What dimensions underlie patient responses to the General Practice Assessment Survey? A factor analytic study.

Abstract:

BACKGROUND:Patient self-report measures of primary care are being used increasingly for quality assessment and improvement. The General Practice Assessment Survey (GPAS) is a widely used measure. However, it is important that the measures used are valid and interpretable. Factor analysis is a useful method to assist in validation. OBJECTIVE:The aim of this study was to determine the underlying structure of responses to the GPAS. METHODS:Factor analysis of data from a number of patient surveys was carried out using the GPAS in primary care. RESULTS:Analysis indicated that three factors underlie responses to the GPAS. These were named "access", "patient-centredness" and "nursing". These factors were replicated in a second sample of GPAS survey data. CONCLUSION:Responses to the GPAS can best be summarized in terms of three underlying factors, which supports previous conceptual work. These factors may also have utility for reducing the overall length of the GPAS, and in reducing the need for multiple hypothesis testing associated with the use of the original scales.

journal_name

Fam Pract

journal_title

Family practice

authors

Bower P,Mead N,Roland M

doi

10.1093/fampra/19.5.489

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

489-95

issue

5

eissn

0263-2136

issn

1460-2229

journal_volume

19

pub_type

杂志文章
  • The clinical and economic burden of fibromyalgia compared with diabetes mellitus and hypertension among Bedouin women in the Negev.

    abstract:BACKGROUND:Fibromyalgia (FM) is a common idiopathic chronic, widespread pain syndrome with tenderness in anatomically defined tender points. OBJECTIVES:The purpose of the present study was to describe and characterize the economic and daily work burden of FM compared with diabetes mellitus and hypertension. METHODS:A...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmh411

    authors: Doron Y,Peleg R,Peleg A,Neumann L,Buskila D

    更新日期:2004-08-01 00:00:00

  • Medical engagement and organizational characteristics in general practice.

    abstract:BACKGROUND:Medical engagement is a mutual concept of the active and positive contribution of doctors to maintaining and enhancing the performance of their health care organization, which itself recognizes this commitment in supporting and encouraging high quality care. A Medical Engagement Scale (MES) was developed by ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmv085

    authors: Ahnfeldt-Mollerup P,dePont Christensen R,Halling A,Kristensen T,Lykkegaard J,Nexøe J,Barwell F,Spurgeon P,Søndergaard J

    更新日期:2016-02-01 00:00:00

  • Maintained effect of a training program on attitudes towards depression in family physicians.

    abstract:Background:Family doctors' (FD) attitudes likely play an important role in the recognition and management of depression. Objective:The purpose of the study was to prospectively analyse the short-term and long-term impact of a specifically designed training program on attitudes towards depression among FDs. Methods:A ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmx071

    authors: Manzanera R,Lahera G,Álvarez-Mon MÁ,Alvarez-Mon M

    更新日期:2018-01-16 00:00:00

  • A national general practice census: characteristics of rural general practices.

    abstract:OBJECTIVES:The aim of the present study was to describe, using a national census, the characteristics of rural general practices and compare these with city and town general practices. METHODS:A previously piloted, anonymous but linked, questionnaire was issued to all GPs in Ireland. A liaison network covering the cou...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/18.6.622

    authors: Gabhainn SN,Murphy AW,Kelleher C

    更新日期:2001-12-01 00:00:00

  • Drinking alcohol for medicinal purposes by people aged over 75: a community-based interview study.

    abstract:BACKGROUND:Physicians often encounter patients using alcohol as self-medication, but studies on community level are scarce. Because of alcohol-medicine interactions, it is important to know also all self-medication used. OBJECTIVE:To describe alcohol use as self-medication by people aged over 75 years. METHODS:The ho...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmn065

    authors: Aira M,Hartikainen S,Sulkava R

    更新日期:2008-12-01 00:00:00

  • Parental experiences and attitudes regarding the management of acute otitis media--a comparative questionnaire between Finland and The Netherlands.

    abstract:BACKGROUND:Both treatment guidelines and the amount of antibiotics used for acute otitis media (AOM) vary across western countries. Parental expectations and their awareness of antimicrobial use and resistance, which may also be influenced by the guidelines, are not yet completely known. OBJECTIVE:To compare parental ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmp055

    authors: Tähtinen PA,Boonacker CW,Rovers MM,Schilder AG,Huovinen P,Liuksila PR,Ruuskanen O,Ruohola A

