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Related Experiment Videos

Consultation in general practice: a standard operating procedure?

Myriam Deveugele1, Anselm Derese, Dirk De Bacquer

  • 1Department of General Practice and Primary Health Care, Ghent University, UZ 1K3 De Pintelaan 185, B 9000 Gent, Belgium. myriam.deveugele@ugent.be

Patient Education and Counseling
|August 4, 2004
PubMed
Summary

General practice consultations vary by length. Long consultations involve more social talk, patient rapport, and psychosocial problem discussion than short ones.

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Area of Science:

  • Medical Communication
  • General Practice
  • Health Services Research

Background:

  • Understanding the dynamics of general practice consultations is crucial for effective patient care.
  • Previous research has not extensively detailed the communicative differences across consultation lengths.

Purpose of the Study:

  • To characterize general practice consultations, focusing on distinctions between short, moderate, and long encounters.
  • To analyze communicative behaviors within these consultations using a standardized system.

Main Methods:

  • Analysis of 2801 videotaped general practice consultations from 183 General Practitioners across six countries.
  • Utilized the Roter Interaction Analysis System (RIAS) to quantify communicative behaviors.
  • Categorized consultations into short, moderate, and long based on duration.

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Main Results:

  • Consultations comprised social behavior (8%), agreement (15%), rapport building (4%), partnership building (10%), giving directions (11%), giving information (28%), asking questions (14%), and counseling (7%).
  • Short consultations primarily involved initial social interaction, medical questioning, and problem-solving advice.
  • Long consultations featured extended social talk, greater attention to patient relationships, more extensive listening (especially for psychosocial issues), and increased information delivery.

Conclusions:

  • Consultation length significantly influences the balance of communicative behaviors in general practice.
  • Longer consultations allow for deeper patient engagement, including psychosocial aspects and comprehensive information exchange.
  • Findings provide insights into optimizing communication strategies based on consultation duration.