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Related Experiment Videos

Quality at general practice consultations: cross sectional survey.

J G Howie1, D J Heaney, M Maxwell

  • 1Department of Community Health Sciences-General Practice, University of Edinburgh, Edinburgh EH8 9DX. John.Howie@ed.ac.uk

BMJ (Clinical Research Ed.)
|September 17, 1999
PubMed
Summary

General practice quality of care was measured across diverse areas. Longer consultations and better patient-doctor relationships correlate with higher patient enablement, suggesting these factors should be incentivized.

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Area of Science:

  • Primary Care Research
  • Health Services Research
  • Patient Experience

Background:

  • Quality of care in general practice is crucial for patient outcomes.
  • Patient enablement is a key measure of consultation success.
  • Understanding correlates of enablement can improve primary care delivery.

Purpose of the Study:

  • To measure quality of care in diverse geographical general practice settings.
  • To identify key factors associated with patient enablement.
  • To explore the relationship between consultation characteristics and patient enablement.

Main Methods:

  • Cross-sectional, multipractice questionnaire-based study.
  • Involved 25,994 adult patients across 53 general practices in four UK regions.

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  • Measured patient enablement, consultation duration, patient-doctor familiarity, and practice list size.

    • Main Results:

    • Overall enablement scores were similar across most patient groups.
    • Consultation duration increased for patients with psychological or coexisting problems.
    • Patients speaking languages other than English had higher enablement scores despite shorter consultations.
    • Enablement was most strongly correlated with consultation duration and knowing the doctor well.
    • Doctor's ability to enable patients linked to consultation length and patient familiarity, inversely to practice size.

    Conclusions:

    • Longer consultations and greater continuity of care may enhance patient enablement.
    • Incentivizing doctors for longer consultations and improved enablement is suggested.
    • Recognizing and rewarding doctors who foster patient enablement is recommended.