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59: EVIDENCE BASED DECISION MAKING ABOUT FACTORS AFFECTING CONSULTATION LENGTH OF PHYSICIANS WORLDWIDE: A SYSTEMATIC REVIEW AND META-ANALYSIS

BACKGROUND AND AIMS: Consultation length is a crucial aspect of patient-physician interaction that its inadequacy can negatively influence the treatment and diagnosis efficiency. The purpose was to determine factors related to consultation length of physicians and we sought to compare consultation l...

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Autores principales: HajEbrahimi, Sakineh, Janati, Ali, Hasanpoor, Edris, Arab-Zozani, Morteza, Sokhanvar, Mobin, Pashzadeh, Fariba, HaghGoshyie, Elaheh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759387/
http://dx.doi.org/10.1136/bmjopen-2016-015415.59
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author HajEbrahimi, Sakineh
Janati, Ali
Hasanpoor, Edris
Arab-Zozani, Morteza
Sokhanvar, Mobin
Pashzadeh, Fariba
HaghGoshyie, Elaheh
author_facet HajEbrahimi, Sakineh
Janati, Ali
Hasanpoor, Edris
Arab-Zozani, Morteza
Sokhanvar, Mobin
Pashzadeh, Fariba
HaghGoshyie, Elaheh
author_sort HajEbrahimi, Sakineh
collection PubMed
description BACKGROUND AND AIMS: Consultation length is a crucial aspect of patient-physician interaction that its inadequacy can negatively influence the treatment and diagnosis efficiency. The purpose was to determine factors related to consultation length of physicians and we sought to compare consultation length in different countries worldwide. METHODS: We searched PubMed, Web of Science, Cochrane, ProQuest, and Scopus. Also, we searched Google Scholar for finding of the entire articles that theses related to consultation length. We used data sources up to November, 2015, without language restriction and searched the reference lists of retrieved articles. We extracted Consultation length and Factors related to it and assessments for their methodological quality using the AXIS (Appraisal tool for Cross-Sectional Studies) checklist. Meta-analyses were conducted using Comprehensive Meta-Analysis Version (CMA) 2.0. We used a random-effects model for the meta-analyses of factors. RESULTS: Of the 16 911 identified studies, 189 met full inclusion criteria. Of 189 studies assessed, 125 cases (67%) were conducted in USA, UK, Australia and Netherlands. Only, 49 (26%) studies were strong evidence. 164 (86.77%) studies were face to face consultations. The effect of three variables physicians' gender, patients' gender and type of consultation investigated on the consultation length. According to moderate and strong evidence, no statistically significant difference was found in the consultation length in female and male doctors (p=0.891). Also, no statistically significant difference was found in the consultation length between female and male patients (p=0.314) and telemedicine and face to face (p=0.170) visits. CONCLUSIONS: According to all evidence, The results showed that no association was identified between consultation length and three factors in the random-effects model. It seems patient-physician interaction more than studied variables, influence the length of consultations.
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spelling pubmed-57593872018-02-12 59: EVIDENCE BASED DECISION MAKING ABOUT FACTORS AFFECTING CONSULTATION LENGTH OF PHYSICIANS WORLDWIDE: A SYSTEMATIC REVIEW AND META-ANALYSIS HajEbrahimi, Sakineh Janati, Ali Hasanpoor, Edris Arab-Zozani, Morteza Sokhanvar, Mobin Pashzadeh, Fariba HaghGoshyie, Elaheh BMJ Open Abstracts from the 5th International Society for Evidence-Based Healthcare Congress, Kish Island, Ira BACKGROUND AND AIMS: Consultation length is a crucial aspect of patient-physician interaction that its inadequacy can negatively influence the treatment and diagnosis efficiency. The purpose was to determine factors related to consultation length of physicians and we sought to compare consultation length in different countries worldwide. METHODS: We searched PubMed, Web of Science, Cochrane, ProQuest, and Scopus. Also, we searched Google Scholar for finding of the entire articles that theses related to consultation length. We used data sources up to November, 2015, without language restriction and searched the reference lists of retrieved articles. We extracted Consultation length and Factors related to it and assessments for their methodological quality using the AXIS (Appraisal tool for Cross-Sectional Studies) checklist. Meta-analyses were conducted using Comprehensive Meta-Analysis Version (CMA) 2.0. We used a random-effects model for the meta-analyses of factors. RESULTS: Of the 16 911 identified studies, 189 met full inclusion criteria. Of 189 studies assessed, 125 cases (67%) were conducted in USA, UK, Australia and Netherlands. Only, 49 (26%) studies were strong evidence. 164 (86.77%) studies were face to face consultations. The effect of three variables physicians' gender, patients' gender and type of consultation investigated on the consultation length. According to moderate and strong evidence, no statistically significant difference was found in the consultation length in female and male doctors (p=0.891). Also, no statistically significant difference was found in the consultation length between female and male patients (p=0.314) and telemedicine and face to face (p=0.170) visits. CONCLUSIONS: According to all evidence, The results showed that no association was identified between consultation length and three factors in the random-effects model. It seems patient-physician interaction more than studied variables, influence the length of consultations. BMJ Publishing Group 2017-02-08 /pmc/articles/PMC5759387/ http://dx.doi.org/10.1136/bmjopen-2016-015415.59 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Abstracts from the 5th International Society for Evidence-Based Healthcare Congress, Kish Island, Ira
HajEbrahimi, Sakineh
Janati, Ali
Hasanpoor, Edris
Arab-Zozani, Morteza
Sokhanvar, Mobin
Pashzadeh, Fariba
HaghGoshyie, Elaheh
59: EVIDENCE BASED DECISION MAKING ABOUT FACTORS AFFECTING CONSULTATION LENGTH OF PHYSICIANS WORLDWIDE: A SYSTEMATIC REVIEW AND META-ANALYSIS
title 59: EVIDENCE BASED DECISION MAKING ABOUT FACTORS AFFECTING CONSULTATION LENGTH OF PHYSICIANS WORLDWIDE: A SYSTEMATIC REVIEW AND META-ANALYSIS
title_full 59: EVIDENCE BASED DECISION MAKING ABOUT FACTORS AFFECTING CONSULTATION LENGTH OF PHYSICIANS WORLDWIDE: A SYSTEMATIC REVIEW AND META-ANALYSIS
title_fullStr 59: EVIDENCE BASED DECISION MAKING ABOUT FACTORS AFFECTING CONSULTATION LENGTH OF PHYSICIANS WORLDWIDE: A SYSTEMATIC REVIEW AND META-ANALYSIS
title_full_unstemmed 59: EVIDENCE BASED DECISION MAKING ABOUT FACTORS AFFECTING CONSULTATION LENGTH OF PHYSICIANS WORLDWIDE: A SYSTEMATIC REVIEW AND META-ANALYSIS
title_short 59: EVIDENCE BASED DECISION MAKING ABOUT FACTORS AFFECTING CONSULTATION LENGTH OF PHYSICIANS WORLDWIDE: A SYSTEMATIC REVIEW AND META-ANALYSIS
title_sort 59: evidence based decision making about factors affecting consultation length of physicians worldwide: a systematic review and meta-analysis
topic Abstracts from the 5th International Society for Evidence-Based Healthcare Congress, Kish Island, Ira
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759387/
http://dx.doi.org/10.1136/bmjopen-2016-015415.59
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