Cambridge Centre for Health Services Research, University of Cambridge, Cambridge, UK.
BMC Fam Pract. 2013 Oct 20;14:160. doi: 10.1186/1471-2296-14-160.
The General Practice Assessment Questionnaire (GPAQ) has been widely used to assess patient experience in general practice in the UK since 2004. In 2013, new regulations were introduced by the General Medical Council (GMC) requiring UK doctors to undertake periodic revalidation, which includes assessment of patient experience for individual doctors. We describe the development of a new version of GPAQ - GPAQ-R which addresses the GMC's requirements for revalidation as well as additional NHS requirements for surveys that GPs may need to carry out in their own practices.
Questionnaires were given out by doctors or practice staff after routine consultations in line with the guidance given by the General Medical Council for surveys to be used for revalidation. Data analysis and practice reports were provided independently.
Data were analysed for questionnaires from 7258 patients relating to 164 GPs in 29 general practices. Levels of missing data were generally low (typically 4.5-6%). The number of returned questionnaires required to achieve reliability of 0.7 were around 35 for individual doctor communication items and 29 for a composite score based on doctor communication items. This suggests that the responses to GPAQ-R had similar reliability to the GMC's own questionnaire and we recommend 30 completed GPAQ-R questionnaires are sufficient for revalidation purposes. However, where an initial screen raises concern, the survey might be repeated with 50 completed questionnaires in order to increase reliability.
GPAQ-R is a development of a well-established patient experience questionnaire used in general practice in the UK since 2004. This new version can be recommended for use in order to meet the UK General Medical Council's requirements for surveys to be used in revalidation of doctors. It also meets the needs of GPs to ask about patient experience relating to aspects of practice care that are not specific to individual general practitioners (e.g. receptionists, telephone access) which meet other survey requirements of the National Health Service in England. Use of GPAQ-R has the potential to reduce the number of surveys that GPs need to carry out in their practices to meet the various regulatory requirements which they face.
自 2004 年以来，《全科医生评估问卷》（GPAQ）在英国被广泛用于评估全科医生的患者体验。2013 年，英国医学总会（GMC）出台了新规定，要求英国医生定期进行再认证，其中包括对个别医生的患者体验进行评估。我们描述了新版本 GPAQ-R 的开发情况，该版本满足了 GMC 对再认证的要求，以及英国国家医疗服务体系（NHS）对全科医生在其诊所进行调查的额外要求。
根据 GMC 对再认证调查的指导，在常规咨询后由医生或诊所工作人员发放问卷。数据分析和实践报告是独立进行的。
共分析了来自 7258 名患者的问卷，涉及 29 家诊所的 164 名全科医生。数据缺失通常较低（通常为 4.5-6%）。为了达到 0.7 的可靠性，每个医生沟通项目需要大约 35 份问卷，而基于医生沟通项目的综合评分需要大约 29 份问卷。这表明 GPAQ-R 的反应与 GMC 自己的问卷具有相似的可靠性，我们建议为再认证目的完成 30 份完整的 GPAQ-R 问卷。然而，如果初步筛查引起关注，可能需要重复调查，完成 50 份问卷以提高可靠性。
GPAQ-R 是英国自 2004 年以来用于全科实践的一种成熟的患者体验问卷的发展。新版本可以推荐用于满足英国医学总会对再认证医生使用调查的要求。它还满足了全科医生了解与实践护理方面相关的患者体验的需求，这些方面不仅限于个别全科医生（例如接待员、电话接入），并满足了英格兰 NHS 的其他调查要求。使用 GPAQ-R 有可能减少全科医生在实践中为满足他们面临的各种监管要求而进行的调查数量。
