Four minutes for a patient, twenty seconds for a relative - an observational study at a university hospital

Becker, Gerhild; Kempf, Dorothee E; Xander, Carola; Momm, Felix; Olschewski, Manfred; Blum, Hubert E.

doi:10.1186/1472-6963-10-94

Cited by 61 publications

(43 citation statements)

References 23 publications

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“…We found that female patients with companions had longer consultations (7.7' vs. 6.4'); this figure is greater than that which has been reported for the hospital setting (4 minutes and 17 seconds for each patient on the ward and 20 seconds for his or her relatives) [36] (Figure 2), but less than the communicated by other authors in general medicine (10-12 minutes) [37], and it may be interpreted that longer consultations are associated with more adequate diagnoses, at least in psychological problems [38], although in our study the content of the interview was not collected (Table 3). …”

Section: Duration Of the Consultationcontrasting

confidence: 76%

Differences in Verbal Behaviour Style in Interviews of Patients Females with Patients Companion (Triads) and Without Patient's Companion (Dyads) in Family Medicine

Turabián¹,

Minier-Rodriguez²,

Moreno-Ruiz³

et al. 2017

J Gen Pract

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Objective: To describe differences in verbal behaviour style in interviews of patients females with patient's companion (triadic consultations) and patient's females without patient's companion (dyadic consultations) in family medicine. Participants and Methods:Secondary analysis of existing dataset coded to explore patient-clinician verbal communication during ambulatory visits in a family medicine office in a health Centre in Toledo (Spain) was carried out. A qualitative study was performed by audio recording of the consultations and verbal content analysis of the interviews, based on the identification of 6 categories of classification of behaviours of the interaction process (Proposing, Supporting/Agreeing, Disagreeing, Giving Information, Seeking Information, and Building). A convenience sample was carried out. A suitable sample number was considered when saturation occurred. Quantitative methodology was used as a technique to control the reliability and biases.Results: 5 unaccompanied consultations and 7 consultations with companion were included in the analysis. The female patients with a companion show 2/3 more verbal behaviours (165 vs. 101) with slightly more behaviours of "Supporting or Agreeing" (42% vs. 34%), but less of "Giving Information" (43% vs. 53%) than when the female patients go unaccompanied, predominating these two types of behaviours in both modalities. Consultation with female patients with a companion shows almost twice as many verbal behaviours of the doctor vs. the consultation with unaccompanied women (186 vs. 100), and is longer (6.4 ' vs. 7.7'). Conclusions:This study shows that consultations of female patients with a companion are longer and more verbal behaviours are performed. In patients female the triadic consultations have more agreements, but less information is obtained than in the dyadic, and in general there is mixed results. Female patients show a clear predominance of verbal behaviours of "Giving information" and "Supporting or Agreeing", both with or without companion in the consultation.

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Section: Duration Of the Consultationcontrasting

confidence: 76%

Differences in Verbal Behaviour Style in Interviews of Patients Females with Patients Companion (Triads) and Without Patient's Companion (Dyads) in Family Medicine

Turabián¹,

Minier-Rodriguez²,

Moreno-Ruiz³

et al. 2017

J Gen Pract

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show abstract

“…[1][2][3]5,6 Similarly, we found that physicians spent 5.3 minutes per patient-about 13% of an 8-hour shift. We also found that communication times varied substantially by provider, from a mean of 2 minutes per patient to greater than 12 minutes per patient.…”

Section: Discussionsupporting

confidence: 54%

“…Studies conducted at single institutions in the US [1][2][3] and elsewhere [4][5][6] have found that hospitalists generally spend little time communicating with their patients, and that there is often disagreement between doctors and both nurses and patients about the plan of care. 7,8 However, it is not known how much time physicians actually spend communicating with nurses and other physicians, and more importantly, whether more time spent communicating is associated with higher levels of agreement regarding the plan of care or greater patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Time Spent Communicating and Communication Outcomes on a Hospital Medicine Service

