Andersson S O, Ferry S, Mattsson B
Department of Family Medicine, University of Umeå, Sweden.
Scand J Prim Health Care. 1993 Mar;11(1):61-7. doi: 10.3109/02813439308994904.
Consultation length illustrates how general practitioners balance contradictory concerns such as productivity and quality, listening to patients, and handling their own stress. Important factors for consultation length are list size, characteristics of doctors and patients, and character of the problem. The purpose of this study of 463 consultations was to describe factors that are associated with short and long consultations and to examine the relative influence on the consultation length of patients' age and sex, character of the problem, continuity, and the 'doctor's speed'. A questionnaire was used for both doctors and patients. Short consultations were often made by younger male patients about physical problems, while long consultations often were made by older patients about problems with both psychological and physical dimensions. The 'doctor's speed' explained 22.5%, character of the problem 11.6%, and patient's age 2.9% of the variation in consultation length.
会诊时长体现了全科医生如何平衡相互矛盾的关注点，如工作效率与质量、倾听患者以及应对自身压力等。影响会诊时长的重要因素包括候诊名单规模、医患双方的特点以及问题的性质。这项针对463次会诊的研究旨在描述与短时长和长时长会诊相关的因素，并考察患者年龄与性别、问题性质、连续性以及“医生问诊速度”对会诊时长的相对影响。研究同时对医生和患者使用了问卷调查。年轻男性患者就身体问题进行的会诊往往时间较短，而老年患者就心理和身体方面问题进行的会诊通常时间较长。“医生问诊速度”解释了会诊时长差异的22.5%，问题性质解释了11.6%，患者年龄解释了2.9%。
