Instruments evaluating the duration and pace of clinical encounters: A scoping review.

Autor: Soto Jacome C; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA; Department of Internal Medicine, Norwalk Hospital, Nuvance Health, CT, USA., Espinoza Suarez NR; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA; VITAM Research Center on Sustainable Health, Quebec Integrated University Health and Social Services Center, Quebec City, Quebec, Canada; Faculty of Nursing, Université Laval, Quebec City, Quebec, Canada., Golembiewski EH; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA., Gravholt D; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA., Crowley A; Perelman School of Medicine, University of Pennsylvania, PN, USA., Urtecho M; Mayo Clinic Evidence-based Practice Center, Mayo Clinic, Rochester, MN, USA; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA., Garcia Leon M; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA; Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain., Mandhana D; Department of Communication, College of Liberal Arts & Sciences, Villanova University, PA, USA., Ballard D; Department of Communication Studies, Moody College of Communication, University of Texas at Austin, TX, USA., Kunneman M; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA; Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands., Prokop L; Mayo Clinic Libraries, Mayo Clinic, Rochester, MN, USA., Montori VM; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA. Electronic address: montori.victor@mayo.edu.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Nov 30; Vol. 131, pp. 108591. Date of Electronic Publication: 2024 Nov 30.
DOI: 10.1016/j.pec.2024.108591
Abstrakt: Objective: Hurried encounters in clinical settings contribute to dissatisfaction among both patients and clinicians and may indicate and contribute to low-quality care. We sought to identify patient- or clinician-reported instruments concerning this experience of time in clinical encounters.
Methods: We searched multiple databases from inception through July 2023. Working in duplicate without restrictions by language or clinical context, we identified published instruments or single items measuring perceptions of time adequacy in clinical encounters. We characterized these by time domain (perceived duration or pace of the encounter), responder (patient or clinician), and reference (experience of care in general or of a particular encounter).
Results: Of the 96 instruments found, none focused exclusively on perception of time adequacy in clinical encounters. Nonetheless, these instruments contained 107 time-related items. Of these, 81 items (77 %) measured the perception of the encounter duration, assessing whether there was adequate consultation time overall or for specific tasks (e.g., listening to the patient, exploring psychosocial issues, formulating the care plan). Another 19 (18 %) assessed encounter pace, and 7 (7 %) assessed both duration and pace. Pace items captured actions perceived as rushed or hurried or the perception that patients and clinicians felt pressed for time or rushed. Patients were the respondents for 76 (71 %) and clinicians for 24 (22 %) items. Most patient-reported items (48 of 76) referred to the patient's general care experience.
Conclusion: There are existing items to capture patient and clinician perceptions of the duration and/or pace of clinical encounters. Further work should ascertain their ability to identify hurried consultations and to detect the effect of interventions to foster unhurried encounters.
Practice Implications: The available items assessing patient and clinician perceptions of duration and pace can illuminate the experience of time adequacy in clinical encounters as a target for quality improvement interventions. These items may capture unintended consequences on perceived time for care of interventions to improve healthcare access and efficiency.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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