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Multimorbidity and consultation time: a systematic review

2020-07-28Journal article Open access
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dc.contributor.authorTadeu, Ana Carolina Reis
dc.contributor.authore Silva Caetano, Inês Rosendo Carvalho
dc.contributor.authorFIGUEIREDO, INÊS
dc.contributor.authorSantiago, Luiz Miguel
dc.date.accessioned2021-07-07T11:19:06Z
dc.date.available2021-07-07T11:19:06Z
dc.date.issued2020-07-28
dc.description.abstractBackground Multimorbidity (MM) is one of the major challenges health systems currently face. Management of time length of a medical consultation with a patient with MM is a matter of concern for doctors. Methods A systematic review was performed to describe the impact of MM on the average time of a medical consultation considering the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines. The systematic online searches of the Embase and PubMed databases were undertaken, from January 2000 to August 2018. The studies were independently screened by two reviewers to decide which ones met the inclusion criteria. (Kappa = 0.84 and Kappa = 0.82). Differing opinions were solved by a third person. This systematic review included people with MM criteria as participants (two or more chronic conditions in the same individual). The type of outcome included was explicitly defined – the length of medical appointments with patients with MM. Any strategies aiming to analyse the impact of MM on the average consultation time were considered. The length of time of medical appointment for patients without MM was the comparator criteria. Experimental and observational studies were included. Results Of 85 articles identified, only 1 observational study was included, showing a clear trend for patients with MM to have longer consultations than patients without MM criteria (p < 0.001). Conclusions More studies are required to better assess allocation length-time for patients with MM and to measure other characteristics like doctors’ workload.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationTadeu, A.C.R., e Silva Caetano, I.R.C., de Figueiredo, I.J. et al. Multimorbidity and consultation time: a systematic review. BMC Fam Pract. 2020:21(1);152. https://doi.org/10.1186/s12875-020-01219-5pt_PT
dc.identifier.doi10.1186/s12875-020-01219-5pt_PT
dc.identifier.issn1471-2296
dc.identifier.urihttp://hdl.handle.net/10400.26/36977
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relation.publisherversionhttps://bmcfampract.biomedcentral.com/articles/10.1186/s12875-020-01219-5pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectMultimorbiditypt_PT
dc.subjectMedical appointmentpt_PT
dc.subjectQuality of healthcarept_PT
dc.subjectConsultation lengthpt_PT
dc.subjectResearch Subject Categories::MEDICINE::Social medicine::Public health medicine research areas::Family medicinept_PT
dc.titleMultimorbidity and consultation time: a systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage152pt_PT
oaire.citation.titleBMC Family Practicept_PT
oaire.citation.volume21pt_PT
person.familyNameJORGE DE FIGUEIREDO
person.givenNameINÊS
person.identifier.ciencia-id7210-4303-859D
person.identifier.orcid0000-0001-5136-0952
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication29c079be-e171-4c3e-b63c-ebc646f9b0c1
relation.isAuthorOfPublication.latestForDiscovery29c079be-e171-4c3e-b63c-ebc646f9b0c1

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