Complex consultations in primary care: a tool for assessing the range of health problems and issues addressed in general practice consultations

There is an increasing recognition that many consultations in general practice involve several problems covering multiple disease domains. However there is a paucity of reliable tools and techniques to understand and quantify this phenomenon. The objective was to develop a tool that can be used to measure the number and type of problems discussed in primary care consultations.

Thirteen consultations between general practitioners and patients were initially videoed and reviewed to identify the problems and issues discussed. 

The iterative approach to development of the tool reflected the complexity of doctor-patient interactions. A reliable tool has been developed that can be used to analyse the number and range of problems managed in primary care consultations.

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