Priority 10 from the Seniors' Health (Alberta, Canada) PSP

UNCERTAINTY: How can healthcare encounters be restructured to allow older adults sufficient time with providers to discuss complex concerns in one appointment? (JLA PSP Priority 10)
Overall ranking 10
JLA question ID 0083/10
Explanatory note

There has been quite a lot of publicity about the one visit, one problem policy of some clinicians.  Older people often have quite complex and interrelated problems which take longer to address.  People wanted some evidence on how their problems could be efficiently and effectively considered during a single appointment with their healthcare provider


 1. Lewin, S., Skea, Z., Entwistle, V. A., Zwarenstein, M., & Dick, J. (2001). Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd003267

Health Research Classification System category Generic health relevance
Extra information provided by this PSP
Original uncertainty examples Drs in rush they have no time to listen ~ Drs do not give enough time on visits to their offices, 5 to 10 minutes does not give enough time, as only 1 item should be brought forward, when things are a result of something else. ~ Time.  Are we spending enough time with people to figure out what the actual problem is?  ~ Some doctors or care givers seem to want to rush all appointments
Submitted by  Health/Social care provider 8, Caregiver 2, Older Adult  2
PSP information
PSP unique ID 0083
PSP name Seniors' Health (Alberta, Canada)
Total number of uncertainties identified by this PSP. 97  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 13 August 2018