Lemon Thomas I, Smith Rebecca H
Department Postgraduate, Dians Princess of Wales Hospital, Scartho, DN33 2BA.
Department Postgraduate, Royal Glamorgan Hospital, Ynysmaerdy, Pontyclun, Wales Deanery CF72 8XR.
J Family Med Prim Care. 2014 Oct-Dec;3(4):333-9. doi: 10.4103/2249-4863.148102.
The suggestion that increased consultation length leads to improved patient satisfaction has some evidence, albeit uncertain. Importantly there are other determinants within the doctor-patient consultation that themselves may be responsible for this improved satisfaction and it is these we investigate in this paper. A systematic review of PubMed and associated papers was carried out using search terms 'family practice consultation length', 'general practice consultation length', 'local health authority consultation length' and 'primary care consultation length'. 590 papers were originally selected using these search terms, post scoring this number became 9. The results obtained support the idea that consultation length does not directly improve consultation outcome, but rather there are variables integrated within the consultation affecting this. Increased time purely allows a physician to implement management, particularly relating to psychosocial aspects.
咨询时长增加会提高患者满意度这一观点有一些证据支持，尽管并不确定。重要的是，医患咨询过程中还有其他决定因素，它们本身可能是满意度提高的原因，而这正是我们在本文中要研究的内容。我们使用“家庭医疗咨询时长”“全科医疗咨询时长”“地方卫生当局咨询时长”和“初级医疗咨询时长”等检索词，对PubMed及相关论文进行了系统综述。最初使用这些检索词选出了590篇论文，评分后数量变为9篇。所得结果支持这样一种观点，即咨询时长并不会直接改善咨询结果，而是咨询过程中存在一些影响结果的变量。单纯增加时间能让医生实施管理，尤其是与心理社会方面相关的管理。
