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Most patients (56%) only discussed one problem in the consultation (mean 1.57 (SD 0.71)/median 1.0), consultations lengths averaged 5.5 (SD2.94)/median 5.0 minutes and continuity of care (on a five point scale from 1 to 5) was rare and only 10% of patients felt they knew the doctor quite well (4) or very well (5) with a mean of 1.7 (SD1.09)/median 1.0.
On the other hand, ICD codes in administrative health data are primarily collected for billing purposes and the lack of an ICD code of obesity for an obese child may not necessarily indicate that a physician did not address the problem in the consultation.
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Time is an important condition for discussing psychological problems in the consultation.
Also, patients themselves mention lack of time as one of the reasons for not presenting psychological problems in the consultation [ 28].
GPs mentioned this lack of time as an obstacle to detecting and treating patients with psychological problems in the consultation [ 26, 27].
The second session will be on the use of problem focused therapy in the consultation which includes careful assessment (using assessment of secondary causes, sleep diaries and severity) and modified cognitive behavioural therapy for insomnia.
One of the main problems faced by oncologists in the consultation is the difficulty in accurately gauging the patient's information needs. 1 2 Studies have examined patient preferences for information provision and involvement 1 3–5 and have shown, among other things, that patients do want specific information concerning their illness.
They have sought to understand time spent on different problems within the consultation in order to characterise the patient/clinician interactions with a view to improve the quality of the interaction or for billing purposes.
The second is the problem of poisoning by prescribed drugs in the consultation group.
The person with the mental health problem may or may not participate in the consultation.
The effect brought about by focusing on the gravity of this group's psychosocial problems in the lengthened team consultation might be an explanation for this finding.
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