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Enhancing Patient-Dedicated Time in Clinical Encounters: A Systematic Review and Meta-analysis of Intervention
Clement P Buclin1,2, Nils Bürgisser3, Amandine Berner3
1Division of General Internal Medicine, University Hospitals of Geneva, Geneva, Switzerland. clementbuclin@gmail.com.
Journal of General Internal Medicine
|September 23, 2025
Summary
Hospital programs that increase patient-provider interaction time improve patient satisfaction and home discharge rates. These interventions also reduce hospital length of stay, though readmission rates remain unchanged.
Area of Science:
- Healthcare Management
- Patient Experience
- Clinical Operations
Background:
- Hospitals are increasingly implementing programs to enhance patient-provider interaction time.
- Formal evaluations of these programs are often lacking.
- This study quantifies the effectiveness of such interventions.
Purpose of the Study:
- To evaluate the impact of hospital programs designed to protect or enhance clinical encounter time.
- To assess effects on patient satisfaction, length of stay, home discharge, and readmission rates.
Main Methods:
- Systematic literature review and random-effects meta-analysis.
- Searched Cochrane Library, Embase, and Web of Science.
- Included studies with ≥80% adult inpatients in acute care, comparing interventions to controls.
Main Results:
- 117 studies (298,517 patients) were analyzed.
- Interventions increased patient satisfaction (+8%) and home discharge (+2.6%).
- Length of stay decreased by 1.07 days; readmission rates showed no significant difference.
Conclusions:
- Programs enhancing clinical encounter time show promise for improving patient experience and care processes.
- Higher quality randomized controlled trials are needed.
- Future programs should consider multi-disciplinary insights and implementation science.
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