ArticleAtencion primaria2004
[Clinical management of consultations: clinical content and predictability (SyN-PC Study)].
Article in Atencion primaria, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed.
- Successful GP intervention with frequent attenders in primary care: randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Trial
- Digitized Prenatal Newsletter: Impact on Obstetric Patient Satisfaction and Loyalty.International journal of environmental research and public health · 2022Article
- [Primary care consultations: are they all by the doctor?].Atencion primaria · 2011Article
- [Organizational procedures and health care management. A point of view from primary care centres].Atencion primaria · 2011Article
- [De-bureaucratization of clinics. To where?].Atencion primaria · 2009Article
- [Frequency of attendance and degree of control of type-2 diabetic patients].Atencion primaria · 2008Article
- [Motives that condition use of the health services by over-users: study with focus groups].Atencion primaria · 2007Article
- [Doctor-induced demand: Applications of economic theory in clinical practice].Atencion primaria · 2006Article
- [Validity of clinical records and information systems in studies of health-care delivery in primary care].Atencion primaria · 2005Article
- [Characteristics of health care demand in family medicine clinics in a health area of the community of Valencia].Atencion primaria · 2005Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe care activity as a function of the nature of the consultation (predictability) and the needs of the patients (clinical content). To analyse the relationship of these with the characteristics of the consultation, of the patient and of the centre.
designMulti-centre, descriptive, observational study.
settingPrimary care. Area 17 of the Health Department of the Community of Valencia, with 197316 inhabitants and 12 health centres.
participantsInformation gathering in real time by outside observer. Stratified randomised sampling of 2051 patients who gave rise to 3008 reasons for medical consultation. MAIN MEASUREMENTS: Predictable consultations (Pr): their content can be foreseen (check-ups, picking up results). Unpredictable consultations (Unp): we cannot predict their content (acute problems may arise unexpectedly). These include urgent consultations. Administrative consultations (Ad): bureaucratic tasks (prescriptions, repeat sick-notes, sick certificates). Care consultations (Car): prevention, diagnosis and treatment of the illness, or monitoring of it. Variables here are the patient, the doctor and the consultation.
results60% (1809) (95% CI, 58.69%-61.59%) of the reasons were Pr and 40% (1199) (95% CI, 36.6%-43.12%) were Unp. 50% (1509) (95% CI, 47.26%-53.06%) were Car, and 50% Ad (1499) (95% CI, 46.34%-53.39%). 40% (1189) (95% CI, 37.78%-41.28%) were Pr-Ad and only 21% (620) (95% CI, 19.16%-22.06%) were Pr-Car. 30% (889) (95% CI 27.92 %-31.18%) were Unp-Car, and 10% (310) (95% CI, 9.22%-11.4%) Unp-Ad. 48% of patients with a single reason for attendance were Pr-Ad (577) (95% CI, 44.25%-52.05). Teaching centres and computerised ones had less Pr-Ad load. Pr-Ad consultations increased with patient's age and with case-load.
conclusionsAlmost 40% of the reasons for consultation are Pr-Ad, which implies inadequate clinical management. An intervention is needed to free up medical time consumed by bureaucratic questions, so that this time can be devoted fully to health-care tasks.
Indexed as
Identifiers
What 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.