Correlation between consultation time and patient´s satisfaction in primary care
DOI:
https://doi.org/10.5281/zenodo.10064307Keywords:
Time, Primary Health Care, Patient SatisfactionAbstract
Background: It is important to understand how consultation time relates to patient satisfaction, as these two variables have not been extensively studied together.
Objective: To determine the correlation between consultation time and patient satisfaction in primary care settings in Mexico.
Materials and methods: Cross-sectional, observational, and analytical study that included patients over 18 years old. Time was measured using a stopwatch, and satisfaction was assessed using the Patient Doctor Relationship Questionnaire (PDRQ-9). The correlation between both variables was analyzed using the Spearman test, and multiple linear regression was employed to associate satisfaction with the consultation.
Results: A total of 115 participants were included. The average consultation duration was 12.1 minutes, and 74% of patients reported that the consultation time was adequate. A weak positive correlation (p < 0.001, r = 0.38) was found between actual consultation time and satisfaction. Multiple linear regression demonstrated that for every minute increase in consultation time, level of satisfaction increased in 0.04 units (p = 0.001, CI95%: 0.016-0.063).
Conclusion: Most patients reported satisfaction with the duration of their medical consultation, and longer consultation times were associated with higher satisfaction levels.
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References
Mira JJ, Vitaller J, Aranaz J, et al. La Satisfacción del Paciente: Concepto y aspectos metodológicos. Joumal Heal Psychol. 1992;4(1):89-116.
Gobierno de México. El Sistema Integral de Calidad en Salud. Una mirada crítica [Internet]. 2018 [citado 2023 Jul]. Disponible en: https://www.gob.mx/publicaciones/articulos/ el-sistema-integral-de-calidad-en-salud-una-mirada-critica?idiom=es#:~:text=De%20acuerdo%20con%20la%20Organizaci%C3%B3n,de%20atenci%C3%B3n%20en%20este %20sector.
Rios Castillo JL de los, Avila Rojas TL, Luzeldy T. Algunas consideraciones en el análisis del concepto: satisfacción del paciente. Invest Educ Enferm 2004; 22 (2):128-37.
Organización Mundial de la Salud. Servicios sanitarios de calidad [Internet].2020 [citado 2023 Jul]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/quality -health-services.
Instituto Mexicano del Seguro Social. Estudio nacional de calidad de la atención y de los servicios de salud del IMSS. México;Gobierno de México: 2022 [citado 2023 Jul]. Disponible en: http://www.imss.gob.mx/encuesta-nacional/sistema-integral-de-medicion-de-la-satisfaccion-de-usuarios.
Secretaría de Salud. Sistema de la encuesta de satisfacción, trato adecuado y digno [Internet]. 2021[citado 2023 Jul]. https://desdgces.salud.gob.mx/sestad/index.php/publico/numeralia/ rpt_tabla.
Fonseca Livias A, Ostos Miraval RM, Vargas Roncal R, Barrutia Barreto I. Habilidades comunicacionales y la satisfacción del paciente en los servicios de consulta externa. Rev Salud Pública [Internet]. 2020;24(1):73–82. DOI: https://doi.org/10.31052/1853.1180.v24.n1.27378.
Kalaja R. Determinants of Patient Satisfaction with Health Care: A Literature Review. Eur J Nat Sci Med. 2023;6(1):41–52.
Afrashtehfar KI, Assery MKA, Bryant SR. Patient Satisfaction in Medicine and Dentistry. Int J Dent. 2020:1-10. doi: 10.1155/ 2020/6621848.
Hernández-García I, González-Torga A, Villanueva-Ruiz C, García-Shimizu P, Martín-Ruiz AC, Arnau-Santos M. Satisfacción de los pacientes atendidos en una consulta externa de medicina preventiva. Rev Calid Asist. 2010;25(2):83–9. doi: 10.1016/j.cali.2009.10.003.
Rodríguez Torres A, Jarillo Soto EC, Casas Patiño D. Medical consultation, time and duration. Medwave. 2018;18(5):e7266. doi.org/10.5867/medwave.2018.05.7264.
Kusminsky G, Vitriu A, Albarracín F. El tiempo en la relación médico paciente. XXV Congreso Argentino de Hematología. Hematología. 2021;25:140-146. Mar del Plata, Argentina; Recuperado el 04 de febrero de 2023, de http://revistahematologia.com.ar/index.php/Revista/issue/view/30/14.
