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What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?

INTRODUCTION: Patient examinations performed in a limited time period may lead to impairment in patient and physician relationship, defective and erroneous diagnosis, inappropriate prescriptions, less common use of preventive medicine practices, poor patient satisfaction, and increased violent acts...

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Autores principales: Musellim, Benan, Borekci, Sermin, Uzan, Gulfidan, Ali Sak, Zafer Hasan, Ozdemir, Secil Kepil, Altinisik, Goksel, Altunbey, Sinem Agca, Sen, Nazan, Kilinc, Oguz, Yorgancioglu, Arzu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541965/
https://www.ncbi.nlm.nih.gov/pubmed/28808489
http://dx.doi.org/10.4103/atm.ATM_396_16
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author Musellim, Benan
Borekci, Sermin
Uzan, Gulfidan
Ali Sak, Zafer Hasan
Ozdemir, Secil Kepil
Altinisik, Goksel
Altunbey, Sinem Agca
Sen, Nazan
Kilinc, Oguz
Yorgancioglu, Arzu
author_facet Musellim, Benan
Borekci, Sermin
Uzan, Gulfidan
Ali Sak, Zafer Hasan
Ozdemir, Secil Kepil
Altinisik, Goksel
Altunbey, Sinem Agca
Sen, Nazan
Kilinc, Oguz
Yorgancioglu, Arzu
author_sort Musellim, Benan
collection PubMed
description INTRODUCTION: Patient examinations performed in a limited time period may lead to impairment in patient and physician relationship, defective and erroneous diagnosis, inappropriate prescriptions, less common use of preventive medicine practices, poor patient satisfaction, and increased violent acts against health-care staff. OBJECTIVE: This study aimed to determine the appropriate minimal duration of patient examination in the pulmonary practice. METHODS: A total of 49 researchers from ten different study groups of the Turkish Thoracic Society participated in the study. The researchers were asked to examine patients in an almost ideal manner, without time constraint under available conditions. RESULTS: A total of 1680 patient examinations were reviewed. The mean duration of patient examination in ideal conditions was determined to be 20.4 ± 9.6 min. Among all steps of patient examination, the longest time was spent for “taking medical history.” The total time spent for patient examination was statistically significantly longer in the university hospitals than in the governmental hospitals and training and research hospitals (P < 0.001). Among different patient categories, the patients with a chronic disorder presenting for the first time and were referred from primary or secondary to tertiary care for further evaluation have required the longest time for patient examination. CONCLUSION: According to our study, the appropriate minimal duration for patient examination is 20 min. It has been observed that in university hospitals and in patients with chronic pulmonary diseases, this duration has been increased to above 25 min. The durations in clinical practice should be planned accordingly.
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spelling pubmed-55419652017-08-14 What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics? Musellim, Benan Borekci, Sermin Uzan, Gulfidan Ali Sak, Zafer Hasan Ozdemir, Secil Kepil Altinisik, Goksel Altunbey, Sinem Agca Sen, Nazan Kilinc, Oguz Yorgancioglu, Arzu Ann Thorac Med Original Article INTRODUCTION: Patient examinations performed in a limited time period may lead to impairment in patient and physician relationship, defective and erroneous diagnosis, inappropriate prescriptions, less common use of preventive medicine practices, poor patient satisfaction, and increased violent acts against health-care staff. OBJECTIVE: This study aimed to determine the appropriate minimal duration of patient examination in the pulmonary practice. METHODS: A total of 49 researchers from ten different study groups of the Turkish Thoracic Society participated in the study. The researchers were asked to examine patients in an almost ideal manner, without time constraint under available conditions. RESULTS: A total of 1680 patient examinations were reviewed. The mean duration of patient examination in ideal conditions was determined to be 20.4 ± 9.6 min. Among all steps of patient examination, the longest time was spent for “taking medical history.” The total time spent for patient examination was statistically significantly longer in the university hospitals than in the governmental hospitals and training and research hospitals (P < 0.001). Among different patient categories, the patients with a chronic disorder presenting for the first time and were referred from primary or secondary to tertiary care for further evaluation have required the longest time for patient examination. CONCLUSION: According to our study, the appropriate minimal duration for patient examination is 20 min. It has been observed that in university hospitals and in patients with chronic pulmonary diseases, this duration has been increased to above 25 min. The durations in clinical practice should be planned accordingly. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5541965/ /pubmed/28808489 http://dx.doi.org/10.4103/atm.ATM_396_16 Text en Copyright: © 2017 Annals of Thoracic Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Musellim, Benan
Borekci, Sermin
Uzan, Gulfidan
Ali Sak, Zafer Hasan
Ozdemir, Secil Kepil
Altinisik, Goksel
Altunbey, Sinem Agca
Sen, Nazan
Kilinc, Oguz
Yorgancioglu, Arzu
What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
title What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
title_full What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
title_fullStr What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
title_full_unstemmed What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
title_short What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
title_sort what should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541965/
https://www.ncbi.nlm.nih.gov/pubmed/28808489
http://dx.doi.org/10.4103/atm.ATM_396_16
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