Dataset Information

CQI-2--a new measure of holistic interpersonal care in primary care consultations.

ABSTRACT:

Background

The Consultation Quality Index (CQI) is a holistic quality marker for GPs based on patient enablement, continuity of the care and consultation length.

Aim

To evaluate the CQI-2, a new version of the CQI incorporating a process measure of GP empathy (the Consultation and Relational Empathy Measure).

Design of study

Cross-sectional questionnaire study.

Setting

General practice in the west of Scotland.

Method

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.

Results

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.

Conclusions

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.

SUBMITTER: Mercer SW

PROVIDER: S-EPMC1832233 | biostudies-literature | 2006 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

CQI-2--a new measure of holistic interpersonal care in primary care consultations.

Mercer Stewart W SW Howie John G R JG

The British journal of general practice : the journal of the Royal College of General Practitioners 20060401 525

<h4>Background</h4>The Consultation Quality Index (CQI) is a holistic quality marker for GPs based on patient enablement, continuity of the care and consultation length.<h4>Aim</h4>To evaluate the CQI-2, a new version of the CQI incorporating a process measure of GP empathy (the Consultation and Relational Empathy Measure).<h4>Design of study</h4>Cross-sectional questionnaire study.<h4>Setting</h4>General practice in the west of Scotland.<h4>Method</h4>Empathy, enablement, continuity, and consul ...[more]

PMID: 16611514

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Dataset Information

CQI-2--a new measure of holistic interpersonal care in primary care consultations.

Background

Aim

Design of study

Setting

Method

Results

Conclusions

Publications

CQI-2--a new measure of holistic interpersonal care in primary care consultations.

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