Wali RM, Alqahtani RM, Alharazi SK, Bukhari SA, Quqandi SM. Patient satisfaction with the implementation of electronic medical Records in the Western Region, Saudi Arabia, 2018. BMC Fam Pract. 2020;21(1):1-6. doi: 10.1186/s12875-020-1099-0.
Wang Q, Adhikari SP, Wu Y, et al. Consultation length, process quality and diagnosis quality of primary care in rural China: A cross-sectional standardized patient study. Patient Educ Couns. 2022;105(4):902-8. doi: 10.1016/j.pec.2021.08.006.
Van der Feltz-Cornelis CM, Van Oppen P, Van Marwijk HW, et al. A patient-doctor relationship questionnaire (PDRQ-9) in primary care: development and psychometric evaluation. Gen Hosp Psychiatry. 2004 Mar-Apr;26(2):115-20. doi: 10.1016/j. genhosppsych.2003.08.010.
Fernández Castillo KN, Coral Frías NS, Valenzuela Hernádez ER. Validación y adaptación al español del cuestionario de relación médico-paciente en pacientes de diabetes mellitus tipo 2 en el norte de México (PDRQ-9). Psicumex [Internet]. 2021[citado 2023];11. Disponible en: https://doi.org/10.36793/ psicumex.v11i1.339.
Miyakoshi N, Kudo D, Matsuyama Y, Yamashita T, et al. Impact of Consultation Length on Satisfaction in Patients with Chronic Low Back Pain: A Nationwide Multicenter Study in Japan. Spine Surg Relat Res. 2020;4(3):208-15. doi: 10.22603/ ssrr.2019-0111.
Alarcon-Ruiz CA, Heredia P, Taype-Rondan A. Association of waiting and consultation time with patient satisfaction: secondary-data analysis of a national survey in Peruvian ambulatory care facilities. BMC Health Serv Res. 2019 Jul 1;19(1):1-9. doi: 10.1186/s12913-019-4288-6.
Del Estal García MC, Melián González S. Importancia del compromiso del personal sanitario para la satisfacción de los pacientes en Atención Primaria. Aten Primaria. 2022;54(4):1- 8. doi: 10.1016/j.aprim.2022.102281.
20. Fitri Surbakti E, Sari K. The Relationship Between Consultation Length and Patient Satisfaction: A Systematic Review. KnE Life Sci [Internet]. 2018 [cited 2023];4(9):41–9. Available from: https://knepublishing.com/index.php/Kne-Life/article/ view/3556.
Leow HT, Liew SM. A cross sectional study on patient satisfaction and its association with length of consultation at the University Malaya Medical Centre Primary Care Clinic. Malays Fam Physician. 2022 May 25;17(2):71-80. doi: 10.51866/ oa1339.
Gopfert A, Deeny SR, Fisher R, Stafford M. Primary care consultation length by deprivation and multimorbidity in England: an observational study using electronic patient records. Br J Gen Pract. 2021 Feb 25;71(704):e185-e192. doi: 10.3399/ bjgp20X714029.
Galvão TF, Tiguman GMB, Costa Filho DBD, et al. Waiting time and medical consultation length in the Manaus metropolitan region, Brazil: a cross-sectional, population-based study, 2015. Epidemiol Serv Saude. 2020;29(4):1-10. doi: 10.5123/ s1679-49742020000400014.
Chandra S, Ward P, Mohammadnezhad M. Factors Associated With Patient Satisfaction in Outpatient Department of Suva Sub-divisional Health Center, Fiji, 2018: A Mixed Method Study. Front Public Health. 2019 Jul 2;7:183. doi: 10.3389/ fpubh.2019.00183.
Vázquez-Cruz E, Sotomayor-Tapia J, González-López AM, et al. Satisfacción del paciente en el primer nivel de atención médica. Rev Salud Publica (Bogota). 2018;20(2):254-7. doi: 10.15446/rsap.V20n2.61652.
Jaramillo-Beltrán M, de Luna-López MC, Flores-Padilla L, Alarcón-Chávez E, Trejo-Franco J. Satisfacción de los usuarios hospitalizados en una unidad del IMSS en Ciudad Juárez, Chihuahua. Rev enferm Inst Mex Seguro Soc. 2020;28(1):15-24.
Jurdi ZR, Crosby JF Jr, Harris JE Jr, Harvey JB. A Closer Examination of the Patient Experience in the Ambulatory Space: A Retrospective Qualitative Comparison of Primary Care With Specialty Care Experiences. J Ambul Care Manage. 2020;43 (1):89-97. doi: 10.1097/JAC.0000000000000310.
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