| The workload of GPs: consultations of patients with psychological and somatic problems compared. | |
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MedLine Citation:
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PMID: 16105369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: GPs report that patients' psychosocial problems play a part in 20% of all consultations. GPs state that these consultations are more time-consuming and the perceived burden on the GP is higher. AIM: To investigate whether GPs' workload in consultations is related to psychological or social problems of patients. DESIGN OF STUDY: A cross-sectional national survey in general practice, conducted in the Netherlands from 2000-2002. SETTING: One hundred and four general practices in the Netherlands. METHOD: Videotaped consultations (n = 1392) of a representative sample of 142 GPs were used. Consultations were categorised in three groups: consultations with a diagnosis in the International Classification of Primary Care chapter P 'psychological' or Z 'social' (n = 138), a somatic diagnosis but with a psychological background according to the GP (n = 309), or a somatic diagnosis and background (n = 945). Workload measures were consultation length, number of diagnoses and GPs' assessment of sufficiency of patient time. RESULTS: Consultations in which patients' mental health problems play a part (as a diagnosis or in the background) take more time and involve more diagnoses, and the GP is more heavily burdened with feelings of insufficiency of patient time. In consultations with a somatic diagnosis but psychological background, GPs more often experienced a lack of time compared to consultations with a psychological or social diagnosis. CONCLUSION: Consultations in which the GP notices psychosocial problems make heavier demands on the GP's workload than other consultations. Patients' somatic problems that have a psychological background induce the highest perceived burden on the GP. |
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Authors:
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Else M Zantinge; Peter F M Verhaak; Jan J Kerssens; Jozien M Bensing |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The British journal of general practice : the journal of the Royal College of General Practitioners Volume: 55 ISSN: 0960-1643 ISO Abbreviation: Br J Gen Pract Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-08-17 Completed Date: 2005-12-19 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 9005323 Medline TA: Br J Gen Pract Country: England |
Other Details:
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Languages: eng Pagination: 609-14 Citation Subset: IM |
Affiliation:
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Netherlands Institute for Health Services Research, Utrecht, The Netherlands. e.zantinge@nivel.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Family Practice / statistics & numerical data* Female Humans Male Mental Disorders* / epidemiology, therapy Middle Aged Netherlands / epidemiology Questionnaires Sex Distribution Time Factors Workload / statistics & numerical data* |
| Comments/Corrections | |
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