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.
Overview
AI snapshot
Written from the paper’s full text.
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.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
25 Own result · 12 Own interpretation · 8 No full text of the sources · 6 Own method · 3 Sources not found · 3 Not checked yet · 1 Partly supported · 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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
“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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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
“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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- 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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- 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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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 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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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
“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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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 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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- 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)
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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.
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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.
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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
“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
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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.
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It 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
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably 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.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Primary care Consultation length in general practice: cross sectional study in six European countries > What is already known on this topic
“Eurocommunication study | 190 | 44.5 (6.8) | 76:34 | 29:71 | 212 (106.7) |”
§ Primary care Consultation length in general practice: cross sectional study in six European countries > What is already known on this topic
“| | Men | Women | Total | Men | Women | Total | | Country | (n=127) | (n=63) | (n=190) | (n=1503) | (n=2171) | (n=3674) |”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Primary care Consultation length in general practice: cross sectional study in six European countries > Determinants of consultation length
“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 > What is already known on this topic
“| 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
Cites
International Classification of Primary Care
Bentsen, B. G. (1986) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813438609013970 · Cited by 900
Sex Differences in Patients?? and Physicians?? Communication During Primary Care Medical Visits
Drph, D. R., Lipkin, M., & Korsgaard, A. (1991) · Medical Care · doi:10.1097/00005650-199111000-00002 · Cited by 414
Multilevel Models: Applications to Health Data
Rice, N., & Leyland, A. H. (1996) · Journal of Health Services Research & Policy · doi:10.1177/135581969600100307 · Cited by 273
Morrell, D. C., Evans, M. E., Morris, R. W., & Roland, M. O. (1986) · BMJ · doi:10.1136/bmj.292.6524.870 · Cited by 211
Does awareness of being video recorded affect doctors' consultation behaviour?
(1990) · PubMed Central · Cited by 186
Service profiles of general practitioners in Europe. European GP Task Profile Study.
Boerma, W. G. W., van der Zee, J., & Fleming, D. (1997) · PubMed · Cited by 131
Consultation length in general practice: a review.
(1991) · Europe PMC (PubMed Central) · Cited by 114
van den Brink-Muinen, A., Verhaak, P., Bensing, J., Bahrs, O., Deveugele, M., Gask, L., Leiva, F., Mead, N., Messerli, V., Oppizzi, L., et al. (2000) · Patient Education and Counseling · doi:10.1016/s0738-3991(99)00098-1 · Cited by 107
Self-citationQuality and the use of time in general practice: widening the discussion.
Howie, J. G., Porter, A. M., & Forbes, J. (1989) · BMJ · doi:10.1136/bmj.298.6679.1008 · Cited by 107
Detection of Psychologic Complaints by General Practitioners
Verhaak, P. F. M. (1988) · Medical Care · doi:10.1097/00005650-198810000-00009 · Cited by 58
Research works printed but not linked: 1
- Murray, 1978, Consulting time and prescribing rates., Update, 16, 969
Cited by
Sorted by citations
Items 201–300 of 513
Good communication skills: Benefits for doctors and patients
Hawken, S. J. (2005) · Cited by 19
Validation of a Spanish version of the Test Your Memory
Ferrero-Arias, J., & Turrión-Rojo, M. Á. (2015) · Neurología (English Edition) · doi:10.1016/j.nrleng.2013.12.018 · Cited by 19
“They were categorised into 3 groups: (1) Cognitively normal (739), (2) with mild cognitive impairment (183), (3) with dementia (127).”
Communication with patients and the duration of family medicine consultations
Bolívar, F. J. V., González, M. P., Martos, H. M., García, I. C., & Durántez, J. T. (2017) · Atención Primaria · doi:10.1016/j.aprim.2017.07.001 · Cited by 19
Chan, S. L., Sit, J. W. H., Ang, W. W., & Lau, Y. (2024) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2024.104886 · Cited by 26
Measuring the operational impact of digitized hospital records: a mixed methods study
Scott, P., Curley, P. J., Williams, P. B., Linehan, I. P., & Shaha, S. H. (2016) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-016-0380-6 · Cited by 18
“Other studies of general practice have treated patient consultations as statistically independent in a like manner [34, 35].”
