Quality of consultation in Fanara family practice center- Ismailia governorate

ABSTRACT

The outcomes of consultations include patient satisfaction, recall of the physician's explanations and changes in the patients' concern about their symptoms. Intermediate outcomes refer to the patient's compliance with the physician's instructions. Finally, the long-term outcome of greatest importance is the change in the patient's health status. The aim of this study was to study the quality of consultation regarding its duration and out comes in terms of enablement [satisfaction] and compliance. All patients aged? 18 years attended Fanara PHC centers affiliated to Suez Canal University and Ministry of Health and Population were selected randomly according to the sample size equation [375 patients]. They exposed to a pre-consultation questionnaire including questions about some sociodemographic variables and the type of patient problem [acute or chronic], the cause of visit, his ability to choose his consulting physician and previous physician n patient relationship. Doctors, completed another questionnaire including the duration of the consultation and whether the consultation was new or follow up session. After the consultation, the patient completed the patient enablement instrument, all information were recorded on a single form. The patient's pre-consultation information were hidden from the doctor on completion, and outcome questions were hidden from the patient before the consultation. After one week or in next, session the patient compliance determined by using bill counting method. The main duration of consultation in this study was [6.69] minutes. About 68% of physician consultations were of duration association with increasing the duration of consultation [p<0.0.5]. also it demonstrated that established doctor n patient relationship and the ability of the patient to choose his consulting physician were associated with more enablement score [p<0.0.5] also, it was found that there was positive correlation between age and social score in one hand and enablement score on the other hand, the older patients were more enabled [p<0.05] non-significant correlation was found between gender of the patient and mean enablement score [P=0.8]. this study indicated that about 60% were adherent to the management plan comparing to 6.13% were non-adherent. There was positive and significant correlation between the enablement score and the duration of consultation in addition to the degree of compliance [p<0.05]. The current data indicate that building established doctor-patient relation and giving more time for consultation are associated with more improvement in the outcome of consultation in terms of enablement and compliance