Evidence map›Paper›PMID 38641556›Full record

Observational studyFamily practice2024

The true complexities of "standard" family practice visits unmasked: an observational cross-sectional study in Regina.

Mackenzie M M Heidel, Adam T Clay, Megan Dash, Danielle Cutts

Abstract readObservational Study
In one paragraph

Observational study in Family practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Mackenzie M M HeidelDepartment of Academic Family Medicine, College of Medicine, University of Saskatchewan, Regina, Canada.ORCID 0009-0005-5997-3194
Adam T ClayDepartment of Academic Family Medicine, College of Medicine, University of Saskatchewan, Regina, Canada.ORCID 0000-0001-6464-513X
Megan DashDepartment of Academic Family Medicine, College of Medicine, University of Saskatchewan, Regina, Canada.ORCID 0009-0001-3798-2920
Danielle CuttsDepartment of Academic Family Medicine, College of Medicine, University of Saskatchewan, Regina, Canada.ORCID 0009-0000-7046-6226

Funding

University of Saskatchewan, College of Medicine
6 · The paper itself

Abstract

backgroundMany patients present to their family medicine clinic with more than one health concern, placing an increased demand on family physicians. Research into the average number of concerns per regular family medicine visit is limited. Recognition of the frequency that family physicians address more than one concern per visit and adapting practices accordingly is important for improving patient care.

objectiveTo examine whether family physicians routinely address multiple different patient concerns during a single visit and if this is influenced by patient demographics.

methodsThis study was conducted at a multi-physician family medicine clinic in Regina, Saskatchewan, Canada. Five physicians contributed their 500 most recent charts, extending retrospectively from 1 June 2023, from in-person visits by patients over 18 years of age and billed as regular appointments without billed procedures. Each chart was reviewed for the number of concerns addressed in the visit.

resultsFifty percent of visits addressed more than 1 concern (range = 1-8). A generalized linear mixed model using Poisson distribution showed certain physicians (incident rate ratio [IRR]: 1.192, 95% CI: 1.087-1.307, P < 0.001) and adults older than 65 years compared to adults less than 40 years (IRR 1.151, 95% CI: 1.069-1.239, P < 0.001) were more likely to present with multiple concerns, but patient sex was not a significant predictor.

conclusionsFamily physicians routinely address more than one concern per visit. Standard visit length and billing practices should be adapted to reflect this complexity.

Indexed as

Family PracticeOffice VisitsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPhysicians, FamilyPractice Patterns, Physicians'Retrospective StudiesSaskatchewanaccess to carecompensationelectronic medical recordsmedical home/patient-centred medical homeprimary carequality of care

Identifiers

PMID38641556
PMCPMC11461146

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.