BackgroundA Narrative Review of Slow Medicine Outcomes
Marx, R., & Kahn, J. G. (2021) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2021.06.210137 · Cited by 19
Geldsetzer, P., Fink, G., Vaikath, M., & Bärnighausen, T. (2016) · Health Services Research · doi:10.1111/1475-6773.12611 · Cited by 18
“For this typical scenario, we chose a mean consultation length of 10.7 minutes (standard deviation of 6.7 minutes), which was the mean consultation length and variance reported by an assessment of primary care consultation lengths across six countries (Deveugele et al. 2002).”
MethodInfluentialvan den Brink-Muinen, A., van Dulmen, S., Bensing, J. M., Maaroos, H.-I., Tähepõld, H., Krol, Z., Plawecki, L. H., Oana, S., Boros, M. J., Sätterlund-Larsson, U., et al. (2003) · Data Archiving and Networked Services (DANS) · Cited by 18
Self-citationAtherosclerosis knowledge – diagnosis and management in primary care
Charasson, M., Mahé, G., Brun, C. L., Jaquinandi, V., Rossignol, E., Faucheur, A. L., & Omarjee, L. (2018) · VASA · doi:10.1024/0301-1526/a000727 · Cited by 17
Swanson, K. M., Matulis, J. C., & McCoy, R. G. (2022) · BMC Family Practice · doi:10.1186/s12875-022-01644-8 · Cited by 17
“Using data from an integrated healthcare delivery system in the Midwestern United States, we aimed to assess for potential inferiority of short (15-min) appointment lengths in the primary care setting compared to longer (≥ 30-min or greater) appointments by examining downstream healthcare utilization including return…”
BackgroundInfluentialJunius‐Walker, U., Wrede, J., Schleef, T., et al. (2012) · BMC Research Notes · doi:10.1186/1756-0500-5-443 · Cited by 17
“Compared with other European countries, German GP consultations are distinguished by high patient contact rates and short consultations [16].”
BackgroundTakahashi, J., Kawai, H., Suzuki, H., Fujiwara, Y., Watanabe, Y., Hirano, H., Kim, H., Ihara, K., Miki, A., & Obuchi, S. P. (2020) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.13836 · Cited by 17
Gude, T., Vaglum, P., Anvik, T., et al. (2013) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813432.2012.751698 · Cited by 17
“[5] found that consultation length increased from 11 to 12 minutes when disclosed psychosocial problems were acknowledged by the GP.”
BackgroundKhori, 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
“also found that the sex of the doctor did not influence consultation time [5].”
BackgroundMethodResultInfluentialZantinge, E. M., Verhaak, P. F. M., de Bakker, D. H., et al. (2006) · BMC Family Practice · doi:10.1186/1471-2296-7-71 · Cited by 17
“As mentioned in the introduction, GPs' attention for patients' mental health problems may influence their workload in specific situations, such as in consultations where patients' psychological complaints play a part [4,7].”
BackgroundSelf-citationPatient Satisfaction, Doctor Effort, And Interview Location : Evidence From Paraguay
Sohnesen, T. P., & Das, J. (2006) · World Bank, Washington, DC eBooks · doi:10.1596/1813-9450-4086 · Cited by 17
“For instance, Davies and Ware (1988) conclude that “consumers can provide a valid assessment of quality and that bias from personal characteristics is not strong enough to invalidate consumers’ ratings”, a finding that contrasts with those of Eriksen (1987) and Chang et al.”
ResultConsistency between headache diagnoses and ICHD-3 criteria across different levels of care
Overeem, L. H., Ulrich, M., Fitzek, M. P., et al. (2025) · The Journal of Headache and Pain · doi:10.1186/s10194-024-01937-6 · Cited by 16
Hawes, R. H., Andrzejowski, J., Goodhart, I. M., Berthoud, M., & Wiles, M. D. (2015) · Anaesthesia · doi:10.1111/anae.13340 · Cited by 16
“class and surgical complexity, which have been shown to affect other clinic times [10].”
