ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2007
More time for complex consultations in a high-deprivation practice is associated with increased patient enablement.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 4 of them syntheses that pooled it.
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Who cites it
63 citing papers in PubMed, 4 syntheses or guidelines pooled it, 114 citations in OpenAlex.
- Development of a PROM to measure patient-centredness in chronic care consultations in primary care.Health and quality of life outcomes · 2025Pooled it
- General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.BMC family practice · 2020Pooled it
- International variations in primary care physician consultation time: a systematic review of 67 countries.BMJ open · 2017Pooled it
- Interventions to increase or decrease the length of primary care physicians' consultation.The Cochrane database of systematic reviews · 2016Pooled it
- Trial
- Trial
- A multidisciplinary primary care team consultation in a socio-economically deprived community: an exploratory randomised controlled trial.BMC health services research · 2011Trial
- Shared Decision-Making and Patient Enablement in Outpatient Rehabilitation: An Observational Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Observational
- Letter to the Editor on "Surprisingly Helpful: The Introduction of Portal Practice Slots to Address the In-Basket Explosion and Physician Burnout".Journal of general internal medicine · 2026Article
- Global health worker visit time variation: A systematic review.Health policy OPEN · 2026Article
- 'We're all doing different things' - exploring primary care practitioners' perspectives of managing distress: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Managing consultation duration in primary care: A systematic review with health equity insights.Journal of family medicine and primary care · 2025Review
- Patient's perceived empathy can predict doctor-patient relationship in medical interaction.BMC medical education · 2025Article
- Integrated Primary Care Mental Health Service: A Qualitative Exploration of an Integrated Approach to Supporting People with Significant Mental Health Problems in Primary Care.Community mental health journal · 2025Article
- Article
- Barriers and facilitators of prevention of infections related to cancer: A systematic literature review.Heliyon · 2024Article
- Article
- The performance of general practice in the English National Health Service (NHS): an analysis using Starfield's framework for primary care.Health affairs scholar · 2024Article
- Article
- Patients' experiences of GP consultations following the introduction of the new GP contract in Scotland: a cross-sectional survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence of the beneficial effects of longer consultations in general practice is limited.
aimTo evaluate the effect of increasing consultation length on patient enablement in general practice in an area of extreme socioeconomic deprivation. DESIGN OF STUDY: Longitudinal study using a 'before and after' design.
settingKeppoch Medical Centre in Glasgow, which serves the most deprived practice area in Scotland.
methodParticipants were 300 adult patients at baseline, before the introduction of longer consultations, and 324 at follow-up, more than 1 year after the introduction of longer consultations. The intervention studied was more time in complex consultations. Patient satisfaction, perceptions of the GPs' empathy, GP stress, and patient enablement were collected by face-to-face interview. Additional qualitative data were obtained by individual interviews with the GPs, relating to their perceptions of the impact of the longer consultations.
resultsResponse rates of 70% were obtained. Overall, 53% of consultations were complex. GP stress was higher in complex consultations. Patient satisfaction and perception of the GPs' empathy were consistently high. Average consultation length in complex consultations was increased by 2.5 minutes by the intervention. GP stress in consultations was decreased after the introduction of longer consultations, and patient enablement was increased. GPs' views endorsed these findings, with more anticipatory and coordinated care being possible in the longer consultations.
conclusionMore resource to provide more time in complex consultations in an area of extreme deprivation is associated with an increase in patient enablement.
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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.