AMK Kronoberg, Kronoberg County Centre for Competence in Primary Health Care, Kronoberg, Sweden.
Department of Research and Development, Växjö, Sweden.
Scand J Prim Health Care. 2019 Dec;37(4):402-408. doi: 10.1080/02813432.2019.1663581. Epub 2019 Sep 9.
To investigate whether patients' pre-consultation knowledge of the time frames for the consultation influences the actual consultation time and/or patient and physician related outcomes; satisfaction and enablement. Randomised controlled blinded intervention study. Four strategically chosen Primary Health Care Centres (PHCC:s) in Kronoberg county in Sweden participated. Pre-consultation information on planned consultation time. During one week in each PHCC consecutive patients were randomised to intervention group or control group, when booking an appointment with a physician. Patients >18 years of age. Consultation time, patient satisfaction, patient enablement and physician satisfaction. No significant difference in consultation time was found between the intervention group and control group. No differences were seen between intervention group and control group regarding any of the other measures. Stratified data showed significantly shorter consultation time for the intervention group in one of the PHCC:s and for employed physicians. Employed physicians also rated consultations as being easier and were more satisfied with their consultations compared to non-employed physicians. Information on the planned consultation time has a potential to decrease consultation time in certain settings. No negative side effects were found in this study. Key pointsPatients prepare before their consultation but to influence its contents and length is difficult.Informing patients on estimated consultation time can influence actual consultation time.Informing patients on planned consultation time has no adverse effects in this study.
为了调查患者在咨询前对咨询时间框架的了解是否会影响实际咨询时间和/或患者与医生相关的结果；满意度和赋权。一项随机对照双盲干预研究。瑞典 Kronoberg 县的四个战略性选择的初级保健中心（PHCC）参与了该研究。在 PHCC 预约就诊时，对计划的咨询时间进行预咨询信息。在每个 PHCC 的一周内，连续患者被随机分配到干预组或对照组。18 岁以上的患者。咨询时间、患者满意度、患者赋权和医生满意度。干预组和对照组的咨询时间没有显著差异。干预组和对照组在其他任何措施上均无差异。分层数据显示，在其中一个 PHCC 和受雇医生中，干预组的咨询时间明显缩短。受雇医生还认为咨询更容易，并且对咨询的满意度高于非受雇医生。关于计划咨询时间的信息有可能在某些情况下缩短咨询时间。本研究未发现任何负面副作用。要点患者在咨询前会做准备，但要影响咨询的内容和长度是很困难的。告知患者估计的咨询时间可以影响实际的咨询时间。在本研究中，告知患者计划的咨询时间没有不良影响。
