title: [(Expected) Consultation length, mental (co-)morbidity and patient satisfaction in the family practice encounter].
abstract: BACKGROUND
  Mental disorders are common in family practice, but their meaning for variables of consultation is rarely considered. Thus, we examined the influence of mental disorders on patients' expectations regarding time, openness and seriousness as well as ratings of satisfaction with the consultation.
  
  
  METHODS
  Prior to consultation for 219 patients a screening for anxiety (GAD-7), depression (PHQ-9) and hypochondriasis (WI-7) was performed. Before and after the consultation patient expectations and ratings were recorded. Subgroup analysis was based on Mann-Whitney U tests.
  
  
  RESULTS
  Almost half of the sample were screen-positive. Prior the consultation, screen positive patients had higher ratings for expectations compared with screen negative patients, but did not differ in their experiences after the consultation. There was no association between consultation length and ratings for satisfaction.
  
  
  CONCLUSIONS
  Patients screened positive for mental disorders do not necessarily require longer consultation length, if their expectations regarding openness and seriousness are met. This is underlines the importance of communication skills in undergraduate medical education and specialist training for future GPs.
authors.affiliation: Sektion Allgemeinmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland; Profilzentrum für Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland. Electronic address: andreas.klement@medizin.uni-halle.de.
authors.forename: Andreas
authors.initials: A
authors.lastname: Klement
authors.affiliation: Sektion Allgemeinmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland.
authors.forename: Matthias
authors.initials: M
authors.lastname: Oemler
authors.affiliation: Institut für Medizinische Epidemiologie, Biometrie und Informatik, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland; Profilzentrum für Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland.
authors.forename: Andreas
authors.initials: A
authors.lastname: Wienke
authors.affiliation: Institut für Medizinische Soziologie, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland; Profilzentrum für Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland.
authors.forename: Matthias
authors.initials: M
authors.lastname: Richter
authors.affiliation: Institut für Psychologie, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland.
authors.forename: Uwe
authors.initials: U
authors.lastname: Wolfradt
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology*; D001071:Appointments and Schedules; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D005194:Family Practice; D005260:Female; D005858:Germany; D006801:Humans; D006998:Hypochondriasis / Q000175:diagnosis / Q000523:psychology*; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D013997:Time Factors; D055815:Young Adult
keywords: Arzt-Patient-Interaktion; Consultation length; Konsultationszeit; Patientenzufriedenheit; Primärversorgung; doctor-patient interaction; mental disorders; patient satisfaction; primary care; psychische Störungen