Medical consultation, time and duration

Torres, Alejandra; Soto, Edgar Carlos Jarillo; Patiño, Donovan Casas

doi:10.5867/medwave.2018.05.7264

Cited by 13 publications

(8 citation statements)

References 7 publications

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“…To that end, Torres and colleagues recommend that consultation time be "humanized," such that the targeted duration of a clinic visit respects the needs of the patient and the time and obligations of both patient and clinician. 2 However, frequently the optimum visit length cannot be precisely estimated based on stated concerns at the time of scheduling. Besides being unrealistic, trying to achieve such finely tuned customization of time misses the point.…”

Section: From the Editormentioning

confidence: 99%

A Watched Pot Never Boils: Attentive Care Needs No Timer

Baumgardner¹

2021

Journal of Patient-Centered Research and Reviews

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Centered Research and Reviews (JPCRR), a brief report authored by Leung and colleagues describes a cross-sectional survey of inpatients and their treating physicians in regard to length of clinic visits. This study found no association between physician burnout and the amount of time patients perceived the physician spent with them at the bedside. 1 For me, a primary care physician who has certainly experienced time pressures when seeing inpatients and outpatients, 2,3 the key word here is "perceived."

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Section: From the Editormentioning

confidence: 99%

A Watched Pot Never Boils: Attentive Care Needs No Timer

Baumgardner¹

2021

Journal of Patient-Centered Research and Reviews

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“…The standard perception of healthcare practitioners and patients worldwide is that consultation times are too brief. 24 This is related to the large numbers of patients to be seen on a daily basis. For patients, the time spent in the waiting room is lengthy, and in some cases, more than one day.…”

Section: Consultation Timementioning

confidence: 99%

“…However, the actual time of attention is brief and insufficient, which compromises the quality of medical care. 24 During a focus group discussion, one of the general practitioners (E5) said: 'There isn't very much time to actually concentrate on all of that, which I feel is a tragedy, because it's a patient as a whole, not just their physical or clinical problems.' Research in Malaysia found that longer consultations are more likely to result in doctors identifying psychosocial issues, prescribing less mediation, and offering more preventative advice.…”

Section: Consultation Timementioning

confidence: 99%

Challenges that healthcare practitioners experience in the comprehensive assessment of patients with non-communicable diseases: a preliminary investigation

Smith¹,

Morris-Eyton²,

Noorbhai³

et al. 2021

Afr H. Sci.

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Background: Resource allocation and access to comprehensive treatment in the public healthcare sector are always under pressure. This pressure takes the form of staff shortages, treatment models and the holistic care of patients, compromising basic healthcare in South Africa. Objectives: The study’s aim was to determine the challenges that healthcare practitioners experience while assessing patients with non-communicable diseases, in private and public healthcare sectors in the Gauteng Province of South Africa. Methods: The research design was exploratory and contextual. Qualitative data were collected through focus groups and semi-structured interviews among healthcare practitioners (n = 12). Data analysis took place using Atlas.ti 8.4 Windows (2020). Inter-rater reliability (r = 93.68%) was calculated to ensure the rigour and validity of the results. Results: From the discussion, four themes emerged: 1) limited consultation time; 2) overwhelming economic impact and healthcare cost for facilities and patients; 3) holistic patient care encompassing physical, mental and socioeconomic compo- nents; and 4) lack of patient education due to time constraints experienced by healthcare practitioners. Conclusion: Consultation times are reduced due to a shortage of medical staff, patient numbers, equipment, and poor working conditions. By improving these conditions, patients across all socioeconomic groups will be better assisted, treated, and educated, benefiting from equal access and quality healthcare. Keywords: Healthcare practitioners; non-communicable diseases; qualitative research.

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“…However, providing person-to-person counseling to all HPV-positive women presents implementation obstacles that may affect its quality. The main limitations are that it involves 1 or even several consultations, where each is time-consuming and should be provided by well-trained providers in consultation rooms that guarantee privacy [ 33 - 35 ]. Studies have pointed out that women often receive limited support and tools to cope with the psychosocial impact of HPV positivity, especially in settings with limited health resources [ 17 , 20 , 36 ].…”

Section: Introductionmentioning

confidence: 99%

A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina

Antelo¹,

Szwarc²,

Paolino³

et al. 2022

JMIR Form Res

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Background Human papillomavirus (HPV) testing detects sexually transmitted infections with oncogenic types of HPV. For many HPV-positive women, this result has negative connotations. It produces anxiety, fear of cancer or death, and disease denial. Face-to-face counseling could present many difficulties in its implementation, but a counseling mobile app could be practical and may help HPV-positive women reduce the psychosocial impact of the result, improve their knowledge of HPV and cervical cancer, and increase adherence to follow-up. Objective This study aims to understand HPV-tested women’s perceptions about an app as a tool to receive information and support to reduce the emotional impact of HPV-positive results. We investigated their preferences regarding app design, content, and framing. Methods We conducted formative research based on a user-centered design approach. We carried out 29 individual online interviews with HPV-positive women aged 30 years and over and 4 focus groups (FGs) with women through a virtual platform (n=19). We shared a draft of the app's potential screens with a provisional label of the possible content, options menus, draft illustrations, and wording. This allowed us to give women understandable triggers to debate the concepts involved on each screen. The draft content and labels were developed drawing from the health belief model (HBM) and integrative behavioral model (IBM) variables and findings of mobile health literature. We used an FG guide to generate data for the information architecture (ie, how to organize contents into features). We carried out thematic analysis using constructs from the HBM and IBM to identify content preferences and turn them into app features. We used the RQDA package of R software for data processing. Results We found that participants required more information regarding the procedures they had received, what HPV-positive means, what the causes of HPV are, and its consequences on their sexuality. The women mentioned fear of the disease and stated they had concerns and misconceptions, such as believing that an HPV-positive result is a synonym for cancer. They accepted the app as a tool to obtain information and to reduce fears related to HPV-positive results. They would use a mobile app under doctor or health authority recommendation. The women did not agree with the draft organization of screens and contents. They believed the app should first offer information about HPV and then provide customized content according to the users’ needs. The app should provide information via videos with experts and testimonies of other HPV-positive women, and they suggested a medical appointment reminder feature. The app should also offer information through illustrations, or infographics, but not pictures or solely text. Conclusions Providing information that meets women’s needs and counseling could be a method to reduce fears. A mobile app seems to be an acceptable and suitable tool to help HPV-positive women.

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Medical consultation, time and duration

Cited by 13 publications

References 7 publications

A Watched Pot Never Boils: Attentive Care Needs No Timer

A Watched Pot Never Boils: Attentive Care Needs No Timer

Challenges that healthcare practitioners experience in the comprehensive assessment of patients with non-communicable diseases: a preliminary investigation

A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina

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