The time devoted to individual care is not enough to establish an adequate relationship, consultations are not usually as frequent as they should be, medical resources are not always what medical guidelines suggest, and patients tend to receive a suboptimal medical care.
"In addition to the wrong implicit in all unjustified acts of violence, domestic violence involves wrongs peculiar to it: abuse of trust and destruction of the sanctity of a relationship," the consultation observed.
Previous studies also found a negative relationship between consultation length and measures of workload [ 2, 30].
Nevertheless, women are more likely than men to visit a GP when a problem is serious; a close relationship between consultation behaviour and severity of the problem has been found in women but not in men [ 32].
Consequently, there is a need to investigate the different dimensions of the physiotherapist-patient interaction in musculoskeletal care, to identify the relationship between consultation structure, and subsequent outcomes (e.g. concordance to clinical advice).
However, given the well-established relationship between consultation style and outcomes in primary care, our findings provide important evidence for the training of staff and for the design of CDSS in supporting staff to conduct telephone triage.
In fact Appendix 6 of the CHW submission to the Government's Sex and Relationships Education Consultation a year later was a "cut and paste" version of Dr Raabe's Selpect Committee submission.
Multilevel multiple Poisson regression analyses assessed the relationships between consultation rates and patient and practice characteristics, across the three data sets (main and sensitivity 1 and 2).
The CARE Measure showed weak but significant positive relationships with consultation length (Spearman's rho 0.12, p = 0.002) and how well patients knew the nurse (Spearman's rho 0.22, p = 0.000).
Doctors could try to mirror that relationship during consultations thereby harnessing its positive effects to the delivery of optimal health care in a way that is congenial to Southeast Asian doctors' and patients' expectations.
