Centre for Primary Care and Population Health, University of Nicosia , Nicosia, Cyprus.
NHS England Midlands and East , Essex, UK.
Educ Prim Care. 2020 Nov;31(6):371-376. doi: 10.1080/14739879.2020.1812438. Epub 2020 Aug 30.
A number of studies have previously been published on the benefits of GP appraisal. Ours is the first study that compares the views of doctors registered before and after the introduction of appraisals on various core elements of the appraisal process.
This study aimed to explore potential differences, between GPs qualifying before and those after the introduction of NHS appraisals, on the utility of the appraisal process. Additionally, to discover the perceived impact of appraisals on interaction with colleagues and patients.
Suffolk appraisers were recruited to distribute a paper questionnaire, in two sections, for each appraisal undertaken over a 12-month period. The first part of the questionnaire related to that specific appraisal. The second part, seven questions using Likert scales and free-text comments, asked about the appraisal process in general. The feedback from the second part forms the data for this study.
Overall, doctors tended to agree that appraisals had a beneficial impact in the core areas investigated. However, there was a significant difference between generations: those registered before 1998 were less likely to find NHS appraisals beneficial. Both groups reported that preparation took up too much time. Opinions regarding the impact of appraisals on interaction were evenly divided amongst appraisees, with the older cohort more likely to report negatively.
There is a generational difference amongst GP in the perceived utility of NHS appraisal. Current plans to redesign the process to make appraisals less onerous will be welcomed by both groups.
先前已有多项研究探讨了 GP 评估的益处。我们的研究首次比较了在引入评估前后注册医生对评估过程各个核心要素的看法。
本研究旨在探讨在 NHS 评估引入前后获得资格的全科医生之间，对评估过程实用性的潜在差异。此外，还旨在发现评估对与同事和患者互动的感知影响。
萨福克评估员被招募来在 12 个月的时间内，为每个进行的评估分发一份纸质问卷，分为两部分。问卷的第一部分与该特定评估相关。第二部分，使用李克特量表和自由文本评论的七个问题，询问了评估过程的一般情况。第二部分的反馈构成了本研究的数据。
总体而言，医生们倾向于认为评估在调查的核心领域具有有益的影响。然而，在两代人之间存在显著差异：1998 年前注册的医生认为 NHS 评估的益处较小。两组都报告说准备工作占用了太多时间。评估对互动影响的看法在被评估者中平分秋色，而年龄较大的群体更有可能负面报告。
在 NHS 评估的实用性方面，全科医生之间存在代际差异。目前重新设计评估流程以减轻其负担的计划将受到两组的欢迎。
