Re: Redesigning the general practice consultation to improve care for patients with multimorbidity
There is evidence that spending more overall time per patient (or having less listed patients)is associated with better care for chronic patients and better scores in the patient questionnaire on service and care items. This knowledge also did not lead to a policy change in The Netherlands, because the costs are considerable. Yet it may save expensive care if patients could be handled by the GP, who has time to do things as decision sharing or Motivational interviewing.
Perfect paper hopefully opening the discussion again on more time for patients and/or less patients on the list. www.biomedcentral.com/1472-6963/9/118/abstract
Competing interests: No competing interests