Abstract
This study looked at the effect of different appointment time intervals on process and outcome measures in the consultation. Over a five-month period patients attending a two-partner surgery were non-systematically allocated to appointments at five, 10 or 15 minute intervals. Consultations were audiotaped and analysed. When appointments were scheduled at longer intervals, doctors asked significantly more questions and made significantly more statements explaining the problem and its management, while patients asked significantly more questions and made significantly more statements of their own ideas about the problem. In consultations booked at shorter intervals patients were significantly more likely to report in satisfaction questionnaires that they had little or far too little time available. The implications of the results for future planning are discussed.
Full text
PDF![488](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd0/1712205/65b46bd0cf87/jroyalcgprac00012-0005.png)
![489](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd0/1712205/26010c9bd996/jroyalcgprac00012-0006.png)
![490](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd0/1712205/9fd390097891/jroyalcgprac00012-0007.png)
![491](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd0/1712205/c30647034a48/jroyalcgprac00012-0008.png)
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bain D. J. Doctor-patient communication in general practice consultations. Med Educ. 1976 Mar;10(2):125–131. doi: 10.1111/j.1365-2923.1976.tb00545.x. [DOI] [PubMed] [Google Scholar]
- Butler J. R., Calnan M. W. List sizes and use of time in general practice. Br Med J (Clin Res Ed) 1987 Nov 28;295(6610):1383–1386. doi: 10.1136/bmj.295.6610.1383. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hughes D. Consultation length and outcome in two group general practices. J R Coll Gen Pract. 1983 Mar;33(248):143–147. [PMC free article] [PubMed] [Google Scholar]
- Morrell D. C., Evans M. E., Morris R. W., Roland M. O. The "five minute" consultation: effect of time constraint on clinical content and patient satisfaction. Br Med J (Clin Res Ed) 1986 Mar 29;292(6524):870–873. doi: 10.1136/bmj.292.6524.870. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Roland M. O., Bartholomew J., Courtenay M. J., Morris R. W., Morrell D. C. The "five minute" consultation: effect of time constraint on verbal communication. Br Med J (Clin Res Ed) 1986 Mar 29;292(6524):874–876. doi: 10.1136/bmj.292.6524.874. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Verby J. E., Holden P., Davis R. H. Peer review of consultations in primary care: the use of audiovisual recordings. Br Med J. 1979 Jun 23;1(6179):1686–1688. doi: 10.1136/bmj.1.6179.1686. [DOI] [PMC free article] [PubMed] [Google Scholar]