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Workshop
WONCA APR Conference 2019 » Workshop
[WS1-09] International variation in consultation length – evidence and personal stories from around the world
Wed. May 15, 2019 3:30 PM - 4:15 PM Room 8 (1F Room C-2)
Organizer: Greg Irving(Univeristy of Cambridge, UK)
Chair: Greg Irving(Univeristy of Cambridge, UK), Ai Oishi(University of Edinburgh, Japan, UK )
There is considerable variations in consultation length around the world and it is concerning that about 50% of the global population spend 5 min or less with their family physician. Such a short consultation length is likely to adversely affect patient healthcare and physician workload and stress. In a recent systematic review we ientified 179 studies from 111 publications covering ~28 million consultations in 67 countries. Average consultation ranged from 48 s in Bangladesh to 22.5 min in Sweden. We found significant associations between consultation length and healthcare spending per capita, admissions to hospital with ambulatory sensitive conditions such as diabetes, primary care physician density, physician efficiency and physician satisfaction.
In this workshop we will:
1) Describe the findings from our systematic review undertaken in English, Japanese, Spanish, Portuguese and Russian languages which was supplemented with data from the WHO International Rational Use of Drug Programme and a survey WONCA members
2) Offer personal stories of the experience of family doctors from selected countries covering a range of different consultation lengths
3) Discuss the current evidence base are related to consultation length and explore the value of each added minute with participants
4) Explore the implications of long and short consultation for practice and policy.