The General Practice Assessment Survey (GPAS): tests of data quality and measurement properties

Ramsay, Jean; Campbell, John L.; Schroter, Sara; Green, John; Roland, Martín

doi:10.1093/fampra/17.5.372

Cited by 120 publications

(98 citation statements)

References 17 publications

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“…more positive comments after an intervention) when examined secondary to concerns of confidentiality. 3,14 The bias is enhanced when the research subject knows that the clinician will be privy to the results of their outcomes. In contrast, obsequiousness bias occurs when questions are answered in a manner that is sycophantic to the research.…”

Section: Attention Biasmentioning

confidence: 99%

Mode of administration bias

Cook

2010

Journal of Manual & Manipulative Therapy

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Section: Attention Biasmentioning

confidence: 99%

Mode of administration bias

Cook

2010

Journal of Manual & Manipulative Therapy

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“…19 All 33 items in the questionnaire reported in this article, however, were the same as those in published versions of the questionnaire. 20,21 Items within GPAQ are used to create scale scores for patient assessments of (1) coordination of care within and outside practices, (2) the communication skills of the patient's usual physician, (3) nursing care, and (4) overall satisfaction. In addition, individual items relate to continuity of care with a usual physician and access, assessed by patient reports about being able to get an appointment with any physician within 48 hours and a particular physician within 48 hours, as well as a question about being able to get an urgent appointment on the same day.…”

Section: Survey Instrumentmentioning

confidence: 99%

Changes in Patient Experiences of Primary Care During Health Service Reforms in England Between 2003 and 2007

Campbell¹,

Kontopantelis²,

Reeves³

et al. 2010

The Annals of Family Medicine

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PURPOSE Major primary care reforms have been introduced in recent years in the United Kingdom, including fi nancial incentives to improve clinical quality and provide more rapid access to care. Little is known about the impact of these changes on patient experience. We examine patient reports of quality of care between 2003 and 2007, including random samples of patients on practice lists and patients with long-term conditions. METHODSWe conducted a cross-sectional design study of family practices in which questionnaires were sent to serial samples of patients in 42 representative general practices in England. Questionnaires sent to samples of patients with chronic disease (asthma, angina, and diabetes) and random samples of adult patients (excluding patients who reported any long-term condition) in 2003, 2005, and 2007 addressed issues of access, communication, continuity of care, coordination, nursing care, and overall satisfaction.RESULTS There were no signifi cant changes in quality of care reported by either group of patients between 2003 and 2007 for communication, nursing care, coordination, and overall satisfaction. Some aspects of access improved signifi cantly for patients with chronic disease, but not for the random samples of patients. Patients in both samples reported seeing their usual physician less often and gave lower satisfaction ratings for continuity of care. Most scores were signifi cantly higher for the chronic illness samples than for the random samples of patients in 2003, even after adjusting for age.CONCLUSIONS There was a modest improvement in access to care for patients with chronic illness, but all patients now fi nd it somewhat harder to obtain continuity of care. This outcome may be related to the incentives to provide rapid appointments or to the increased number of specialized clinics in primary care. The possibility of unintended effects needs to be considered when introducing pay for performance schemes.

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“…21,27,28 Overall satisfaction, however, has been shown to have a moderate to high correlation with other related concepts of care, such as communication, trust, technical care, and interpersonal skills of the physician. 30 In future research it would be helpful to examine patient satisfaction for urgent health problems in other geographic areas and different primary care systems. Future research could benefi t from a more comprehensive satisfaction instrument that assesses satisfaction with wait times, communication with and attitude of the physician, and satisfaction with the outcome of care in a study that accounts for level of care expectations and the nature and severity of the problem.…”

Section: Urgent He a Lt H C A R E S At Isfac T Ionmentioning

confidence: 99%

Patient Satisfaction With Care for Urgent Health Problems: A Survey of Family Practice Patients

Howard¹,

Goertzen²,

Hutchison³

et al. 2007

The Annals of Family Medicine

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PURPOSE Patient satisfaction is an important health care outcome. This study compared patients' satisfaction with care received for an urgent health problem from their family physician, at an after-hours clinic in which their physician participated, at a walk-in clinic, at the emergency department, from telephone health advisory services, or from more than 1 of those services. METHODSWe mailed a questionnaire to a random sample of patients from 36 family practices in Thunder Bay, Ontario. We elicited satisfaction with care for the most recent urgent health problem in the past 6 months on a 7-point scale (very dissatisfi ed to very satisfi ed). RESULTSThe response rate was 62.3% (5,884 of 9,397). Of the 5,722 eligible patients 1,342 (23.4%) reported an urgent health problem, and data were available for both services used and satisfaction for 1,227 patients. After adjusting for sociodemographic characteristics and self-reported health status, satisfaction with care received for most recent urgent health problem was signifi cantly higher among patients who visited or spoke to their family physician (mean 6.1; 95% confi dence interval [CI], 5.8-6.4) compared with all other services (all P <.004, adjusted for multiple comparisons), with the exception of patients who used the after-hours clinic affi liated with their physician, whose satisfaction was not significantly different (mean 5.6; 95% CI, 5.2-6.0). CONCLUSIONS Satisfaction was highest for patients receiving care from their own family physician or their physician's after-hours clinic. These results are important for new primary care models that emphasize continuity and after-hours availability of family physicians. 2007;5:419-424. 10.1370/afm.704 INTRODUCTION P atient satisfaction is an important outcome of health care services and can affect compliance with medical advice, service utilization, and the clinician-patient relationship. Ann Fam Med1,2 Patients' choice of site for care for perceived urgent health problems is likely to involve a multitude of factors and may, in turn, infl uence health care system organization and continuity of care. Canada, as have many other countries, has faced a shortage of family physicians for many years. For patients with a family physician, options for addressing acute health problems may include an urgent appointment with their own family physician, an after-hours clinic, a walk-in clinic, a hospital emergency department, or telephone health advisory services. Emergency department costs for minor acute illnesses are much higher than treatment in primary care settings, 3 and there are concerns about lack of continuity and duplication of services in walk-in clinics. 4,5 Patients' use of health services other than their family physician's practice is not entirely explained by the urgency of the Michelle Howard, MSc 420 URGENT HE A LT H C A R E S AT ISFAC T IONproblem or by availability of their family physician. For example, up to 30% of emergency department visits have been characterized as inappropriate or not urg...

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The General Practice Assessment Survey (GPAS): tests of data quality and measurement properties

Cited by 120 publications

References 17 publications

Mode of administration bias

Mode of administration bias

Changes in Patient Experiences of Primary Care During Health Service Reforms in England Between 2003 and 2007

Patient Satisfaction With Care for Urgent Health Problems: A Survey of Family Practice Patients

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