A systematic review of studies on consultation length in Japan

Kisa, Kengo; Kawabata, Hidehiko; Maezawa, Masaji

doi:10.14442/generalist.35.37

Cited by 6 publications

(5 citation statements)

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“…Consultation lengths in the present study were similar to those in several previous studies 5,31) . Initial visit consultations tended to be longer than routine visits in Japanese medical care, although this varied considerably 19) . Consultation length in the present study included both visit types, they should be considered evaluating separately in future research.…”

Section: Discussionmentioning

confidence: 97%

Validation of the Roter Interaction Analysis System to Quantitatively Evaluate Communication in a Veterinary Teaching Hospital

MATSUI

Kimura

Horikita

et al. 2021

JVE

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Mutual participation of veterinary staff and clients is necessary for effective communication in clinical practice situations. The purpose of this study was to verify whether the current status of communication in the examination room of a small animal hospital could be evaluated quantitatively using the Rotor Interaction Analysis System (RIAS). RIAS was applied to 12 randomly selected cases from 59 recorded consultations with staff from an endocrinology unit of a veterinary teaching hospital in Tokyo, Japan. Two certified coders carried out the analyses according to the RIAS format; six relevant categories were added, including utterances to pets and colleagues and utterances related to dietary management, which is essential in managing endocrinology diseases like diabetes. Then, the frequency of utterances in each category was compared between veterinary staff and clients. The results demonstrated that the mean consultation length of the 12 interviews was 10 min 6 sec. Inter-coder reliability (Spearman's ρ＝0.828, P＜0.01) was high. There were 16 categories with an average of over one utterance per consultation. Frequent categories were "Backchannel responses," "Paraphrase/checks for understanding," and "Transition words" for veterinary staff, while for clients, "Shows agreement or understanding" and "Gives information of dietary activities" were common. The study results, although limited because only one consultation department was included, are consistent with the structure of actual clinical conversations and are considered valid. The usefulness of RIAS has been verified, allowing for this method to be used in diverse studies on veterinary communication in the future.

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Section: Discussionmentioning

confidence: 97%

Validation of the Roter Interaction Analysis System to Quantitatively Evaluate Communication in a Veterinary Teaching Hospital

MATSUI

Kimura

Horikita

et al. 2021

JVE

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“…The external variables for feature word analysis were IC time and years of physician experience. The IC time was defined as 10 minutes or more [13][14], and experience was 9 years or more. Nine years was set for experience, as it takes nine years for clinicians to achieve specialist status in Japan [24][25].…”

Section: Discussionmentioning

confidence: 99%

“…In Japan, hospitals expect clinicians to treat a high number of patients to achieve their expected revenue. As patient numbers increase, the amount of time that clinicians can allocate to each patient decreases [12][13][14]. Clinicians understand that time is essence in IC sessions.…”

Section: Introductionmentioning

confidence: 99%

Benefits of Medical-Mediation in Informed Consent: Evaluating Clinicians’ Perspectives

Nakanishi¹,

Hayasaka²,

Endo³

et al. 2021

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“…In this study, we focus on “quality of information” and “consultation length” as impacts on interprofessional collaborative practice because we hypothesized pharmacists could contribute by asking patients about their medical history and reduce physician consultation time using grouped knowledge and skills. There are some studies using physician consultation length as outcome to evaluate the intervention such as joining other medical staffs that assist outpatient examination …”

Section: Methodsmentioning

confidence: 99%

“…There are some studies using physician consultation length as outcome to evaluate the intervention such as joining other medical staffs that assist outpatient examination. [9][10][11] Originally, it might be necessary to consider the influence on patients about the validity of the interview tool, but first, this research focused on the information using the interview tool and the influence on a physician. Therefore, the primary outcomes of this study were the contents of medical history by pharmacists and the difference in physician consultation length.…”

Section: Outcomementioning

confidence: 99%

Validity of medical history taken by pharmacists using a medical history taking tool

Matsushita

Haruta

Tsutumi

et al. 2017

J of Gen and Family Med

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BackgroundThe progress in aging and the shortage of physicians is a significant problem in Japan. Hence, healthcare professionals including pharmacists should cooperate to provide medical services with limited resources. However, pharmacists might have inadequate skills in taking medical histories. Therefore, we developed an interview tool to collect accurate medical history. In this study, we aimed to validate the contents of medical histories taken by a pharmacist using the interview tool and investigate physician consultation length.MethodsSetting intervention days alternately, adult outpatients of the Kitaibaraki Center for Family Medicine who had new symptoms had their medical histories taken by one of two pharmacists before their physician visit during the study period. The contents of the medical history taken by a pharmacist using text analysis were validated on other four days. All sentences collected by a pharmacist or five physicians were divided into segments, and six other physicians assessed each segment. Differences in length of the physician consultation between those with and without (intervention and control groups, respectively) medical history taken by a pharmacist were investigated.ResultsOf 23 patients’ medical histories taken by a pharmacist using the interview tool, 84.4% of segments were related to the clinical diagnosis. The mean consultation length was 10.1±8.4 minutes in the intervention group (n=104) and 13.0±10.4 minutes in the control group (n=96) (p=0.048).ConclusionsMedical histories taken by a pharmacist using the interview tool had high content validity and might reduce physician consultation length.

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A systematic review of studies on consultation length in Japan

Abstract: 時間と患者アウトカムを関連づけた研究が必要である． AbstractIntroduction：The purpose of this study was to review studies on consultation length in Japan.

Cited by 6 publications

References 0 publications

Validation of the Roter Interaction Analysis System to Quantitatively Evaluate Communication in a Veterinary Teaching Hospital

Validation of the Roter Interaction Analysis System to Quantitatively Evaluate Communication in a Veterinary Teaching Hospital

Benefits of Medical-Mediation in Informed Consent: Evaluating Clinicians’ Perspectives

Validity of medical history taken by pharmacists using a medical history taking tool

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