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International variations in primary care physician consultation time: a systematic review of 67 countries

Overview of attention for article published in BMJ Open, November 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#12 of 14,793)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

Citations

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135 Dimensions

Readers on

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411 Mendeley
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Title
International variations in primary care physician consultation time: a systematic review of 67 countries
Published in
BMJ Open, November 2017
DOI 10.1136/bmjopen-2017-017902
Pubmed ID
Authors

Greg Irving, Ana Luisa Neves, Hajira Dambha-Miller, Ai Oishi, Hiroko Tagashira, Anistasiya Verho, John Holden

Abstract

To describe the average primary care physician consultation length in economically developed and low-income/middle-income countries, and to examine the relationship between consultation length and organisational-level economic, and health outcomes. This is a systematic review of published and grey literature in English, Chinese, Japanese, Spanish, Portuguese and Russian languages from 1946 to 2016, for articles reporting on primary care physician consultation lengths. Data were extracted and analysed for quality, and linear regression models were constructed to examine the relationship between consultation length and health service outcomes. One hundred and seventy nine studies were identified from 111 publications covering 28 570 712 consultations in 67 countries. Average consultation length differed across the world, ranging from 48 s in Bangladesh to 22.5 min in Sweden. We found that 18 countries representing about 50% of the global population spend 5 min or less with their primary care physicians. We also found significant associations between consultation length and healthcare spending per capita, admissions to hospital with ambulatory sensitive conditions such as diabetes, primary care physician density, physician efficiency and physician satisfaction. There are international variations in consultation length, and it is concerning that a large proportion of the global population have only a few minutes with their primary care physicians. Such a short consultation length is likely to adversely affect patient healthcare and physician workload and stress.

Twitter Demographics

The data shown below were collected from the profiles of 440 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 411 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 411 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 61 15%
Researcher 53 13%
Student > Ph. D. Student 44 11%
Student > Bachelor 39 9%
Other 33 8%
Other 101 25%
Unknown 80 19%
Readers by discipline Count As %
Medicine and Dentistry 162 39%
Nursing and Health Professions 41 10%
Social Sciences 18 4%
Economics, Econometrics and Finance 12 3%
Psychology 12 3%
Other 71 17%
Unknown 95 23%

Attention Score in Context

This research output has an Altmetric Attention Score of 1155. 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 17 September 2020.
All research outputs
#5,060
of 16,040,486 outputs
Outputs from BMJ Open
#12
of 14,793 outputs
Outputs of similar age
#158
of 325,004 outputs
Outputs of similar age from BMJ Open
#3
of 598 outputs
Altmetric has tracked 16,040,486 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 14,793 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 19.2. This one has done particularly well, scoring higher than 99% 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 325,004 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 99% of its contemporaries.
We're also able to compare this research output to 598 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.