    更新日期:2009-12-01 00:00:00

  • The effects of patient-centered depression care on patient satisfaction and depression remission.

    abstract:BACKGROUND:While health systems are striving for patient-centered care, they have little evidence to guide them on how to engage patients in their care, or how this may affect patient experiences and outcomes. OBJECTIVE:To explore which specific patient-centered aspects of care were best associated with depression imp...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmw068

    authors: Rossom RC,Solberg LI,Vazquez-Benitez G,Crain AL,Beck A,Whitebird R,Glasgow RE

    更新日期:2016-12-01 00:00:00

  • Patient characteristics do not predict the individual response to antihypertensive medication: a cross-over trial.

    abstract:Background:International guidelines on hypertension management do not agree on whether patient characteristics can be used for the first choice of treatment of uncomplicated essential hypertension. Objective:We wanted to identify predictive patient characteristics to the response of two different classes of antihypert...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/fampra/cmx075

    authors: van der Wel MC,Biermans M,Akkermans R,Lenders JWM,van Weel C,Deinum J

    更新日期:2018-01-16 00:00:00

  • European primary care surveillance networks: their structure and operation.

    abstract:BACKGROUND:In many European countries, primary care surveillance networks play a role in public health surveillance. OBJECTIVES:To update an inventory of surveillance networks, to describe them and to report on their organization and function in a standardized way. To investigate whether and under what conditions thei...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmi118

    authors: Deckers JG,Paget WJ,Schellevis FG,Fleming DM

    更新日期:2006-04-01 00:00:00

  • Sexual problems: a study of the prevalence and need for health care in the general population.

    abstract:BACKGROUND:There has been little research carried out on the prevalence and types of sexual dysfunction in the general population, although the indications are that such problems are relatively common. Most common sexual problems are potentially treatable. However GPs have estimated the prevalence of sexual problems to...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/15.6.519

    authors: Dunn KM,Croft PR,Hackett GI

    更新日期:1998-12-01 00:00:00

  • Seen through the patients' eyes: quality of chronic illness care.

    abstract:Background:Most well-developed healthcare systems are facing the challenge of managing the increasing prevalence of patients with chronic diseases. Comprehensive frameworks, such as the chronic care model (CCM), receive widespread acceptance for improving care processes, clinical outcomes and costs. Objective:The purp...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmx123

    authors: Desmedt M,Vertriest S,Petrovic M,Bergs J,Vrijhoef H,Dessers E,Hellings J,Vandijck D

    更新日期:2018-07-23 00:00:00

  • Diagnostic performance and clinical feasibility of a point-of-care test for respiratory viral infections in primary health care.

    abstract:Background:Inappropriately high levels of antibiotics are still prescribed in primary health care for respiratory tract infections (RTIs). Access to diagnostic point-of-care tests (POCTs) for RTIs might reduce this over-prescription. Objective:The purpose of our study was to determine the diagnostic performance and cl...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmx019

    authors: Bruning AHL,de Kruijf WB,van Weert HCPM,Willems WLM,de Jong MD,Pajkrt D,Wolthers KC

    更新日期:2017-09-01 00:00:00

  • Pregnant women's ailments and psychosocial conditions.

    abstract::Pregnant women's ailments may cause anxiety and reduce the quality of life. Sixty-five pregnant women were followed prospectively in antenatal care in general practice, and spontaneously reported ailments not associated with serious pregnancy complications were registered prospectively. The vast majority of pregnant w...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/9.3.270

    authors: Førde R

    更新日期:1992-09-01 00:00:00

  • Management of lower urinary tract infection in women by Slovene GPs.

    abstract:BACKGROUND:Uncomplicated lower urinary tract infection (LUTI) is one of the most common infections treated in general practice. Although nationwide treatment guidelines for LUTI are increasingly available, most European countries, including Slovenia, have not yet set such guidelines. OBJECTIVES:Our aim was to describe...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmg421

    authors: Car J,Svab I,Kersnik J,Vegnuti M

    更新日期:2003-08-01 00:00:00

  • Error and safety in primary care: no clear boundaries.

