Mercer Stewart W, Howie John G R
General Practice and Primary Care, Division of Community-based Sciences, University of Glasgow, Glasgow.
Br J Gen Pract. 2006 Apr;56(525):262-8.
The Consultation Quality Index (CQI) is a holistic quality marker for GPs based on patient enablement, continuity of the care and consultation length.
To evaluate the CQI-2, a new version of the CQI incorporating a process measure of GP empathy (the Consultation and Relational Empathy Measure).
Cross-sectional questionnaire study.
General practice in the west of Scotland.
Empathy, enablement, continuity, and consultation length were measured in 3044 consultations involving 26 GPs in 26 different practices in the west of Scotland. CQI-2 scores were calculated and correlated with additional data on GPs' and patients' attitudes. Comparisons were also made with the UK-wide data from which the original CQI had been calculated.
CQI-2 scores were independent of deprivation, access, demographics, and case-mix. GPs with lower CQI-2 scores valued empathy and longer consultations less than these GPs with higher CQI-2 scores. 'Below average CQI-2' GPs (those in the bottom 25%) also felt less valued by patients and colleagues. Patients' showed less confidence in and gained less satisfaction from these doctors. Data ranges from the study were comparable with the UK data ranges used to construct the original CQI.
The CQI-2 is a new measure of holistic interpersonal care. In a small but representative sample of GPs it appears to differentiate between below and above average doctors. CQI-2 scores may reflect important aspects of morale, core values and patient-centred care. There may be potential for its use as part of professional development and as a component of the general medical services contract.
会诊质量指数（CQI）是基于患者赋权、护理连续性和会诊时长的全科医生整体质量指标。
评估CQI-2，这是CQI的新版本，纳入了全科医生同理心的过程性指标（会诊与关系同理心测量）。
横断面问卷调查研究。
苏格兰西部的全科医疗。
对苏格兰西部26家不同诊所的26名全科医生参与的3044次会诊中的同理心、赋权、连续性和会诊时长进行了测量。计算了CQI-2得分，并将其与全科医生和患者态度的其他数据进行关联。还与计算原始CQI时使用的全英国数据进行了比较。
CQI-2得分与贫困程度、就诊机会、人口统计学和病例组合无关。CQI-2得分较低的全科医生相比得分较高的全科医生，对同理心和较长会诊的重视程度较低。“CQI-2低于平均水平”的全科医生（处于后25%的那些医生）也感觉患者和同事对他们的重视程度较低。患者对这些医生的信心较低，满意度也较低。该研究的数据范围与用于构建原始CQI的英国数据范围相当。
CQI-2是整体人际护理的一种新指标。在一个规模较小但具有代表性的全科医生样本中，它似乎能够区分低于平均水平和高于平均水平的医生。CQI-2得分可能反映了士气、核心价值观和以患者为中心的护理的重要方面。它有可能作为专业发展的一部分以及作为全科医疗服务合同的一个组成部分来使用。