BackgroundChallenges of Drug Risk Communications in the Philippines
Hartigan-Go, K. Y. (2012) · Drug Safety · doi:10.1007/bf03261987 · Cited by 16
Casanova, L., Ringa, V., Bloy, G., Hector Falcoff, C., & Rigal, L. (2015) · Family Practice · doi:10.1093/fampra/cmv068 · Cited by 16
Martínez‐Borba, V., Suso‐Ribera, C., & Osma, J. (2018) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2018.0416 · Cited by 18
van Dijk, C. E., Verheij, R. A., Brake, H. T., et al. (2013) · The European Journal of Health Economics · doi:10.1007/s10198-013-0458-3 · Cited by 16
Witt, C. M., Lüdtke, R., & Willich, S. N. (2009) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-009-0988-1 · Cited by 15
“3 min of a German GP consultation [32], but might be compensated by their low frequency.”
BackgroundClerc‐Urmès, I., L’Haridon, O., Paraponaris, A., Protopopescu, C., & Ventelou, B. (2011) · Applied Economics · doi:10.1080/00036846.2011.572858 · Cited by 16
Factors affecting consultation length in a Japanese diabetes practice
Kabeya, Y., Uchida, J., Toyoda, M., et al. (2017) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2016.12.020 · Cited by 16
“, older patients, female patients, presence of psychological problems, and high social class [3-8]] and clinical practice [practice size and geographical access to a medical facility [3-5, 9]].”
BackgroundResultInfluentialThe knowledge and attitudes of the primary care physicians on developmental dysplasia of the hip
Üzel, M., Ergün, G., & Ekerbiçer, H. Ç. (2007) · Saudi Medical Journal · doi:10.15537/1658-3175.4063 · Cited by 16
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
Direct‐to‐consumer advertising of pharmaceuticals: developed countries experiences and Turkey
Şemin, S., Aras, Ş., & Güldal, D. (2006) · Health Expectations · doi:10.1111/j.1369-7625.2006.00411.x · Cited by 16
Widmer, M., Herren, S., Dönges, A., Marian, F., & Busato, A. R. (2006) · Complementary Medicine Research · doi:10.1159/000094448 · Cited by 16
Clinical decision making in veterinary practice
Everitt, S. (2011) · UPT. Syiah Kuala University Library (Syiah Kuala University) · Cited by 16
Structure and content in consultations with patients undergoing surgery for colorectal cancer
Carlsson, E. K., Pettersson, M. E., Hydén, L., Öhlén, J., & Friberg, F. (2013) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2013.07.002 · Cited by 15
Prescription of benzodiazepines in Slovenian family medicine: a qualitative study
Šubelj, M., Vidmar, G., & Švab, V. (2010) · Wiener klinische Wochenschrift · doi:10.1007/s00508-010-1413-2 · Cited by 15
“Th is inevitably leads to reductions in counselling, support and treatment options in the latter group [ 25 ].”
BackgroundValidation of the Test Your Memory (F-TYM Test) in a French Memory Clinic Population
Postel‐Vinay, N., Hanon, O., Clerson, P., Brown, J. M., Ménard, J., Paillaud, É., Alonso, E., Pasquier, F., Pariel, S., Belliard, S., et al. (2014) · The Clinical Neuropsychologist · doi:10.1080/13854046.2014.934716 · Cited by 15
Malpas, P. J. (2011) · Journal of Medical Ethics · doi:10.1136/jme.2010.039701 · Cited by 15
“In comparison, the UK, The Netherlands and Australia have average consultations times ranging between 10 and 12 min.(33) It would seem self-evident that effective education and communication between a GP and older patient is crucial to ensure that patients are adequately knowledgeable so they can articulate informed a…”
BackgroundGelly, J., Bel, J. L., Aubin-Auger, I., Mercier, A., Youssef, E., Mentré, F., Nougairède, M., Letrilliart, L., Duval, X., & the ECOGEN study group (2014) · Family Practice · doi:10.1093/fampra/cmu032 · Cited by 15
To Screen or Not to Screen? Examining the Arguments Against Screening for Atrial Fibrillation
Neubeck, L., Orchard, J. J., Lowres, N., & Freedman, S. B. (2017) · Heart Lung and Circulation · doi:10.1016/j.hlc.2017.05.118 · Cited by 15
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
“The main characteristics of patients with a higher annual number of visits and a higher AADT with a PCP were: female, older in age, a higher Charlson index (all three of which coincide with previously known data [1, 6]), of a low SES (which could be explained by Israel’s public health care system, providing highly ava…”
BackgroundImplementing quality indicators for diabetes and hypertension in family medicine in Slovenia
Klemenc–Ketiš, Z., Švab, I., & Susič, A. P. (2017) · Slovenian Journal of Public Health · doi:10.1515/sjph-2017-0029 · Cited by 15
“These might include systemic factors, reimbursement, service organisation and capacity, cultural factors, disease epidemiology, practice systems in terms of incentives, practice information capacity, access, the use of teams in quality policy, detection of quality and safety problems, staff and patient safety, inclusi…”
BackgroundHealth Services Management in Turkey: Failure or Success?