et al. 2011

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BACKGROUND: Quality care depends on effective communication between caregivers, but it is unknown whether time spent communicating is associated with communication outcomes. OBJECTIVE: To assess the association between time spent communicating, agreement on plan of care, and patient satisfaction. DESIGN: Time-motion study with cross-sectional survey. SETTING: Academic medical center. PARTICIPANTS: Physicians, patients, and nurses on a hospital medicine service. MEASUREMENTS: Hospitalists' forms of communication were timed with a stopwatch. Physician-nurse agreement on the plan of care and patient satisfaction with physician communication were assessed via survey. RESULTS: Eighteen hospitalists were observed caring for 379 patients. On average, physicians spent more time per patient on written than verbal communication (median: 9.2 min. vs. 6.3 min, p<0.001). Verbal communication was greatest with patients (mean time 5.3 min, range 0-37 min), then other physicians (1.4 min), families (1.1 min), nurses (1.1 min), and case managers (0.4 min). There was no verbal communication with nurses in 30% of cases. Nurses and physicians agreed most about planned procedures (87%), principal diagnosis (74%), tests ordered (73%), anticipated discharge date (69%) and least regarding medication changes (59%). There was no association between time spent communicating and agreement on plan of care. Among 123 patients who completed surveys (response rate 32%), time physicians spent talking to patients was not correlated with patients' satisfaction with physician communication (Pearson correlation coefficient = 0.09, p=0.30). CONCLUSIONS: Hospitalists vary in the amount of time they spend communicating, but we found no association between time spent and either patient satisfaction or nurse-physician agreement on plan of care.

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“…Although we reported previously that HCPs felt that procedures with short verbal information were feasible [14], it remains a topic of debate whether HCPs that were not part of this trial feel the same way, since it is well known that HCPs suffer from time constraints, and can thus spend less time informing patients about e.g. their treatment [20,21].…”

Section: Doi: 101159/000492662mentioning

confidence: 92%

Recall and Retention of Consent Procedure Contents and Decisions: Results of a Randomized Controlled Trial

Rebers

Vermeulen

Brandenburg

et al. 2018

Public Health Genomics

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Background: Residual tissue samples, i.e., samples excised for diagnosis or during treatment, are commonly used for medical research. In the Netherlands, they can be used provided the patient did not opt out of this use. Previous research has shown that recall of the informed consent procedure for tissue use is poor. Here, we investigate recall of three consent procedures: informed consent, opt-out, and opt-out plus (an opt-out procedure with an information procedure similar to that of informed consent). Methods: Patients (n = 1,319) with a variety of diseases were randomized into three trial arms: informed consent, opt-out plus, and opt-out. Questionnaires were administered 6 weeks and 6 months after randomization. Results: Six hundred and seventy-three and 553 patients returned the 6-week and 6-month questionnaire, respectively. In the informed consent arm, recall of having received a brochure (55.3%) or oral information (69.4%) was similar to that in the opt-out plus arm (48.5 and 71.6%, respectively), at the 6-week assessment. Significantly more respondents in the informed consent and the opt-out plus arms versus the opt-out arm recalled that they had been informed about being able to control tissue use and which consent procedure they had experienced (6-week questionnaire range 53.2–75.8 vs. 13.9–16.1%; 6-month questionnaire range 43.5–84.2 vs. 3.2–35.4%). There were no significant differences between the informed consent and opt-out plus arms in this regard. Conclusions: Recall of the consent procedure was similar in opt-out plus and informed consent procedures. Overall, recall was moderate, indicating that there is room for improvement in the quality of information provision.

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Four minutes for a patient, twenty seconds for a relative - an observational study at a university hospital

Cited by 61 publications

References 23 publications

Differences in Verbal Behaviour Style in Interviews of Patients Females with Patients Companion (Triads) and Without Patient's Companion (Dyads) in Family Medicine

Differences in Verbal Behaviour Style in Interviews of Patients Females with Patients Companion (Triads) and Without Patient's Companion (Dyads) in Family Medicine

The Relationship Between Time Spent Communicating and Communication Outcomes on a Hospital Medicine Service

Recall and Retention of Consent Procedure Contents and Decisions: Results of a Randomized Controlled Trial

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