ArticleAnnals of family medicine2018
Multimorbidity and Socioeconomic Deprivation in Primary Care Consultations.
Article in Annals of family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
43 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Multimorbidity and consultation time: a systematic review.BMC family practice · 2020Pooled it
- The Patient Experience Divide: How Income Relates to Care Quality in the Primary Care Setting.Medical care · 2026Article
- Global health worker visit time variation: A systematic review.Health policy OPEN · 2026Article
- Article
- Ethnicity and clinical empathy in primary care consultations: a web-based experiment.BJGP open · 2026Article
- Emergency Department Visits, Hospital Admissions, and Wait Times for Patients With Urologic Conditions.JAMA network open · 2026Article
- Managing consultation duration in primary care: A systematic review with health equity insights.Journal of family medicine and primary care · 2025Review
- Association between internet usage and healthcare expenditure among middle-aged and older Chinese adults with chronic diseases: the role of self-rated health.BMC public health · 2025Article
- Article
- Capturing the care of complex community-based health center patients: A comparison of multimorbidity indices and clinical classification software.Health services research · 2025Article
- Patients' views on primary care multidisciplinary teams in Scotland: a mixed-methods evaluation.BJGP open · 2024Article
- Regular source of primary care and health services utilisation among Brazilian elderly with mental-physical multimorbidity.BMC geriatrics · 2024Article
- Residents' learning and behavior about tool-guided clinical assessment of social determinants of health.Journal of general and family medicine · 2024Article
- A model-based approach to estimating the prevalence of disease combinations in South Africa.BMJ global health · 2024Article
- 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
- Racial Disparities in Hospital Utilization Among Patients with Multimorbidity.Journal of health care for the poor and underserved · 2024Article
- Breaking barriers: enhancing cancer detection in younger patients by overcoming diagnostic bias in primary care.Frontiers in medicine · 2024Article
- Is Scotland's new GP contract addressing the inverse care law?Future healthcare journal · 2023Article
- Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
purposeThe influence of multimorbidity on the clinical encounter is poorly understood, especially in areas of high socioeconomic deprivation where burdensome multimorbidity is concentrated. The aim of the current study was to examine the effect of multimorbidity on general practice consultations, in areas of high and low deprivation.
methodsWe conducted secondary analyses of 659 video-recorded routine consultations involving 25 general practitioners (GPs) in deprived areas and 22 in affluent areas of Scotland. Patients rated the GP's empathy using the Consultation and Relational Empathy (CARE) measure immediately after the consultation. Videos were analyzed using the Measure of Patient-Centered Communication. Multilevel, multi-regression analysis identified differences between the groups.
resultsIn affluent areas, patients with multimorbidity received longer consultations than patients without multimorbidity (mean 12.8 minutes vs 9.3, respectively;
conclusionsIn deprived areas, the greater need of patients with multimorbidity is not reflected in the longer consultation length, higher GP patient centeredness, and higher perceived GP empathy found in affluent areas. Action is required to redress this mismatch of need and service provision for patients with multimorbidity if health inequalities are to be narrowed rather than widened by primary care.
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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.