Bener, A., Alayoğlu, N., Çatan, F., Torun, P., & Yılmaz, E. Ş. (2019) · International Journal of Preventive Medicine · doi:10.4103/ijpvm.ijpvm_422_17 · Cited by 15
“[25] Moreover, the health indicators are not comparable with the developed [5] 620 15.6±8.7 The USA Levinson and Chaumenton, 1999 [21] 106 13 Croatia Ozvacić Adzić, 2008 [10] 5527 11.5±5.5 Turkey Kringos et al ., 2011 [29] 1548 11 Japan Kabeya et al ., 2017 [31] 1197 10.1 Solvenia Petek Ster et al…”
ResultInfluentialDas Verbundvorhaben „Komorbidität und Multimorbidität in der hausärztlichen Versorgung“ (MultiCare)
van den Bussche, H., & Scherer, M. (2011) · Zeitschrift für Gerontologie und Geriatrie · doi:10.1007/s00391-011-0249-3 · Cited by 14
Huber, M., Kullak-Ublick, G. A., & Kirch, W. (2008) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.1682 · Cited by 14
Sebo, P., Cerutti, B., Fournier, J., et al. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017958 · Cited by 14
“When compared with other European countries, the consultation time is particularly high in Switzerland.(49) The large diversity in the way screening for dyslipidaemia and prostate cancer are provided could be related to three interrelated factors: lack of knowledge of the current guidelines, barriers to guideline adhe…”
ResultInfluentialDevelopment of a brief version of the Autism Detection in Early Childhood
Nah, Y., Young, R. L., & Brewer, N. (2018) · Autism · doi:10.1177/1362361318757563 · Cited by 14
“Email: yonghwee.nah@nie.edu.sg (standard deviation (SD) = 6.7) min (Deveugele et al., 2002).”
InfluentialPostigo, J., Bravo, B. N., Delgado, M. P., Salguero, J. M., Wood, C. M., & Vindel, A. C. (2012) · Revista Clínica de Medicina de Familia · doi:10.4321/s1699-695x2012000100007 · Cited by 21
Davidsen, A., & Reventlow, S. (2010) · Health · doi:10.1177/1363459310369080 · Cited by 17
The manifestation of job satisfaction in doctor-patient communication; a ten-country European study.
Bensing, J., van den Brink-Muinen, A., Boerma, W., & van Dulmen, S. (2013) · Data Archiving and Networked Services (DANS) · doi:10.5750/ijpcm.v3i1.381 · Cited by 19
Self-citationWhat do physicians dislike about managed care? Evidence from a choice experiment
Rischatsch, M., & Zweifel, P. S. (2012) · The European Journal of Health Economics · doi:10.1007/s10198-012-0405-8 · Cited by 14
“SDM is widely applied in practice (especially encouraged by MC networks) in Switzerland, at least compared to other countries [6].”
BackgroundDermatology consultations: how long do they take?
Wong, J. L. C., Vincent, R. C., & Al-Sharqi, A. (2017) · Future Hospital Journal · doi:10.7861/futurehosp.4-1-23 · Cited by 13
Psychological determinants of the intention to educate patients about benzodiazepines
Wolde, G. B. T., Dijkstra, A., van Empelen, P., Neven, A., & Zitman, F. (2007) · Pharmacy World & Science · doi:10.1007/s11096-007-9183-2 · Cited by 14
“In addition to this, the workload of the general practitioner is even higher when health problems are psychological or social in nature, as these problems take up more time than physical problems [35, 36].”
BackgroundDutch General Practitioners’ weight management policy for overweight and obese patients
Kloek, C. J. J., der Tol, J. J. H.-V., Veenhof, C., van der Wulp, I., & Swinkels, I. C. (2014) · BMC Obesity · doi:10.1186/2052-9538-1-2 · Cited by 13
“This result was in keeping with the findings of other studies [17,26] and comprehensible with the fact that Dutch GPs are paid per patient by the primary health care insurance cover, based on an average consultation time of 10 minutes [36].”
