A. V., Håkonsen, H., Kjome, R. L. S., Krabbesund, B. G., & Toverud, E. (2015) · International Journal of Pharmacy Practice · doi:10.1111/ijpp.12184 · Cited by 19
“It is worth mentioning that Norwegian community GPs have an average consultation time of 20 min,([25]) longer than in any other country.([26]) If the GPs use some of the time to give drug information in a way that is useful for the patients, that may partly explain why the participants saw less need in getting informa…”
BackgroundTime is up: increasing shadow price of time in primary‐care office visits
Tai‐Seale, M., & McGuire, T. G. (2011) · Health Economics · doi:10.1002/hec.1726 · Cited by 19
“Deveugele et al. (2002) report average visit length for GPs for six European countries: Germany (7.6min), Spain (7.8), UK (9.4), Netherlands (10.2), Belgium (15.0), Switzerland (15.6).”
InfluentialLOS DESÓRDENES EMOCIONALES EN ATENCIÓN PRIMARIA
Vindel, A. C. (2011) · Ansiedad y Estrés · Cited by 18
Metadata
- Authors
- Deveugele, M., Derese, A., van den Brink-Muinen, A., Bensing, J., & De Maeseneer, J.
- Affiliations
- Ghent University (BE)
- Corresponding author
- Deveugele, Myriam
- ORCID
- Deveugele, Myriam
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2002-08-31
- Volume
- 325
- Issue
- 7362
- Pages
- 472.1
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC119444
- OpenAlex
- W2124095734
- Semantic Scholar
- 2119cffb00ce6639f398f137dd296833fd1f4fe7
- Cited by
- 515
- References
- 23
- Citations by year
- 2026: 12 · 2025: 19 · 2024: 19 · 2023: 20 · 2022: 23 · 2021: 18 · 2020: 18 · 2019: 15 · 2018: 24 · 2017: 25 · 2016: 24 · 2015: 26 · 2014: 27 · 2013: 27 · 2012: 27
- FWCI
- 27.66
- 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 (publishedVersion)
- Europe PMC (PubMed Central) (submittedVersion)
- PubMed Central (submittedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
- Keywords
- consultation time, general practice, general practitioners, patient sex, psychosocial problems, physician workload, patient age, patient education level, cross-national comparison, doctor-patient interaction
- MeSH terms
- Adult, Age Factors, Appointments and Schedules, Cross-Sectional Studies, Europe, Factor Analysis, Statistical, Family Practice, Female, Humans, Male, Middle Aged, Office Visits, Physician-Patient Relations, Professional Practice, Surveys and Questionnaires, Rural Health, Time and Motion Studies, Urban Health, 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.
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