Department of Family Medicine, Medical School University of Ljubljana, Poljanski nasip 58, 1000 Ljubljana, Slovenia.
Int J Qual Health Care. 2011 Dec;23(6):621-8. doi: 10.1093/intqhc/mzr052. Epub 2011 Aug 10.
In the last decade many things have changed in healthcare systems, primary care practices and populations.
To describe evaluations of general practice care by patients with a chronic illness in 2009 and compare these with a previous study done in 1998.
A descriptive analysis of patients' evaluations, using data from the European practice assessment Cardio study on cardiovascular patients in eight European countries in 2009. We compared these evaluations with a subgroup of patients with self-defined chronic illness from the study in 1998, using a linear regression model.
Patients' evaluation of general practice using the EUROPEP questionnaire. The EUROPEP is a 23-item validated measure of patient evaluations of general practice care.
In 2009, 7472 patients from 251 practices participated in the study with an overall response rate of 49.6%. The percentage of patients with positive evaluations (good/excellent) was 80% or higher for all items, except for the waiting time. More positive evaluations were found in older patients, patients with a longer attachment to the practice, patients with a higher self-evaluation of their health, patients with fewer mental health problems and less pain/discomfort. The comparison between 1998 and 2009 showed no overall trends for all countries combined. Whereas English patients became fairly more positive about general practice in 2009, German patients became slightly less positive, although still more positive than English patients.
Overall, the patients' evaluations of general practice were very positive in family practice care in the years 1998 and 2009. The trends over the years need to be carefully interpreted over time.
在过去的十年中，医疗保健系统、基层医疗实践和人口结构都发生了很大变化。
描述 2009 年慢性病患者对全科医疗的评价，并将这些评价与 1998 年进行的一项先前研究进行比较。
使用来自欧洲心血管患者评估 Cardio 研究的 2009 年八个欧洲国家心血管患者的数据，对患者评价进行描述性分析。我们使用线性回归模型，将这些评价与 1998 年研究中自我定义为慢性病的患者亚组进行比较。
使用 EUROPEP 问卷评估患者对全科医疗的评价。EUROPEP 是一种 23 项验证性的患者对全科医疗护理评价的测量工具。
2009 年，来自 251 家诊所的 7472 名患者参与了研究，总体响应率为 49.6%。除了等待时间外，所有项目的患者对评价（良好/优秀）的比例均在 80%或更高，在老年患者、与诊所联系时间较长的患者、自我健康评估较高的患者、心理健康问题和疼痛/不适较少的患者中，评价更为积极。与 1998 年相比，2009 年所有国家的总体趋势没有发现整体变化。虽然德国患者的评价仍然比英国患者更为积极，但 2009 年英国患者对全科医疗的评价变得更为积极，而德国患者则变得稍微不那么积极。
总体而言，在家庭医疗护理中，患者对全科医疗的评价在 1998 年和 2009 年都非常积极。这些年来的趋势需要随着时间的推移仔细解读。
