Multimorbidity and consultation time: a systematic review
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.26/36977 https://doi.org/Tadeu, A.C.R., e Silva Caetano, I.R.C., de Figueiredo, I.J. et al. Multimorbidity and consultation time: a systematic review. BMC Fam Pract. 2020:21(1);152. https://doi.org/10.1186/s12875-020-01219-5 https://doi.org/10.1186/s12875-020-01219-5 |
Resumo: | Background Multimorbidity (MM) is one of the major challenges health systems currently face. Management of time length of a medical consultation with a patient with MM is a matter of concern for doctors. Methods A systematic review was performed to describe the impact of MM on the average time of a medical consultation considering the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines. The systematic online searches of the Embase and PubMed databases were undertaken, from January 2000 to August 2018. The studies were independently screened by two reviewers to decide which ones met the inclusion criteria. (Kappa = 0.84 and Kappa = 0.82). Differing opinions were solved by a third person. This systematic review included people with MM criteria as participants (two or more chronic conditions in the same individual). The type of outcome included was explicitly defined – the length of medical appointments with patients with MM. Any strategies aiming to analyse the impact of MM on the average consultation time were considered. The length of time of medical appointment for patients without MM was the comparator criteria. Experimental and observational studies were included. Results Of 85 articles identified, only 1 observational study was included, showing a clear trend for patients with MM to have longer consultations than patients without MM criteria (p < 0.001). Conclusions More studies are required to better assess allocation length-time for patients with MM and to measure other characteristics like doctors’ workload. |
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Multimorbidity and consultation time: a systematic reviewMultimorbidityMedical appointmentQuality of healthcareConsultation lengthResearch Subject Categories::MEDICINE::Social medicine::Public health medicine research areas::Family medicineBackground Multimorbidity (MM) is one of the major challenges health systems currently face. Management of time length of a medical consultation with a patient with MM is a matter of concern for doctors. Methods A systematic review was performed to describe the impact of MM on the average time of a medical consultation considering the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines. The systematic online searches of the Embase and PubMed databases were undertaken, from January 2000 to August 2018. The studies were independently screened by two reviewers to decide which ones met the inclusion criteria. (Kappa = 0.84 and Kappa = 0.82). Differing opinions were solved by a third person. This systematic review included people with MM criteria as participants (two or more chronic conditions in the same individual). The type of outcome included was explicitly defined – the length of medical appointments with patients with MM. Any strategies aiming to analyse the impact of MM on the average consultation time were considered. The length of time of medical appointment for patients without MM was the comparator criteria. Experimental and observational studies were included. Results Of 85 articles identified, only 1 observational study was included, showing a clear trend for patients with MM to have longer consultations than patients without MM criteria (p < 0.001). Conclusions More studies are required to better assess allocation length-time for patients with MM and to measure other characteristics like doctors’ workload.info:eu-repo/semantics/publishedVersionSpringer Nature2021-07-07T11:19:06Z2021-07-072020-07-28T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10400.26/36977https://doi.org/Tadeu, A.C.R., e Silva Caetano, I.R.C., de Figueiredo, I.J. et al. Multimorbidity and consultation time: a systematic review. BMC Fam Pract. 2020:21(1);152. https://doi.org/10.1186/s12875-020-01219-5http://hdl.handle.net/10400.26/36977https://doi.org/10.1186/s12875-020-01219-5eng1471-2296https://bmcfampract.biomedcentral.com/articles/10.1186/s12875-020-01219-5http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessTadeu, Ana Carolina Reise Silva Caetano, Inês Rosendo CarvalhoFIGUEIREDO, INÊSSantiago, Luiz Miguelreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-02-03T04:39:12Zoai:comum.rcaap.pt:10400.26/36977Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:07:55.582176Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Multimorbidity and consultation time: a systematic review |
title |
Multimorbidity and consultation time: a systematic review |
spellingShingle |
Multimorbidity and consultation time: a systematic review Tadeu, Ana Carolina Reis Multimorbidity Medical appointment Quality of healthcare Consultation length Research Subject Categories::MEDICINE::Social medicine::Public health medicine research areas::Family medicine |
title_short |
Multimorbidity and consultation time: a systematic review |
title_full |
Multimorbidity and consultation time: a systematic review |
title_fullStr |
Multimorbidity and consultation time: a systematic review |
title_full_unstemmed |
Multimorbidity and consultation time: a systematic review |
title_sort |
Multimorbidity and consultation time: a systematic review |
author |
Tadeu, Ana Carolina Reis |
author_facet |
Tadeu, Ana Carolina Reis e Silva Caetano, Inês Rosendo Carvalho FIGUEIREDO, INÊS Santiago, Luiz Miguel |
author_role |
author |
author2 |
e Silva Caetano, Inês Rosendo Carvalho FIGUEIREDO, INÊS Santiago, Luiz Miguel |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Tadeu, Ana Carolina Reis e Silva Caetano, Inês Rosendo Carvalho FIGUEIREDO, INÊS Santiago, Luiz Miguel |
dc.subject.por.fl_str_mv |
Multimorbidity Medical appointment Quality of healthcare Consultation length Research Subject Categories::MEDICINE::Social medicine::Public health medicine research areas::Family medicine |
topic |
Multimorbidity Medical appointment Quality of healthcare Consultation length Research Subject Categories::MEDICINE::Social medicine::Public health medicine research areas::Family medicine |
description |
Background Multimorbidity (MM) is one of the major challenges health systems currently face. Management of time length of a medical consultation with a patient with MM is a matter of concern for doctors. Methods A systematic review was performed to describe the impact of MM on the average time of a medical consultation considering the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines. The systematic online searches of the Embase and PubMed databases were undertaken, from January 2000 to August 2018. The studies were independently screened by two reviewers to decide which ones met the inclusion criteria. (Kappa = 0.84 and Kappa = 0.82). Differing opinions were solved by a third person. This systematic review included people with MM criteria as participants (two or more chronic conditions in the same individual). The type of outcome included was explicitly defined – the length of medical appointments with patients with MM. Any strategies aiming to analyse the impact of MM on the average consultation time were considered. The length of time of medical appointment for patients without MM was the comparator criteria. Experimental and observational studies were included. Results Of 85 articles identified, only 1 observational study was included, showing a clear trend for patients with MM to have longer consultations than patients without MM criteria (p < 0.001). Conclusions More studies are required to better assess allocation length-time for patients with MM and to measure other characteristics like doctors’ workload. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-28T00:00:00Z 2021-07-07T11:19:06Z 2021-07-07 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.26/36977 https://doi.org/Tadeu, A.C.R., e Silva Caetano, I.R.C., de Figueiredo, I.J. et al. Multimorbidity and consultation time: a systematic review. BMC Fam Pract. 2020:21(1);152. https://doi.org/10.1186/s12875-020-01219-5 http://hdl.handle.net/10400.26/36977 https://doi.org/10.1186/s12875-020-01219-5 |
url |
http://hdl.handle.net/10400.26/36977 https://doi.org/Tadeu, A.C.R., e Silva Caetano, I.R.C., de Figueiredo, I.J. et al. Multimorbidity and consultation time: a systematic review. BMC Fam Pract. 2020:21(1);152. https://doi.org/10.1186/s12875-020-01219-5 https://doi.org/10.1186/s12875-020-01219-5 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1471-2296 https://bmcfampract.biomedcentral.com/articles/10.1186/s12875-020-01219-5 |
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http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Springer Nature |
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Springer Nature |
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