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Does the duration of ambulatory consultations affect the quality of healthcare? A systematic review

  • Datos identificativos

    Identificador: imarina:9331537
    Handle: https://hdl.handle.net/20.500.11797/imarina9331537
    Autores:
    León-García, MWieringa, THSuárez, NREHernández-Leal, MJVillanueva, GOspina, NSHidalgo, JProkop, LJCalderón, CRLeBlanc, AZeballos-Palacios, CBrito, JPMontori, VM
    Resumen:
    BACKGROUND: The objective is to examine and synthesise the best available experimental evidence about the effect of ambulatory consultation duration on quality of healthcare. METHODS: We included experimental studies manipulating the length of outpatient clinical encounters between adult patients and clinicians (ie, therapists, pharmacists, nurses, physicians) to determine their effect on quality of care (ie, effectiveness, efficiency, timeliness, safety, equity, patient-centredness and patient satisfaction). INFORMATION SOURCES: Using controlled vocabulary and keywords, without restriction by language or year of publication, we searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and Database of Systematic Reviews and Scopus from inception until 15 May 2023. RISK OF BIAS: Cochrane Risk of Bias instrument. DATA SYNTHESIS: Narrative synthesis. RESULTS: 11 publications of 10 studies explored the relationship between encounter duration and quality. Most took place in the UK's general practice over two decades ago. Study findings based on very sparse and outdated evidence-which suggested that longer consultations improved indicators of patient-centred care, education about prevention and clinical referrals; and that consultation duration was inconsistently related to patient satisfaction and clinical outcomes-warrant low confidence due to limited protections against bias and indirect applicability to current practice. CONCLUSION: Experimental evidence for a minimal or optimal duration of an outpatient consultation is sparse and outdated. To develop evidence-based policies and practices about encounter length, randomised trials of different consultation lengths-in person and virtually, and with electronic health records-are needed. TRIAL REGISTRATION NUMB

  • Otros:

    Autor según el artículo: León-García, M; Wieringa, TH; Suárez, NRE; Hernández-Leal, MJ; Villanueva, G; Ospina, NS; Hidalgo, J; Prokop, LJ; Calderón, CR; LeBlanc, A; Zeballos-Palacios, C; Brito, JP; Montori, VM
    Departamento: Economia
    Autor/es de la URV: Hernández Leal, María José
    Palabras clave: Quality measurement Primary care Healthcare quality improvement General-practice visit duration time risk primary care of-care minute length healthcare quality improvement
    Resumen: BACKGROUND: The objective is to examine and synthesise the best available experimental evidence about the effect of ambulatory consultation duration on quality of healthcare. METHODS: We included experimental studies manipulating the length of outpatient clinical encounters between adult patients and clinicians (ie, therapists, pharmacists, nurses, physicians) to determine their effect on quality of care (ie, effectiveness, efficiency, timeliness, safety, equity, patient-centredness and patient satisfaction). INFORMATION SOURCES: Using controlled vocabulary and keywords, without restriction by language or year of publication, we searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and Database of Systematic Reviews and Scopus from inception until 15 May 2023. RISK OF BIAS: Cochrane Risk of Bias instrument. DATA SYNTHESIS: Narrative synthesis. RESULTS: 11 publications of 10 studies explored the relationship between encounter duration and quality. Most took place in the UK's general practice over two decades ago. Study findings based on very sparse and outdated evidence-which suggested that longer consultations improved indicators of patient-centred care, education about prevention and clinical referrals; and that consultation duration was inconsistently related to patient satisfaction and clinical outcomes-warrant low confidence due to limited protections against bias and indirect applicability to current practice. CONCLUSION: Experimental evidence for a minimal or optimal duration of an outpatient consultation is sparse and outdated. To develop evidence-based policies and practices about encounter length, randomised trials of different consultation lengths-in person and virtually, and with electronic health records-are needed. TRIAL REGISTRATION NUMBER: OSF Registration DOI:10.17605/OSF.IO/EUDK8.
    Áreas temáticas: Public health, environmental and occupational health Medicine, general & internal Leadership and management Health policy Health care sciences & services
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: mariajose.hernandezl@estudiants.urv.cat mariajose.hernandezl@estudiants.urv.cat
    Identificador del autor: 0000-0002-4002-6454 0000-0002-4002-6454
    Fecha de alta del registro: 2024-08-03
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Bmj Open Quality. 12 (4):
    Referencia de l'ítem segons les normes APA: León-García, M; Wieringa, TH; Suárez, NRE; Hernández-Leal, MJ; Villanueva, G; Ospina, NS; Hidalgo, J; Prokop, LJ; Calderón, CR; LeBlanc, A; Zeballos-P (2023). Does the duration of ambulatory consultations affect the quality of healthcare? A systematic review. Bmj Open Quality, 12(4), -. DOI: 10.1136/bmjoq-2023-002311
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2023
    Tipo de publicación: Journal Publications

  • Palabras clave:

    Health Care Sciences & Services,Health Policy,Leadership and Management,Medicine, General & Internal,Public Health, Environmental and Occupational Health
    Quality measurement
    Primary care
    Healthcare quality improvement
    General-practice
    visit duration
    time
    risk
    primary care
    of-care
    minute
    length
    healthcare quality improvement
    Public health, environmental and occupational health
    Medicine, general & internal
    Leadership and management
    Health policy
    Health care sciences & services

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