Oferta de actividades preventivas en consulta por residentes de medicina familiar y relación con las habilidades comunicacionales

Résumé

Objective: To determine the offer of preventive activities by resident physicians of family medicine in the Primary Care consultations and the relation with their communication habilities. Material and methods: A descriptive multicentre study assessing medical consultations video recording. Peer-review of the communication between physicians and patients (using a CICAA scale); offer of preventive activities (according to the “PAPPS”); doctor, patient and consultation characteristics. A descriptive, bivariate, logistic regression analysis was performed. Results: Two hundred and sixty interviews were evaluated (duration 8.5 ± 4.0 min) of 73 residents (50.7% women, mean age 32.9 ± 7.7 years) of eight Primary Healthcare centres (79% urban environment). Preventive activities are offered in 47%. It is related to the duration of the consultation (OR = 1.1, 95% CI 1.01; 1.16) and communication skills (OR = 1.03, 95% CI 1.01; 1.10). Conclusions: Preventive activities are carried out in almost half of the consultations (although linked to the patient’s demand). Consultation time and communication skills favor a greater preventive offer.