Objectives To measure quality of care at general practice consultations in diverse geographical areas, and to determine the principal correlates associated with enablement as an outcome measure.
Design Cross sectional multipractice questionnaire based study.
Setting Random sample of practices in four participating regions :
Oxfordshire, and west London.
Participants 25 994 adults attending 53 practices over two weeks in March and April 1998.
Main outcome measures Patient enablement, duration of consultation, how well patients know their doctor, and the size of the practice list.
Results A hierarchy of needs or reasons for consultation was created.
Similar overall enablement scores were achieved for most casemix presentations (mean 3.1,95% confidence interval 3.1 to 3.1).
Mean duration of consultation for all patients was 8.0 minutes (8.0 to 8.1) ; however, duration of consultation increased for patients with psychological problems or where psychological and social problems coexisted (mean 9.1,9.0 to 9.2).
The 2195 patients who spoke languages other than English at home were analysed separately as they had generally higher enablement scores (mean 4.5,4.3 to 4.7) than those patients who spoke English only despite having shorter consultations (mean 7.1 (6.9 to 7.3) minutes.
At individual consultations, enablement score was most closely correlated with duration of consultation and knowing the doctor well. (...)
Mots-clés Pascal : Royaume Uni, Europe, Homme, Epidémiologie, Santé, Qualité, Soin, Médecine générale, Etude multicentrique, Etude transversale, Questionnaire
Mots-clés Pascal anglais : United Kingdom, Europe, Human, Epidemiology, Health, Quality, Care, Internal medicine, Multicenter study, Cross sectional study, Questionnaire
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0471608
Code Inist : 002B30A01A2. Création : 22/03/2000.