ResultSnape, D., Morgan, M., Ridsdale, L., Goodacre, S. W., Marson, A. G., & Noble, A. J. (2017) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2017.01.006 · Cited by 13
“In the UK, there remains no routine course that patients or carers can take as there are for other chronic conditions [3–7] and timewithin routine appointments to obtain information is limited [8,9].”
Tunay, M., Kurdak, H., Özcan, S., Özdemir, Ç., & Özer, Z. Y. (2018) · Obesity Facts · doi:10.1159/000486133 · Cited by 14
Silhol, J., Ventelou, B., & Zaytseva, A. (2020) · The European Journal of Health Economics · doi:10.1007/s10198-020-01222-8 · Cited by 13
Robinson, N., Connolly, J., Suddery, G., Turner, M., & Kavanagh, D. J. (2021) · IEEE RO-MAN · doi:10.1109/ro-man50785.2021.9515558 · Cited by 14
“This includes saving practitioner time during the session and identifying issues they might not otherwise have had the opportunity to draw out [32].”
BackgroundAwareness of diagnostic and clinical features of fibromyalgia among orthopedic surgeons
Bloom, S., Ablin, J. N., Lebel, D., et al. (2012) · Rheumatology International · doi:10.1007/s00296-012-2488-z · Cited by 13
Ingravallo, F., Cerquetti, I., Vignatelli, L., Albertini, S., Bolcato, M., Camerlingo, M. D., Corbi, G., Leo, D. D., Nicolò, A. D., Stefano, F. D., et al. (2020) · International Journal of Legal Medicine · doi:10.1007/s00414-020-02368-z · Cited by 13
Kass, B., Icke, K., Witt, C. M., & Reinhold, T. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05706-4 · Cited by 18
Money For Nothing : The Dire Straits Of Medical Practice In Delhi, India
Hammer, J. S., & Das, J. (2005) · World Bank, Washington, DC eBooks · doi:10.1596/1813-9450-3669 · Cited by 73
Schmidt, E., Schöpf, A. C., & Farin‐Glattacker, E. (2016) · Psychology Health & Medicine · doi:10.1080/13548506.2016.1248450 · Cited by 12
Angerhöfer, C., Hoehne, C. L., Ulrich, M., Lange, K. S., Fitzek, M. P., Salim, Y., Reuter, U., Overeem, L. H., & Raffaelli, B. (2025) · The Journal of Headache and Pain · doi:10.1186/s10194-025-02189-8 · Cited by 13
“Contributing factors include limited consultation time during early-stage care and the clinical overlap between migraine and other headache disorders [5, 6].”
Does the duration of ambulatory consultations affect the quality of healthcare? A systematic review
León‐García, M., Wieringa, T. H., Suárez, N. R. E., Hernández, M. J., Villanueva, G., Ospina, N. S., Hidalgo, J., Prokop, L. J., Calderón, C. R., LeBlanc, A., et al. (2023) · BMJ Open Quality · doi:10.1136/bmjoq-2023-002311 · Cited by 16
Comparison of rural and urban French GPs’ activity: a cross-sectional study
Lurquin, Kellou, Colin, C., & Letrilliart, L. (2021) · Rural and Remote Health · doi:10.22605/rrh5865 · Cited by 11
Ehrenamtliches Engagement, kollektive Selbsthilfe und politische Beteiligung im Gesundheitswesen
Matzat, J. (2009) · VS Verlag für Sozialwissenschaften eBooks · doi:10.1007/978-3-531-92117-4_22 · Cited by 11
Gesundheitsberatung als ärztliche Aufgabe
Kunstmann, W., & Henke, R. (2006) · Prävention und Gesundheitsförderung · doi:10.1007/s11553-006-0023-3 · Cited by 11
“Verschiedene Studien haben gezeigt, dass dem hausärztlich tätigen Arzt pro Patientenkontakt im Durchschnitt nur etwa 7 min zur Verfügung stehen [6].”
BackgroundRobinson, N., Lorenc, A., Falinski, A., & Banarsee, R. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.03.007 · Cited by 11
“Reported lack of time is likely related to short consultation length, influenced mainly by patient factors as well as workload [60].”
