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Related Experiment Videos

Process and outcomes in general practice consultations: problems in defining high quality care

H R Winefield1, T G Murrell, J Clifford

  • 1Department of Psychiatry, University of Adelaide, South Australia.

Social Science & Medicine (1982)
|October 1, 1995
PubMed
Summary

Patient satisfaction after a general practice consultation predicts compliance, but not health outcomes. Doctor and patient satisfaction levels often differ, complicating the assessment of care quality.

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Area of Science:

  • General Practice
  • Healthcare Quality
  • Patient-Doctor Communication

Background:

  • Understanding the link between doctor-patient communication and healthcare outcomes is crucial for improving care quality.
  • Previous research has explored various factors influencing consultation outcomes, but the specific impact of verbal interactions requires further investigation.

Purpose of the Study:

  • To examine the relationship between verbal interactions during general practice consultations and key outcomes: patient health change, patient compliance, and satisfaction for both patients and doctors.
  • To investigate the influence of General Practitioner (GP) sex and postgraduate training on these outcomes.

Main Methods:

  • 21 General Practitioners (GPs) provided ten audiotaped consultations each from consecutive adult patients.

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  • Analysis focused on verbal interactions, patient health changes, reported compliance, and satisfaction levels of both patients and doctors.
  • The impact of GP demographics (sex, postgraduate training) was also assessed.

    • Main Results:

    • Patient health change was primarily associated with the acuteness of symptoms at the time of presentation.
    • Patient compliance was predicted by patient satisfaction following the consultation.
    • Doctor and patient satisfaction levels were often dissimilar for the same consultation, showing little correlation.
    • GP sex and postgraduate training had minimal effects on the investigated outcomes.

    Conclusions:

    • Assessing the quality of care in general practice is complex, as patient and doctor satisfaction measures do not consistently align.
    • The findings highlight the importance of considering whose definition of outcome is most relevant when evaluating the quality of healthcare.
    • Patient satisfaction emerges as a key factor influencing compliance, distinct from direct health improvements.