Details

Autor(en) / Beteiligte

• Coyle, Amanda C.
• Yen, Renata W.
• Elwyn, Glyn

Titel

Interrupted opening statements in clinical encounters: A scoping review

Ist Teil von

• Patient education and counseling, 2022-08, Vol.105 (8), p.2653-2663

Ort / Verlag

Ireland: Elsevier B.V

Erscheinungsjahr

2022

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• To conduct a scoping review of literature on the duration of patients’ opening statements in clinical encounters, with or without an interruption. We conducted a scoping review to identify articles based on pre-specified inclusion and exclusion criteria. One reviewer extracted study details and outcomes related to the length of patients’ opening statements. A second reviewer verified this data. We included 14 studies from 1185 citations reviewed. Encounters were in primary care clinics, specialty clinics, and hospitals. Across six studies, the mean time to interruption was 18.2 s. The mean length of uninterrupted opening statements was 45.9 s across nine studies. Clinicians interrupting their patients’ opening statements, compared to not interrupting, takes away time from the patient to fully present their concerns. Research has not focused on the nature of clinician interruptions. For instance, an interruption encouraging expansion or more detail facilitates understanding. Therefore, the impact these interruptions have on the clinical encounter remains unknown. Interrupting the average patient does not save time, so clinicians may benefit from allowing their patients to complete their opening statements. •Physicians interrupt patients’ opening statements after a mean of 18.2 s.•If uninterrupted, patients’ opening statements are a mean of 45.9 s long.•The mean difference between uninterrupted and noninterrupted is 27.7 s.•Limited findings on different types of interruptions and their consequences.