Fraser R C, Gosling J T
Br Med J (Clin Res Ed). 1985 Nov 23;291(6507):1473-6. doi: 10.1136/bmj.291.6507.1473.
A questionnaire was sent to all general practitioner principals in Leicestershire and Lincolnshire (n = 669) to determine (a) the extent to which they would participate in quality assessment activities based on objective evidence of performance and (b) the personal and professional characteristics of interested doctors. The overall response rate to the questionnaire was 76% (508 replies). The highest response rates were recorded by trainers (100%), principals in training practices (94%), and younger doctors (80-86%), the lowest by overseas graduates (59%) and older doctors (65%). Distinctive patterns of interest and participation in three types of audit activities were clearly evident. Overall, 61% (310) of respondents wished to be provided with profiles of practice activity from their family practitioner committees, 36% (183) volunteered to participate in a prescribing study, and 34% (172) expressed interest in carrying out an audit in depth. Proportionately, the most enthusiastic and active groups were trainers 88%, 70%, 62%), principals in training practices (74%, 49%, 47%), and members or fellows of the Royal College of General Practitioners (71%, 50%, 45%). Also active were younger doctors, vocationally trained doctors, and principals in large group practices. These figures suggest that roughly 15 000 general practitioners in the United Kingdom would be prepared to participate in performance review activities using information provided by external agencies, 10 000 would if they had to generate some of the information, and 7500 would if they had to produce all the information themselves.
一份问卷被发送给了莱斯特郡和林肯郡的所有全科医生负责人(共669人),以确定:(a) 他们基于客观绩效证据参与质量评估活动的程度;(b) 感兴趣的医生的个人和专业特征。问卷的总体回复率为76%(508份回复)。培训师的回复率最高(100%),参与培训实践的负责人回复率为94%,年轻医生的回复率为80 - 86%,海外毕业生的回复率最低(59%),年长医生的回复率为65%。在三种审计活动中的兴趣和参与模式明显不同。总体而言,61%(310人)的受访者希望从他们的家庭医生委员会获得实践活动概况,36%(183人)自愿参与一项处方研究,34%(172人)表示有兴趣进行深入审计。按比例来看,最积极主动的群体是培训师(88%、70%、62%)、参与培训实践的负责人(74%、49%、47%)以及皇家全科医学院的成员或院士(71%、50%、45%)。年轻医生、接受过职业培训的医生以及大型团体诊所的负责人也很积极。这些数据表明,英国大约有15000名全科医生愿意利用外部机构提供的信息参与绩效评估活动,若需要他们自己生成一些信息,愿意参与的有10000名,若必须自己生成所有信息,愿意参与的有7500名。