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Multimorbidity and consultation time: a systematic review.

Ana Carolina Reis Tadeu1, Inês Rosendo Carvalho E Silva Caetano2,3, Inês Jorge de Figueiredo2,4,5

  • 1Faculty of Medicine, University of Coimbra, Coimbra, Portugal. carolina.r.tadeu@gmail.com.

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|July 30, 2020
PubMed
Summary

Multimorbidity (MM) significantly increases medical consultation times. This systematic review found that patients with multiple chronic conditions require longer appointments, highlighting a need for further research into healthcare resource allocation.

Keywords:
Consultation lengthMedical appointmentMultimorbidityQuality of healthcare

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Area of Science:

  • Healthcare Management
  • Clinical Practice
  • Systematic Review Methodology

Background:

  • Multimorbidity (MM), defined as the presence of two or more chronic conditions in an individual, presents a significant challenge to healthcare systems globally.
  • Efficient management of medical consultation time for patients with MM is a critical concern for healthcare providers.

Purpose of the Study:

  • To systematically review and describe the impact of multimorbidity (MM) on the average duration of medical consultations.
  • To synthesize existing evidence on consultation length for patients with MM compared to those without MM.

Main Methods:

  • A systematic review was conducted following PRISMA guidelines, searching Embase and PubMed databases (January 2000 - August 2018).
  • Studies were screened by two independent reviewers, with disagreements resolved by a third reviewer.
  • Inclusion criteria focused on studies measuring consultation length in patients with MM (two or more chronic conditions) versus those without MM.

Main Results:

  • Out of 85 identified articles, only one observational study met the inclusion criteria.
  • The included study demonstrated a statistically significant trend (p < 0.001) for patients with MM to have longer medical consultations compared to patients without MM.

Conclusions:

  • Further research is essential to comprehensively assess the time allocation required for patients with multimorbidity.
  • Additional studies should investigate other factors, such as physician workload, in relation to managing patients with MM.