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Table 1 Studies based on interviews of doctors about consultation length and the management of psychological problems

From: Do longer consultations improve the management of psychological problems in general practice? A systematic literature review

Author/year/location Aim No. of practices/doctors No of patients/consultation Mean consult'n length Method of measuring consult'n length Method of study % of eligible doctors particip'ing Conclusions/findings
Rost USA 1994 [28] To describe preferences & barriers to rural primary care physicians treating depression   53    Semistructured Interviews 86% Random sample 30% of primary care physicians state that lack of time, & 23% that patient not recognising problem, is the biggest barrier to treating depression
Howe 1996 UK [44] To assess factors that influence GPs' identification of psychological distress -/19 GPs, random sample in Sheffield - - - GPs sent postal 'questionnaire, then semi-structured interviewed   Time shortage recorded as factor in 15/19
Pollock 2003 UK [31] To investigate GP perspectives on consultation times and the management of depression in general practice 8/19 Not representative - 8–10 mins booking times - Qualitative, cross-sectional GP semi-structured interviews   Dealing with depression, particularly first consultation, takes longer. GPs accommodate this by running over time.
Smith 2004 UK [32] To explore GPs' views on clinical guidelines on management of depression & barriers to use -/11. Picked to representative of GPs - 5–10 minute booking interval - Qualitative, cross-sectional In-depth interviews with GPs 73% Lack of time major barrier to guideline use