BackgroundExploring pharmacist–customer communication: the established blood pressure measurement episode
Cavaco, A. M. D. N., & Romano, J. P. (2010) · Pharmacy World & Science · doi:10.1007/s11096-010-9413-x · Cited by 11
Sebo, P., Maisonneuve, H., Cerutti, B., Fournier, J., Senn, N., Rat, C., & Haller, D. M. (2017) · PLoS ONE · doi:10.1371/journal.pone.0184032 · Cited by 11
“[21,50,51] The extent to which in France the absence of one unified preventive recommendations’ document also contributes to the lower uptake of preventive practices deserves further exploration.”
Backgroundvan Hassel, D., Verheij, R. A., & Batenburg, R. S. (2018) · The International Journal of Health Planning and Management · doi:10.1002/hpm.2663 · Cited by 11
Laboratory-based surveillance of COVID-19 in the Greater Helsinki area, Finland, February–June 2020
Jarva, H., Lappalainen, M., Luomala, O., et al. (2020) · International Journal of Infectious Diseases · doi:10.1016/j.ijid.2020.12.038 · Cited by 11
“Abundant evidence shows that women generally seek more healthcare services than men (Deveugele et al., 2002; Thompson et al., 2016).”
Grot, M., Kugai, S., Degen, L., Wiemer, I., Werners, B., & Weltermann, B. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20031767 · Cited by 10
“6 min [29] does not cover any additional tasks of the physician, such as documentation and other patient-related inquiries.”
BackgroundHow to improve mental health competency in general practice training?: A SWOT analysis
van Marwijk, H. (2004) · European Journal of General Practice · doi:10.3109/13814780409094234 · Cited by 10
Ayaktan tanı ve tedavi başvurularında hasta başına kaç dakika ayrılmalıdır?
Yardim, M. S., & Eser, E. (2017) · Türkiye Halk Sağlığı Dergisi · doi:10.20518/tjph.326827 · Cited by 10
A pilot study of the duration of GP consultations in Ireland
Pierse, T., Barry, L. E., Glynn, L. G., Quinlan, D., Murphy, A. W., & O’Neill, C. (2019) · Pilot and Feasibility Studies · doi:10.1186/s40814-019-0532-4 · Cited by 8
The Voices and Rooms of European Bioethics
Huxtable, R., & ter Meulen, R. (2015) · Routledge eBooks · doi:10.26530/oapen_575252 · Cited by 16
Définition et évaluation de la douleur
Acapo, S., Seyrès, P., & Savignat, É. (2017) · Kinésithérapie la Revue · doi:10.1016/j.kine.2017.02.132 · Cited by 12
Integration of an OWL-DL Knowledge Base with an EHR Prototype and Providing Customized Information
Jing, X., Kay, S., Marley, T., & Hardiker, N. R. (2014) · Journal of Medical Systems · doi:10.1007/s10916-014-0075-4 · Cited by 9
Mein Hausarzt hat Zeit für mich - Wunsch und Wirklichkeit
Bahrs, O. (2003) · Cited by 10
Time to Listen More and Talk Less
Bokhour, B. G., & Cutrona, S. L. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4711-4 · Cited by 10
Brouwers, E. P. M. (2005) · The British Journal of Social Work · doi:10.1093/bjsw/bch229 · Cited by 10
The distributional impact of public spending in the UK
O’Dea, C., & Preston, I. (2017) · doi:10.1920/wp.ifs.2012.1206 · Cited by 10
van den Berg, M. J. (2010) · Research portal (Tilburg University) · Cited by 10
The Lower Saxony Bank of Health
Plischke, M., Haarbrandt, B., Rochon, M., Schwartze, J., Tute, E., Bartkiewicz, T., Kleinschmidt, T., Seidel, C., Schüttig, H., Haux, R., et al. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0003 · Cited by 9
“Measures to improve usability and enable seamless workflows have been focused especially in co operation with clinicians and primary care providers [48].”
