Evidence map›Paper›PMID 29054462›Full record

ArticleAtencion primaria2018

Communication with patients and the duration of family medicine consultations.

Francisco Javier Valverde Bolívar, Miguel Pedregal González, Herminia Moreno Martos, Inmaculada Cózar García, Jesús Torío Durántez

Abstract readMulticenter Study
In one paragraph

Article in Atencion primaria, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Observational
  6. Organization of primary care.Primary health care research & development · 2022
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Francisco Javier Valverde BolívarUnidad Docente de Medicina Familiar y Comunitaria de Jaén, Distrito Sanitario Jaén-Jaén Sur, Jaén, Spain. Electronic address: franciscoj.valverde.sspa@juntadeandalucia.es.
Miguel Pedregal GonzálezUnidad Docente de Medicina Familiar y Comunitaria de Huelva, Distrito Sanitario Huelva-Costa, Huelva, Spain.
Herminia Moreno MartosCentro de Salud Retamar, Distrito Almería, Almería, Spain.
Inmaculada Cózar GarcíaCentro de Salud Federico del Castillo, Distrito Sanitario Jaén-Jaén Sur, Jaén, Spain.
Jesús Torío DurántezInspección Médica, Delegación Territorial de Igualdad, Salud y Políticas Sociales, Jaén, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the distribution of consultation times, the factors that determine their length, and their relationship with a more participative, patient-centred consulting style.

designCross-sectional multicentre study. LOCATION: Primary Healthcare Centres in Andalusia, Spain.

participantsA total of 119 tutors and family medicine physician residents. PRINCIPAL MEASUREMENTS: Consultation length and communication with the patient were analysed using the CICCAA scale (Connect, Identify, Understand, Consent, Help) during 436 interviews in Primary Care.

resultsThe mean duration of consultations was 8.8min (sd: 3.6). The consultation tended to be longer when the physician had a patient-centred approach (10.37±4.19min vs 7.54±2.98min; p=0.001), and when there was joint decision-making (9.79±3.96min vs 7.73±3.42min: p=0.001). In the multivariable model, longer consultations were associated with obtaining higher scores on the CICAA scale, a wider range of reasons for consultation, whether they came accompanied, in urban centres, and a smaller number of daily visits (r

conclusionA more patient centred medical profile, increased shared decision-making, a wider range of reasons for consultation, whether they came accompanied, in urban centres, and less professional pressure all seem to be associated with a longer consultation.

Indexed as

CommunicationFamily PracticePhysician-Patient RelationsPrimary Health CareAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedOffice VisitsTime FactorsAtención dirigida al pacienteAtención primaria de saludCommunicationComunicaciónPatient-centred carePhysician–patient relationsPrimary health careRelaciones médico-pacienteTiempoTime

Identifiers

PMID29054462
PMCPMC6837038

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.