What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
Benan Musellim1, Sermin Borekci1, Gulfidan Uzan2, Zafer Hasan Ali Sak3, Secil Kepil Ozdemir4, Goksel Altinisik5, Sinem Agca Altunbey6, Nazan Sen7, Oguz Kilinc8, Arzu Yorgancioglu9, The Duration for Patient Examination Working Group of Turkish Thoracic Society10
1 Istanbul University, Cerrahpasa Medical Faculty, Department of Chest Diseases, Istanbul, Turkey
2 Haseki Training and Research Hospital, Istanbul, Turkey
3 Harran University Medical Faculty, Department of Chest Diseases, Sanli Urfa, Turkey
4 Ankara Dıskapı Yıldırım Beyazıt Training and Research Hospital, Allergy and Immunology Clinic, Ankara, Turkey
5 Pamukkale University Medical Faculty, Department of Chest Diseases, Denizli, Turkey
6 Health Sciences University, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
7 Baskent University, Adana Dr. Turgut Noyan, Teaching and Medical Research Center, Adana, Turkey
8 Dokuz Eylul University Medical Faculty, Department of Chest Diseases, Izmir, Turkey
9 Celal Bayar University Medical Faculty, Department of Chest Diseases, Manisa, Turkey
Department of Chest Disease, Istanbul University Cerrahpasa Medical Faculty, Istanbul
Source of Support: None, Conflict of Interest: None
Introduction: Patient examinations performed in a limited time period may lead to impairment in patient and physician relationship, defective and erroneous diagnosis, inappropriate prescriptions, less common use of preventive medicine practices, poor patient satisfaction, and increased violent acts against health-care staff.
Objective: This study aimed to determine the appropriate minimal duration of patient examination in the pulmonary practice.
Methods: A total of 49 researchers from ten different study groups of the Turkish Thoracic Society participated in the study. The researchers were asked to examine patients in an almost ideal manner, without time constraint under available conditions.
Results: A total of 1680 patient examinations were reviewed. The mean duration of patient examination in ideal conditions was determined to be 20.4 ± 9.6 min. Among all steps of patient examination, the longest time was spent for “taking medical history.” The total time spent for patient examination was statistically significantly longer in the university hospitals than in the governmental hospitals and training and research hospitals (P < 0.001). Among different patient categories, the patients with a chronic disorder presenting for the first time and were referred from primary or secondary to tertiary care for further evaluation have required the longest time for patient examination.
Conclusion: According to our study, the appropriate minimal duration for patient examination is 20 min. It has been observed that in university hospitals and in patients with chronic pulmonary diseases, this duration has been increased to above 25 min. The durations in clinical practice should be planned accordingly.