ArticleBMJ (Clinical research ed.)2002
Patients' perceptions of entitlement to time in general practice consultations for depression: qualitative study.
Article in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 106 citations in OpenAlex.
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- How do patients and families evaluate attitude of psychiatrists in Japan?: quantitative content analysis of open-ended items of patient responses from a large-scale questionnaire survey.BMC psychiatry · 2023Article
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- Detection and treatment of depressive disorder in the spanish health system: a critical review.Actas espanolas de psiquiatria · 2022Review
- 'Never change a winning team': GPs' perspectives on discontinuation of long-term antidepressants.Scandinavian journal of primary health care · 2021Article
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- "Every structure we're taught goes out the window": General practitioners' experiences of providing help for patients with emotional concerns'.Health & social care in the community · 2020Article
- Helping people discontinue long-term antidepressants: views of health professionals in UK primary care.BMJ open · 2019Article
- The failure of suicide prevention in primary care: family and GP perspectives - a qualitative study.BMC psychiatry · 2017Article
- A web-based clinical decision tool to support treatment decision-making in psychiatry: a pilot focus group study with clinicians, patients and carers.BMC psychiatry · 2017Article
- Mental health care and delivery system at Temeke hospital in Dar es Salaam, Tanzania.BMC psychiatry · 2017Article
- 'She believed in me'. What patients with depression value in their relationship with practitioners. A secondary analysis of multiple qualitative data sets.Health expectations : an international journal of public participation in health care and health policy · 2017Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate patients' perceptions of entitlement to time in general practice consultations for depression.
designQualitative study based on interviews with patients with mild to moderate depression.
settingEight general practices in the West Midlands and the regional membership of the Depression Alliance.
participants32 general practice patients and 30 respondents from the Depression Alliance.
resultsAn intense sense of time pressure and a self imposed rationing of time in consultations were key concerns among the interviewees. Anxiety about time affected patients' freedom to talk about their problems. Patients took upon themselves part of the responsibility for managing time in the consultation to relieve the burden they perceived their doctors to be working under. Respondents' accounts often showed a mismatch between their own sense of time entitlement and the doctors' capacity to respond flexibly and constructively in offering extended consultation time when this was necessary. Patients valued time to talk and would often have liked more, but they did not necessarily associate length of consultation with quality. The impression doctors gave in handling time in consultations sent strong messages about legitimising the patients' illness and their decision to consult.
conclusionsPatients' self imposed restraint in taking up doctors' time has important consequences for the recognition and treatment of depression. Doctors need to have a greater awareness of patients' anxieties about time and should move to allay such anxieties by pre-emptive reassurance and reinforcing patients' sense of entitlement to time. Far from acting as "consumers," patients voluntarily assume responsibility for conserving scarce resources in a health service that they regard as a collective rather than a personal resource.
Indexed as
Identifiers
12351362PMC126657W1529927872What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.