ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2013
The content of general practice consultations: cross-sectional study based on video recordings.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
74 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Nurse-led Telehealth Intervention for Rehabilitation (Telerehabilitation) Among Community-Dwelling Patients With Chronic Diseases: Systematic Review and Meta-analysis.Journal of medical Internet research · 2022Pooled it
- General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.BMC family practice · 2020Pooled it
- Lower urinary tract symptoms in men: the TRIUMPH cluster RCT.Health technology assessment (Winchester, England) · 2024Trial
- Building the future of UK primary care: expanding roles of general practice nurses and patient perspectives.BMC primary care · 2026Review
- Antibiotic treatment for acute sinusitis and subsequent health care use and work absence: a nationwide registry study from Norway.Family practice · 2026Observational
- Decline in Incidence and Prevalence of Dementia: An Analysis of Outpatient Claims Data.Deutsches Arzteblatt international · 2025Observational
- Discussions about physical activity in general practice: analysis of video-recorded consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Factors influencing medical disputes among village doctors from seven provinces in China: a cross-sectional study.Human resources for health · 2025Article
- Shattering the Shield: Embracing Complexity in Undergraduate Medical Education.The clinical teacher · 2025Article
- On Lateness: The Ethics of Running Behind Schedule in General Practice.Journal of evaluation in clinical practice · 2025Article
- Expanding patient access to psychiatry and mental health supports: early impacts of the Nova Scotia health rapid access and stabilization program.Frontiers in psychiatry · 2025Article
- Opportunities and challenges for patient-reported outcome assessment in multimorbidity research and practice.Nature medicine · 2024Article
- The true complexities of "standard" family practice visits unmasked: an observational cross-sectional study in Regina.Family practice · 2024Observational
- Understanding access to general practice through the lens of candidacy: a critical review of the literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Review
- GP working time and supply, and patient demand in England in 2015-2022: a retrospective study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Observational
- Great expectations? GPs' estimations of time required to deliver BMJ's '10 minute consultations'.BMJ open · 2024Article
- Levelling up health in the early years: A cost-analysis of infant feeding and healthcare.PloS one · 2024Article
- Ideas, concerns, expectations, and effects on life (ICEE) in GP consultations: an observational study using video-recorded UK consultations.BJGP open · 2023Article
- Remote consultations in primary care across low-, middle- and high-income countries: Implications for policy and care delivery.Journal of health services research & policy · 2023Article
- Descriptive Study of Patients Treated in a Psychosomatic Internal Medicine Declared by Japanese Family Medicine Clinic.Journal of clinical medicine research · 2023Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundDemographic and policy changes appear to be increasing the complexity of consultations in general practice.
aimTo describe the number and types of problems discussed in general practice consultations, differences between problems raised by patients or doctors, and between problems discussed and recorded in medical records. DESIGN AND
settingCross-sectional study based on video recordings of consultations in 22 general practices in Bristol and North Somerset.
methodConsultations were examined between 30 representative GPs and adults making a pre-booked day-time appointment. The main outcome measures were number and types of problems and issues discussed; who raised each problem/issue; consultation duration; whether problems were recorded and coded.
resultsOf 318 eligible patients, 229 (72.0%) participated. On average, 2.5 (95% CI = 2.3 to 2.6) problems were discussed in each consultation, with 41% of consultations involving at least three problems. Seventy-two per cent (165/229) of consultations included problems in multiple disease areas. Mean consultation duration was 11.9 minutes (95% CI = 11.2 to 12.6). Most problems discussed were raised by patients, but 43% (99/229) of consultations included problems raised by doctors. Consultation duration increased by 2 minutes per additional problem. Of 562 problems discussed, 81% (n = 455) were recorded in notes, but only 37% (n = 206) were Read Coded.
conclusionConsultations in general practice are complex encounters, dealing with multiple problems across a wide range of disease areas in a short time. Additional problems are dealt with very briefly. GPs, like patients, bring an agenda to consultations. There is systematic bias in the types of problems coded in electronic medical records databases.
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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.