Tähepold Heli, Maaroos Heidi-Ingrid, Kalda Ruth, van den Brink-Muinen Atie
Department of Family Medicine, University of Tartu, Tartu, Estonia.
Scand J Prim Health Care. 2003 Sep;21(3):167-70. doi: 10.1080/02813430310000708.
To study the influence of age, gender and the nature of the patient's problems on length of time of consultation in the practices of newly trained family doctors in a recently reconstructed health care system.
Video-recordings of consultations with consecutive patients in family practice were studied for duration of consultation in relation to age, gender and nature of the problem(s).
Primary health care.
405 consecutive consultations were video-taped in the practices of 27 family doctors.
Length of time of consultation and its segments was analysed using the Statistical Package for the Social Sciences. The problems were classified according to the ICPC.
The average consultation lasted 9.0 min (+/- 4.9). Physical examination was 2.0 min (+/- 1.9) and was performed in 79% of all consultations. Respiratory and circulatory problems were the most common. More than one reason for the encounter was given in one-fourth of cases. Consultation time was longer for older age groups and for patients with psychological problems.
Video-recording allows consultations to be evaluated directly and is acceptable to patients. The high participation rate of patients in our study can be explained by the individual approach and by the family doctor system. The period of consultation was dependent on patient age and on the number and nature of the problems, but was not influenced by gender.
研究在最近重建的医疗保健系统中，新培训的家庭医生的诊疗过程中，年龄、性别和患者问题的性质对诊疗时间长度的影响。
对家庭医疗中连续患者的诊疗视频进行研究，分析诊疗时间与年龄、性别和问题性质的关系。
初级卫生保健。
在27位家庭医生的诊疗过程中，对405次连续诊疗进行了录像。
使用社会科学统计软件包分析诊疗时间及其各部分。问题根据国际初级保健分类法（ICPC）进行分类。
平均诊疗持续9.0分钟（±4.9）。体格检查用时2.0分钟（±1.9），在所有诊疗中占79%。呼吸和循环系统问题最为常见。四分之一的病例给出了不止一个就诊原因。年龄较大的人群和有心理问题的患者诊疗时间较长。
录像可直接评估诊疗过程，患者也能接受。本研究中患者的高参与率可通过个性化方法和家庭医生制度来解释。诊疗时间取决于患者年龄以及问题的数量和性质，但不受性别的影响。
