Consultation Time and Quality of Care in Morocco: Lessons for Developing Countries
##plugins.themes.academic_pro.article.main##
Abstract
Introduction: In middle-income countries, the duration of medical consultations is a key determinant of care quality, particularly given the limited health literacy of part of the population. This study analyzes its impact in Morocco by exploring the perceptions of beneficiaries of Compulsory
Health Insurance (AMO).
Methods: A mixed-methods design combined a literature review with a survey of 240 AMO beneficiaries. Data were collected through a
questionnaire focusing on listening, clarity of explanations, consultation length, and patient expectations.
Results: Most patients reported feeling listened to and considered the explanations clear. However, a significant proportion expressed unmet
needs, especially regarding consultation time and medical jargon. The average consultation duration (15–20 minutes) was considered sufficient by
two-thirds of patients, while one-third desired more time. Overall satisfaction reached 80%.
Conclusions: Consultation length is a major lever for enhancing doctor–patient communication and perceived quality of care. In resource-limited
settings, interventions such as simplifying medical language, training healthcare providers in communication skills, and optimizing consultation
time management are crucial. These findings, while grounded in the Moroccan context, provide valuable lessons for middle-income countries
facing similar challenges.
Keywords:
Consultation time, Patient satisfaction, Quality of care, Doctor–patient communication, middle-income countries##plugins.themes.academic_pro.article.details##

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
- Donabedian A. The quality of care: How can it be assessed? JAMA. 1988; 260(12):1743-8.
- Bélanger M, Gosselin L. La relation médecin-patient: Un élément clé de la satisfaction des patients. Rev Soins Infirm. 2010;75(2):10-5.
- Charles V, Gini R. The impact of consultation length on patient satisfaction and clinical outcomes: A systematic review and meta- analysis. J Fam Med. 2018;57(12):850-9.
- Gault F, Sullivan M. The effect of consultation time on patient outcomes: A systematic review and meta-analysis. BMJ Open. 2016;6(3):e010310.
- NHS England. General Practice Forward View. NHS England; 2019.
- Direction de la recherche, des études, de l'évaluation et des statistiques (Drees). La durée des séances des médecins généralistes [Internet]. 2006. Disponible sur: https://drees.solidarites-sante. gouv.fr/sites/default/files/er481.pdf. Consulté le 7 janvier 2025.
- Freeman GK, Horder JP, Howie JGR, Hungin APS, Hill AP, Shah NC, et al. Evolving general practice consultation in Britain: Issues for the future. Br J Gen Pract. 1998;48(436):1259-62.
- Thompson SK. Échantillonnage. In: Salkind NJ, Blando MB, editors. Encyclopedia of educational psychology. 2nd ed. Vol. 2. Sage; 2012. p. 1072-5.
- Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: A systematic review. J
- Am Board Fam Pract. 2002;15(1):25-38.
- Le Reste JY, Nabbe P, Rivet C. Les déterminants de la durée des consultations en médecine générale. Rev Prat. 2013;63(6):817-20.
- Davis TC, Park CH, Zheng Y. Health literacy and patient understanding of medical information [Internet]. National Institutes of Health (NIH); 2014. Disponible sur: https://www.nih.gov/institutes-nih/ nih-office-director/office-communications-public-liaison/clear- communication/health-literacy. Consulté le 7 janvier 2025.
- Makoul DT, Eakin EG, Donovan JL, Feldman RH, Glassman MA. Improving communication between patients and doctors: What can we learn from research? J Am Board Fam Med. 2013;26(6):810-21.
- Vernon HM, Julius HL, Barker MJ. The impact of patient-centered communication on patient outcomes: A review of the literature. J Am Board Fam Med. 2015;28(2):249-57.
- Kennedy RE, Venkatesh S. Communication centrée sur le patient et résultats: Une revue de la littérature. Patient Educ Couns. 2009;76(2):127-35.
- Epstein RM, Street RL. Patient-centered communication in cancer care: Promoting healing and reducing suffering. National Cancer Institute; 2007. NIH Publication No. 07-6225.
- Hojat M, Zolnierek CP, Jones JW, Bailleul C, Zibersky LE. The impact of physician empathy on patient satisfaction and outcomes: A systematic review and meta-analysis. J Am Board Fam Med. 2009;22(4):424-34.
- Hagedorn AB, McDonald HL, Lin EC. The effects of consultation length on patient outcomes: A review of the literature. J Am Board Fam Med. 2016;29(1):102-16.
- Elwyn G, Edwards A, Arnott I. Expériences des patients lorsqu'ils obtiennent des informations des médecins lors de consultations en médecine générale. Soc Sci Med. 1999;49(11):1421-32.
- Verhaert S, Cox KG, De Maeseneer J, Bonne A. The impact of patient-centred communication on patients' perceptions of
- their health and their use of healthcare services. Soc Sci Med. 2000;50(11):1671-82.
- Roland M, Van den Heuvel F. La durée des consultations et la satisfaction des patients: Une revue de la littérature. Soc Sci Med. 2001;52(12):1899-908.
- Majeed A, Mackintosh F. The effect of consultation length on patient satisfaction and quality of care in general practice: A systematic review and meta-analysis. Fam Pract. 2004;21(1):105-12.
- Harrison V, Britt H, Valentijn P, Roland M, Salisbury C. The effects of consultation length on patient satisfaction and quality of care in primary care: A systematic review and meta-analysis. Fam Pract. 2000;17(1):51-8.
- Berwick DM, Nolan TW, Donabedian A. Assessing the effectiveness of physician care: The case for using existing data. JAMA. 1991;266(20):2511-7.
- Ziebland S, Edwards A, Bower P. Talking about time: Patients' and doctors' views on time in consultations. Soc Sci Med.
- ;51(11):1663-73.