BackgroundExploring the training and scope of practice of GPs in England, Germany and Spain
Glonti, K., Struckmann, V., Alconada, A., et al. (2018) · Gaceta Sanitaria · doi:10.1016/j.gaceta.2017.10.011 · Cited by 9
Klastrup, L. K., Rosendal, M., Rask, M. T., Christensen, K. S., & Rask, C. U. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.110765 · Cited by 9
Kim, J., Byun, S.-J., Son, D., & Kim, H. A. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-064369 · Cited by 9
Waterworth, S., Gott, M., Raphael, D. L., et al. (2011) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2010.00984.x · Cited by 9
“In NZ the approx length of a consultation is 15 minutes (The Royal New Zealand College of General Practitioners 2006); in the UK the mean length is 9.4 minutes (Deveugele et al. 2002).”
BackgroundInfluentialGulbrandsen, P., Østbye, T., Lyna, P. R., Dolor, R. J., Tulsky, J. A., Alexander, S. C., & Pollak, K. I. (2012) · PubMed · Cited by 9
Attitudes and practices of primary healthcare center patients about drug use in Turkey
Arslan, L. S., & Şemin, S. (2005) · Patient Education and Counseling · doi:10.1016/j.pec.2005.07.010 · Cited by 10
“1 min) was similar to that of developing countries [62,63].”
ResultDoctor-patient communication. Time to talk.
Lussier, M., & Richard, C. (2006) · PubMed · Cited by 9
General practice location and malpractice litigation
Birkeland, S., & Bogh, S. B. (2019) · Rural and Remote Health · doi:10.22605/rrh4663 · Cited by 9
Hansson, A., Gunnarsson, R. K., & Mattsson, B. (2007) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813430701237705 · Cited by 9
“What would be regarded as rather short visits in Sweden are looked upon as long in many other countries [20].”
BackgroundHullegie, P., & Klein, T. J. (2010) · SSRN Electronic Journal · doi:10.2139/ssrn.1653271 · Cited by 9
Management of Preoperative Anxiety via Virtual Reality Technology: A Systematic Review
Alimonaki, E. C., Bothou, Α., Diamanti, A., Δελτσίδου, Ά., Paliatsiou, S., Karampas, G., & Kyrkou, G. A. (2025) · Nursing Reports · doi:10.3390/nursrep15080268 · Cited by 13
“The high demand for medical personnel leads to a culture of short medical examinations [57].”
van Linschoten, R. C. A., van Loon, C. M., Joanknecht, L., & Bischoff, E. W. M. A. (2026) · npj Digital Medicine · doi:10.1038/s41746-026-02454-3 · Cited by 10
Bú, E. A. D., Eggly, S. S., Penner, L. A., & Hagiwara, N. (2025) · Patient Education and Counseling · doi:10.1016/j.pec.2025.108653 · Cited by 10
Rachamin, Y., Meier, R., Grischott, T., et al. (2019) · PLoS ONE · doi:10.1371/journal.pone.0227280 · Cited by 8
“Data Availability Statement: Legal restrictions in Switzerland prohibit public release of original patient data without consent.”
BackgroundInfluentialHoffman, R., Thielmann, A., Buczkowski, K., Edirne, T., Hoffmann, K., Koskela, T., Lingner, H., Mevsim, V., Tekiner, S., Zielinski, A., et al. (2020) · Journal of Gender Studies · doi:10.1080/09589236.2020.1843010 · Cited by 8
Lussier, M., Richard, C., Diallo, F. B., Boivin, N., Hudon, C., Boustani, É., Witteman, H. O., & Jbilou, J. (2020) · Health Expectations · doi:10.1111/hex.13158 · Cited by 8
Improving quality of care for mental illness in an uninsured, low-income primary care population
Mauksch, L. B., Reitz, R., Tucker, S., Hurd, S., Russo, J. E., & Katon, W. J. (2007) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2007.04.002 · Cited by 8
“People who suffer from mental illness, particularly depression and anxiety, generate higher health care costs [4,5] and have more [6] and longer visits [7,8] with primary care physicians than people without mental illness.”
BackgroundSummers, R. H., Moore, M. V., Ekberg, S., Chew-Graham, C. A., Little, P. S., Stevenson, F. A., Brindle, L. A., & Leydon, G. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2015.12.005 · Cited by 8
“Although patients typically attend GP appointments with multiple concerns [3-5], British GP consultations are time-limited; often scheduled to last for approximately 10 minutes [6].”
Background
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.
A language model drew the claims from the paper on 2026-10-14, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-14 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Cited sources are checked with a language model’s help (gpt-6-sol).
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
