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Related Experiment Videos

The interrupted consultation.

P Shvartzman1, A Antonovsky

  • 1Department of Family Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beersheba, Israel.

Family Practice
|June 1, 1992
PubMed
Summary
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Interruptions in patient-physician consultations, common in Israel, are often by clinic staff, not patients. This impacts communication, diagnosis, therapy, and satisfaction for both doctors and patients.

Area of Science:

  • Medical Communication
  • Health Services Research

Background:

  • Patient-physician consultations are crucial for healthcare delivery.
  • Interruptions during consultations can disrupt communication and negatively impact outcomes.
  • The phenomenon of consultation interruptions is not well-studied.

Purpose of the Study:

  • To empirically investigate the phenomenon of interrupted patient-physician consultations.
  • To identify the sources and frequency of interruptions in a primary care setting.
  • To explore the potential consequences of these interruptions on communication, diagnosis, therapy, and satisfaction.

Main Methods:

  • Observational study of 100 patient-physician consultations.
  • Conducted in a neighborhood health center in Israel.

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  • Recorded interruptions, their sources, and consultation duration.

    • Main Results:

    • Interruptions occurred in 94% of observed consultations.
    • An average of 1.36 interruptions per consultation was recorded.
    • Contrary to common belief, most interruptions originated from clinic staff, not other patients.

    Conclusions:

    • The study highlights a significant and previously under-explored issue in primary care.
    • Interruptions by clinic staff are a notable factor affecting patient-physician interactions.
    • Further research is needed to understand the extent, sources, and impact of interruptions in family practice and develop coping strategies.