What happens in general practitioner consultations? A study of video-recorded Australian general practitioner consultations.

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Australian Journal of General Practice Pub Date : 2025-10-01 DOI:10.31128/AJGP-02-25-7561

Kimberley Norman, Nilakshi Gunatillaka, Kellie West, Elizabeth Sturgiss

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Abstract

Background and objectives: Highlighting the complexity of general practice is essential for capturing the comprehensive nature of whole-person care. Our aim is to highlight complexity in the general practitioner consultation by identifying the number of items mentioned or discussed.

Method: Secondary analysis of video-recorded consultations was undertaken. Two researchers coded items using the body systems in International Classification of Primary Care, Version 2 (ICPC-2) codes. Items were categorised as 'mentioned' or 'discussed'.

Results: In the 54 consultations, most patients were aged over 45 years and were women (51.9%). On average, consultations lasted 19 minutes (range 03:35-39:59 minutes), five items were discussed (range 1-14), and three were mentioned (range 0-8). Half of consultations included cardiovascular items, half included musculoskeletal items and one-third included psychological items.

Discussion: Recordings are a useful research method for capturing the complexity of general practice. Highlighting this complexity might be useful for discussions with policymakers and funders to describe the comprehensiveness of general practice care.

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全科医生会诊时会发生什么？录像澳大利亚全科医生咨询的研究。

背景和目标：强调全科实践的复杂性对于把握全人护理的综合性至关重要。我们的目的是通过确定提及或讨论的项目数量来突出全科医生咨询的复杂性。方法：对会诊录像进行二次分析。两名研究人员使用国际初级保健分类第2版（ICPC-2）代码中的身体系统对项目进行编码。项目被分类为“提及”或“讨论”。结果：54例患者中，年龄≥45岁的以女性居多（51.9%）。平均而言，咨询持续了19分钟（范围03:35-39:59分钟），讨论了5个项目（范围1-14），提到了3个项目（范围0-8）。一半的咨询包括心血管项目，一半包括肌肉骨骼项目，三分之一包括心理项目。讨论：记录是一种有用的研究方法，可以捕捉全科实践的复杂性。强调这种复杂性可能有助于与决策者和资助者讨论如何描述全科医疗的全面性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.