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Interventions to increase or decrease the length of primary care physicians' consultation

Overview of attention for article published in Cochrane database of systematic reviews, August 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (94th percentile)
  • High Attention Score compared to outputs of the same age and source (81st percentile)

Mentioned by

blogs
1 blog
twitter
66 tweeters
facebook
1 Facebook page

Citations

dimensions_citation
18 Dimensions

Readers on

mendeley
139 Mendeley
citeulike
1 CiteULike
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Title
Interventions to increase or decrease the length of primary care physicians' consultation
Published in
Cochrane database of systematic reviews, August 2016
DOI 10.1002/14651858.cd003540.pub3
Pubmed ID
Authors

Andrew D Wilson, Susan Childs, Daniela C. Gonçalves-Bradley, Greg J Irving

Abstract

Observational studies have shown differences in process and outcome between the consultations of primary care physicians whose average consultation lengths differ. These differences may be due to self selection. This is the first update of the original review. To assess the effects of interventions to alter the length of primary care physicians' consultations. We searched the following electronic databases until 4 January 2016: the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, ClinicalTrials.gov, and World Health Organization International Clinical Trials Registry Platform (WHO ICTRP). Randomised controlled trials and non-randomised controlled trials of interventions to alter the length of primary care physicians' consultations. Two review authors independently extracted data and assessed the risk of bias of included studies using agreed criteria and resolved disagreements by discussion. We attempted to contact authors of primary studies with missing data. Given the heterogeneity of studies, we did not conduct a meta-analysis. We assessed the certainty of the evidence for the most important outcomes using the GRADE approach and have presented the results in a narrative summary. Five studies met the inclusion criteria. All were conducted in the UK, and tested short-term changes in the consultation time allocated to each patient. Overall, our confidence in the results was very low; most studies had a high risk of bias, particularly due to non-random allocation of participants and the absence of data on participants' characteristics and small sample sizes. We are uncertain whether altering appointment length increases primary care consultation length, number of referrals and investigations, prescriptions, or patient satisfaction based on very low-certainty evidence. None of the studies reported on the effects of altering the length of consultation on resources used. We did not find sufficient evidence to support or refute a policy of altering the lengths of primary care physicians' consultations. It is possible that these findings may change if high-quality trials are reported in the future. Further trials are needed that focus on health outcomes and cost-effectiveness.

Twitter Demographics

The data shown below were collected from the profiles of 66 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 139 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 <1%
Unknown 138 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 21 15%
Student > Master 18 13%
Student > Bachelor 16 12%
Student > Ph. D. Student 14 10%
Student > Doctoral Student 13 9%
Other 28 20%
Unknown 29 21%
Readers by discipline Count As %
Medicine and Dentistry 40 29%
Nursing and Health Professions 17 12%
Psychology 15 11%
Social Sciences 14 10%
Pharmacology, Toxicology and Pharmaceutical Science 6 4%
Other 13 9%
Unknown 34 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 45. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 January 2021.
All research outputs
#548,970
of 17,108,355 outputs
Outputs from Cochrane database of systematic reviews
#1,357
of 11,627 outputs
Outputs of similar age
#13,833
of 270,449 outputs
Outputs of similar age from Cochrane database of systematic reviews
#32
of 172 outputs
Altmetric has tracked 17,108,355 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 11,627 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 24.7. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 270,449 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 172 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 81% of its contemporaries.