ArticleApplied clinical informatics2020
The Impact of Longer Consultation Time: A Simulation-Based Approach.
Article in Applied clinical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Free cessation aids and enhanced support for smoking cessation in disadvantaged smokers: a qualitative study of patient and provider insights.Primary health care research & development · 2026Trial
- MRI Waiting Time Disparities in Saudi Public Hospitals: A Six-Year Retrospective Study.Cureus · 2026Article
- Evaluating community pharmacists' practices in managing insomnia in Saudi Arabia: a cross-sectional study using simulated patient visits.Frontiers in public health · 2026Article
- A qualitative study on general practitioners' perspectives on late-life depression in Singapore-part II: system- and physician-related factors.The Lancet regional health. Western Pacific · 2025Article
- A debate on integrativemHealth · 2025Review
- Editorial letter: Artificial Intelligence can be used to improve the humanity of care.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Article
- Investigating Patients' Continuance Intention Toward Conversational Agents in Outpatient Departments: Cross-sectional Field Survey.Journal of medical Internet research · 2022Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaintaining a sufficient consultation length in primary health care (PHC) is a fundamental part of providing quality care that results in patient safety and satisfaction. Many facilities have limited capacity and increasing consultation time could result in a longer waiting time for patients and longer working hours for physicians. The use of simulation can be practical for quantifying the impact of workflow scenarios and guide the decision-making.
objectiveTo examine the impact of increasing consultation time on patient waiting time and physician working hours.
methodsUsing discrete events simulation, we modeled the existing workflow and tested five different scenarios with a longer consultation time. In each scenario, we examined the impact of consultation time on patient waiting time, physician hours, and rate of staff utilization.
resultsAt baseline scenarios (5-minute consultation time), the average waiting time was 9.87 minutes and gradually increased to 89.93 minutes in scenario five (10 minutes consultation time). However, the impact of increasing consultation time on patients waiting time did not impact all patients evenly where patients who arrive later tend to wait longer. Scenarios with a longer consultation time were more sensitive to the patients' order of arrival than those with a shorter consultation time.
conclusionBy using simulation, we assessed the impact of increasing the consultation time in a risk-free environment. The increase in patients waiting time was somewhat gradual, and patients who arrive later in the day are more likely to wait longer than those who arrive earlier in the day. Increasing consultation time was more sensitive to the patients' order of arrival than those with a shorter consultation time.
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