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What happens in general practitioner consultations? A study of video-recorded Australian general practitioner
Elizabeth Sturgiss1, Nilakshi Gunatillaka2, Kimberley Norman3
1PhD, Research Fellow, The School of Primary and Allied Health Care, Monash University, Melbourne, Vic.
Background And Objectives:
Highlighting the complexity of general practice is essential for capturing the comprehensive nature of whole-person care. Our aim is to highlight complexity in the general practitioner consultation by identifying the number of items mentioned or discussed.
Method:
Secondary analysis of video-recorded consultations was undertaken. Two researchers coded items using the body systems in International Classification of Primary Care, Version 2 (ICPC-2) codes. Items were categorised as 'mentioned' or 'discussed'.
Results:
In the 54 consultations, most patients were aged over 45 years and were women (51.9%). On average, consultations lasted 19 minutes (range 03:35-39:59 minutes), five items were discussed (range 1-14), and three were mentioned (range 0-8). Half of consultations included cardiovascular items, half included musculoskeletal items and one-third included psychological items.
Discussion:
Recordings are a useful research method for capturing the complexity of general practice. Highlighting this complexity might be useful for discussions with policymakers and funders to describe the comprehensiveness of general practice care.
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