×
Home Current Archive Editorial board
News Contact
Research paper

Consultation length in ambulatory clinic of Belgrade Emergency Medical Service

By
Slavoljub Živanović Orcid logo ,
Slavoljub Živanović
Miloranka Petrov-Kiurski Orcid logo
Miloranka Petrov-Kiurski

Abstract

The aim of the study was to analyze and compare consultation lengths in Emergency Medical Service (EMS) Belgrade ambulatory clinic which relates to patient age, gender, existing diagnoses and prescribed treatment (therapy or referral to another healthcare institution). We analyzed the data from the electronic database on consultation lengths from one EMS Belgrade Ambulatory Clinic. For patients who were further referred to another healthcare institution transfer, the waiting time was included in the total consultation time. We used the statistical package SPSS 11.0 for Windows for the statistical processing. Statistical significance was defined for the level of p < 0.05. The average consultation time was 21.07 ± 13.44 minutes. Usually, it lasted between 10 to 20 minutes. Consultations lasted longer in female patients (21.68 minutes), patients over 65 years of age (24.65 minutes), in patients with multiple diagnoses (26.1 and 27.28 minutes), as well as in patients where therapy was prescribed and administered in the ambulatory clinic (25.72 minutes), or in patients referred to other healthcare institutions. Statistically, the differences were highly significant (p < 0.01). When considering patients' diagnoses, longest consultations were in patients diagnosed with infectious diseases (average 30.88 minutes), followed by patients diagnosed with diseases of the circulatory system (27.86 minutes) and patients with diseases of the respiratory system (21.56 minutes). The differences were statistically significant (p < 0.01). Patients' age, gender, disease diagnosis and administered therapy affect the consultations time. Depending on the diagnosis, consultations last longer for infectious, cardiovascular and respiratory diseases.

References

1.
Plazinić Đ, Živanović S. Symptoms that required ECG diagnostics in the ambulatory unit of the city institute for urgent medical care Belgrade. ABC - casopis urgentne medicine. 2017;17(3):66–70.
2.
Orton PK, Pereira Gray D. Factors influencing consultation length in general/family practice. Family Practice. 2016;33(5):529–34.
3.
Jin G, Zhao Y, Chen C, Wang W, Du J, Lu X. The Length and Content of General Practice Consultation in Two Urban Districts of Beijing: A Preliminary Observation Study. PLOS ONE. 10(8):e0135121.
4.
Hutton C, Gunn J. Do longer consultations improve the management of psychological problems in general practice? A systematic literature review. BMC Health Services Research. 2007;7(1).
5.
Parker B, Marco C. Emergency Department Length of Stay: Accuracy of Patient Estimates. Western Journal of Emergency Medicine. 2014;15(2):170–5.
6.
Brouns SHA, Stassen PM, Lambooij SLE, Dieleman J, Vanderfeesten ITP, Haak HR. Organisational Factors Induce Prolonged Emergency Department Length of Stay in Elderly Patients – A Retrospective Cohort Study. PLOS ONE. 10(8):e0135066.
7.
Nathan TA, Cohen AD, Vinker S. A new marker of primary care utilization - annual accumulated duration of time of visits. Israel Journal of Health Policy Research. 2017;6(1).
8.
Lemon T, Smith R. Consultation content not consultation length improves patient satisfaction. Journal of Family Medicine and Primary Care. 2014;3(4):333.
9.
Kabeya Y, Uchida J, Toyoda M, Katsuki T, Oikawa Y, Kato K, et al. Factors affecting consultation length in a Japanese diabetes practice. Diabetes Research and Clinical Practice. 2017;126:54–9.
10.
ANDERSSON SO, MATTSSON B. Length of Consultations in General Practice in Sweden: Views of Doctors and Patients. Family Practice. 1989;6(2):130–4.
11.
Baird B, Charles A, Honeyman M, Maguire D, Das P. Understanding Pressures in General Practice. In Causes of pressure: patient factors. 2016.
12.
Pendleton D. The Consultation: An Approach to Learning and Teaching.
13.
Dugdale DC, Epstein R, Pantilat SZ. Time and the patient-physician relationship. Journal of General Internal Medicine. 1999;14(S1):S34–40.
14.
Hobbs FDR, Bankhead C, Mukhtar T, Stevens S, Perera-Salazar R, Holt T, et al. Clinical workload in UK primary care: a retrospective analysis of 100 million consultations in England, 2007–14. The Lancet. 2016;387(10035):2323–30.
15.
Elmore N, Burt J, Abel G, Maratos FA, Montague J, Campbell J, et al. Investigating the relationship between consultation length and patient experience: a cross-sectional study in primary care. British Journal of General Practice. 2016;66(653):e896–903.
16.
van den Bussche H, Kaduszkiewicz H, Schäfer I, Koller D, Hansen H, Scherer M, et al. Overutilization of ambulatory medical care in the elderly German population? – An empirical study based on national insurance claims data and a review of foreign studies. BMC Health Services Research. 2016;16(1).
17.
Levinson W. Physician-Patient Communication&lt;subtitle&gt;The Relationship With Malpractice Claims Among Primary Care Physicians and Surgeons&lt;/subtitle&gt; JAMA: The Journal of the American Medical Association. 1997;277(7):553.
18.
Silverman J, Kinnersley P. Calling time on the 10-minute consultation. British Journal of General Practice. 2012;62(596):118–9.
19.
Miyakoshi N, Kudo D, Matsuyama Y, Yamashita T, Kawakami M, Takahashi K, et al. Impact of Consultation Length on Satisfaction in Patients with Chronic Low Back Pain: A Nationwide Multicenter Study in Japan. Spine Surgery and Related Research. 2020;4(3):208–15.
20.
Wilson A. Consultation length in general practice: a review. Br J Gen Pract. 1991;41(344):119–22.
21.
Pankevich V. Patient demographics as a predictive tool of consultation duration. London Journal of Primary Care. 2014;6(4):79–83.
22.
Deveugele M. Consultation length in general practice: cross sectional study in six European countries. BMJ. 2002;325(7362):472–472.

Citation

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.