Kimberley Norman, Nilakshi Gunatillaka, Kellie West, Elizabeth Sturgiss
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What happens in general practitioner consultations? A study of video-recorded Australian general practitioner consultations.
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.
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.