INTERRUPTION ON FAMILY MEDICINE CONSULTATION

Introduction and objective: The consultation is the cornerstone of the practice of family medicine . The quality of it is fundamental to establish a good doctor-patient relationship, required for clinical success. Many factors determine the quality of consultation, including interruptions. Once identified as a problem it will be possible to implement strategies to reduce them. Method: observational, descriptive study. Interruptions incidence assessment on a family doctor consultation , as well as characterization of the main ways, interviews and reasons, during the months of January and February 2014. Data collection were made by 1 observer in record sheet with the many variables evaluated. Time recorded to the second. Results and Conclusion : 200 consultations were registered , with a total duration of 57h18min and 17min15seg query average. There were 57 interrupted consultations ( 28%) , however there were several interruptions in the same consultation! They amounted to a total of 1h25min37s, having the major interruption lasted 11min2s and lower 2s, being the average 1min22s. The administrative were responsible for the largest number ( 56%) and more downtime ( n = 2763s ), mostly by phone. Longer interruptions are medical , either to support a medical condition , or internal issues. Possible bias: 1 doctor , organized consultation, several interruptions in the same query , some occurring between visits. Some corrective measures to be implemented are presenting results and discuss strategies ; flowchart of appointments ; disclosure of organizational information , replacement of the material in advance , chat conversation.