ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2015
Depth of the patient-doctor relationship and content of general practice consultations: cross-sectional study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Public perception of the physician associate profession in the UK: a systematic review.BMC health services research · 2024Pooled it
- Questionnaires that measure the quality of relationships between patients and primary care providers: a systematic review.BMC health services research · 2018Pooled it
- 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
- Where the joy comes from: a qualitative exploration of deep GP-patient relationships.BMC primary care · 2023Article
- Chronic Disease Management for People With Hypertension.International journal of public health · 2022Article
- Work Content of General Practitioners in Beijing, China: A Multi-method Study.Frontiers in public health · 2022Article
- Bridging racial differences in the clinical encounter: How implicit bias and stereotype threat contribute to health care disparities in the dermatology clinic.International journal of women's dermatology · 2021Article
- Factors influencing patients' preferences for their treating physician.Saudi medical journal · 2020Article
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- Analyzing Relationship between Patient and Doctor in Public Dental Health using Particle Memetic Multivariable Logistic Regression Analysis Approach (MLRA2).Journal of medical systems · 2018Article
- Association between low empathy and high burnout among primary care physicians and nurses in Lleida, Spain.The European journal of general practice · 2017Article
- Continuity of Primary Care and Emergency Hospital Admissions Among Older Patients in England.Annals of family medicine · 2017Article
- Descriptive study of association between quality of care and empathy and burnout in primary care.BMC medical ethics · 2017Article
- Nurturing virtues of the medical profession: does it enhance medical students' empathy?International journal of medical education · 2017Article
- Ill and substance-abusing parents: how can the general practitioner help their children? A qualitative study.BMC family practice · 2016Article
- Doctor-patient relationship. Islamic perspective.Saudi medical journal · 2016Review
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Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundPatient-doctor continuity is valued by both parties, yet the effect of the depth of the patient-doctor relationship on the content of consultations in general practice is unknown.
aimTo assess whether differences in the depth of relationship between a patient and their GP affects the length of consultations, and the number and type of problems and issues raised during a consultation. DESIGN AND
settingCross-sectional study in 22 GP practices in the UK.
methodGP consultations (n = 229) were videotaped and the number of problems and aspects of those problems and issues identified. Patients completed the Patient-Doctor Depth of Relationship (PDDR) and General Practice Assessment Questionnaire-communication (GPAQc) scales. Associations were explored using multivariable linear and logistic regression.
resultsComplete data were available on 190 participants consulting 30 GPs. In unadjusted analysis, patients with a deep relationship with their GP discussed more problems (mean 2.8) and issues (mean 4.7) compared with those with a moderate (2.4 problems; 4.0 issues) or shallow (2.3 problems; 3.8 issues) relationship. Patients with deep relationships had consultations that were on average 118 seconds (95% CI = 1 to 236) longer than those with shallow relationships. Adjustment for participant and GP factors attenuated these relationships, although the main trends persisted.
conclusionA greater number of problems and issues may be raised in a consultation when patients have a deeper relationship with their GP. Over several clinical encounters each year, this may be associated with significant benefits to patients and efficiencies in GP consultations and warrants further investigation.
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