Abstract:
Objectives. This study considered whether the time employers allotted to medical consultations in many working environments in Argentina might be inadequate to carry out an interview. The objective was to conduct a survey to gather information on the length of cardiologie medical consultations in Argentina. Methods. During 2007, a survey was carried out that included 816 cardiologists. Results. Seventy-six percent of participants said they needed 20 to 30 minutes, and 14% considered that 15 minutes was sufficient, for an adequate consultation. On the other hand, 64% reported that their employer required that consultations be done in 10 to 15 minutes, and 86% cited limits of less than 20 minutes (P < 0.0001). This time was inadequate for 60% of physicians. With regard to ethics, 89% answered affirmatively that requiring that patients be attended in such a short time could be considered an ethical flaw of the employer; 75% acknowledged their own ethical flaw when agreeing to conduct the consultation in an inadequate amount of time. When opinions were grouped, 22% considered that an adequate consultation length was fundamental for a correct patient-physician relationship, 27% reported that this time depended on "pressures" of the system, 19% indicated that inadequate consultation length affected the quality of attention patients received, 17% thought that low fees forced employers to reduce this time with a resulting detriment in quality of care, and 15% said that consultation length was variable and depended on the patient. Conclusions. This study showed that 60% of physicians perceived as insufficient the time their employers allotted for conducting an adequate consultation. Most believed that allotting such a short time for examining patients could be considered an ethical flaw.
Registro:
Documento: |
Artículo
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Título: | Perception of consultation length in cardiology and its ethical implications |
Autor: | Doval, H.C.; Borracci, R.A.; Darù, V.D.; Giorgi, M.A.; Samareis, M. |
Filiación: | Argentine Society of Cardiology, Buenos Aires, Argentina Argentine Society of Cardiology, Investigation, La Pampa 3030, 1oB Buenos Aires 1428, Argentina
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Palabras clave: | Argentina; Cardiology; Ethics; Referral and consultation; cardiology; ethics; health services; public health; quality control; service sector; Argentina; South America |
Año: | 2008
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Volumen: | 24
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Número: | 1
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Página de inicio: | 31
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Página de fin: | 35
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DOI: |
http://dx.doi.org/10.1590/S1020-49892008000700004 |
Título revista: | Revista Panamericana de Salud Publica/Pan American Journal of Public Health
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Título revista abreviado: | Rev. Panam. Salud Publica Pan Am. J. Public Health
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ISSN: | 10204989
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CODEN: | RPSPF
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Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10204989_v24_n1_p31_Doval |
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Citas:
---------- APA ----------
Doval, H.C., Borracci, R.A., Darù, V.D., Giorgi, M.A. & Samareis, M.
(2008)
. Perception of consultation length in cardiology and its ethical implications. Revista Panamericana de Salud Publica/Pan American Journal of Public Health, 24(1), 31-35.
http://dx.doi.org/10.1590/S1020-49892008000700004---------- CHICAGO ----------
Doval, H.C., Borracci, R.A., Darù, V.D., Giorgi, M.A., Samareis, M.
"Perception of consultation length in cardiology and its ethical implications"
. Revista Panamericana de Salud Publica/Pan American Journal of Public Health 24, no. 1
(2008) : 31-35.
http://dx.doi.org/10.1590/S1020-49892008000700004---------- MLA ----------
Doval, H.C., Borracci, R.A., Darù, V.D., Giorgi, M.A., Samareis, M.
"Perception of consultation length in cardiology and its ethical implications"
. Revista Panamericana de Salud Publica/Pan American Journal of Public Health, vol. 24, no. 1, 2008, pp. 31-35.
http://dx.doi.org/10.1590/S1020-49892008000700004---------- VANCOUVER ----------
Doval, H.C., Borracci, R.A., Darù, V.D., Giorgi, M.A., Samareis, M. Perception of consultation length in cardiology and its ethical implications. Rev. Panam. Salud Publica Pan Am. J. Public Health. 2008;24(1):31-35.
http://dx.doi.org/10.1590/S1020-49892008000700004