Fagerberg C R, Kragstrup J, Støvring H, Rasmussen N K
Research Unit, Odense University, Denmark.
Scand J Prim Health Care. 1999 Sep;17(3):149-52. doi: 10.1080/028134399750002557.
To analyse agreement between patients' and general practitioners' perception of content of consultations.
Cross-sectional study based on paired questionnaires answered by patients and general practitioners (GPs).
General practices in the County of Funen, Denmark.
All 291 GPs in the County were invited to join the investigation, and 137 accepted. All patients who consulted the participating GPs in a 3 day period were included in the investigation. The GPs registered 6021 patients, of whom 3578 (59%) returned the completed questionnaire.
GPs and patients were asked about the urgency of the consultation, number of problems presented, duration of consultation, and quality of communication. The GPs' and patients' answers were matched, and variables of agreement were made. Patients were furthermore asked about their satisfaction with the consultation.
Agreement for the four matched answers varied from 69% to 83%. Disagreement was observed more often in consultations where the patient's self-evaluated health was poor, the patient was female, had a chronic disease, expected a prescription or felt that the GP had little knowledge of his/her life circumstances. Agreement concerning urgency, number of problems and quality of communication was associated with a higher degree of patient satisfaction.
分析患者与全科医生对会诊内容认知的一致性。
基于患者和全科医生（GP）回答的配对问卷进行的横断面研究。
丹麦菲英岛郡的全科诊所。
邀请了该郡所有291名全科医生参与调查，137名接受邀请。在3天内咨询参与调查的全科医生的所有患者均纳入研究。全科医生登记了6021名患者，其中3578名（59%）返回了完整问卷。
询问全科医生和患者会诊的紧急程度、提出的问题数量、会诊时长及沟通质量。将全科医生和患者的回答进行匹配，并得出一致性变量。此外，还询问了患者对会诊的满意度。
四个匹配答案的一致性从69%到83%不等。在患者自我评估健康状况较差、患者为女性、患有慢性病、期望开具处方或认为全科医生对其生活情况了解较少的会诊中，分歧更常出现。关于紧急程度、问题数量和沟通质量的一致性与更高程度的患者满意度相关。