    abstract::This paper examines the notions of adverse events, error, critical incidents and safety from the specific viewpoint of primary care. We conclude that each term can be defined, but existing work which we reviewed uses many of the terms interchangeably. We recognise that trying to access medical error objectively within...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/cmg302

    authors: Jacobson L,Elwyn G,Robling M,Jones RT

    更新日期:2003-06-01 00:00:00

  • Doing randomized controlled trials in a developing country: some practical realities.

    abstract:BACKGROUND:Formal randomized controlled trial results are often reported. The difficulties of doing such trial are not. Developing countries represent a new field in which trials can be undertaken. In this context even less is known about the practicalities involved. METHOD AND RESULTS:A randomized, double-blind, para...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/fampra/13.1.98

    authors: Glasgow NJ,Murdoch JC,Baynouna L,al Sabosy MM,al Jabiri ON,Harron DW

    更新日期:1996-02-01 00:00:00

  • A randomized controlled trial of the effect of providing information on accidental injury admissions and their costs to Primary Care Groups and Trusts.

    abstract:BACKGROUND:Primary Care Groups and Trusts (PCG/Ts) are responsible for improving the health of local populations, but there is little evidence of their strategic involvement in accident prevention. OBJECTIVE:To determine the effect of providing information on local accidental injuries to PCG/Ts on the development of a...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/fampra/cmi016

    authors: Coupland CA,Savelyich BS,Hippisley-Cox J,Kendrick D,Groom L,Cross E

    更新日期:2005-06-01 00:00:00

  • Impact of study design on recruitment of patients to a primary care trial: an observational time series analysis of the Birmingham Atrial Fibrillation Treatment of the Aged (BAFTA) study.

    abstract:BACKGROUND:recruitment targets to randomized controlled trials (RCTs) are often not met. Many interventions are used to improve recruitment but there is little empirical evidence on whether these approaches work. OBJECTIVE:to examine whether changes to the design and conduct of a primary care-based RCT were associated...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmq050

    authors: Fletcher K,Mant J,Roalfe A,Hobbs FD

    更新日期:2010-12-01 00:00:00

  • Organizing palliative care for rural populations: a systematic review of the evidence.

    abstract:BACKGROUND:Palliative care services have developed mostly in urban areas. Rural areas typically are characterized by the lack of well-organized services, with primary care professionals, specifically GPs and community nurses, having to undertake most of the palliative care. Little is known, however, either of their vie...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/cmg312

    authors: Evans R,Stone D,Elwyn G

    更新日期:2003-06-01 00:00:00

  • Incidence, patient characteristics and treatment initiated for GP-diagnosed depression in general practice: results of a 1-year nationwide surveillance study.

    abstract:BACKGROUND:Despite its public health significance, data about depression in general practice are often unavailable. OBJECTIVE:To study (i) the incidence of GP-diagnosed depression during 2008, (ii) associations between patient characteristics, appraised severity and initiated treatment, (iii) GPs' usual care compared ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cms024

    authors: Boffin N,Bossuyt N,Declercq T,Vanthomme K,Van Casteren V

    更新日期:2012-12-01 00:00:00

  • Is COPD a rare disease? Prevalence and identification rates in smokers aged 40 years and over within general practice in Germany.

    abstract:BACKGROUND:According to literature, COPD rates are high in spite of decreasing rates of main risk factors smoking and air pollution in developed countries. general practice is a good place to survey unbiased prevalence rates. Ten studies done in general practice over the last 20 years found prevalence rates among smoke...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmn084

    authors: Gingter C,Wilm S,Abholz HH

    更新日期:2009-02-01 00:00:00

  • Do clinical findings in lower respiratory tract infection help general practitioners prescribe antibiotics appropriately? An observational cohort study in general practice.

    abstract:BACKGROUND:Antibiotics are over-prescribed for lower respiratory tract infection (LRTI). The influence of clinicians' history and examination findings on antibiotic prescribing for LRTI has not been directly assessed, and the extent to which these clinical findings predict appropriate antibiotic prescribing is unknown....

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmi100

    authors: Hopstaken RM,Butler CC,Muris JW,Knottnerus JA,Kester AD,Rinkens PE,Dinant GJ

    更新日期:2006-04-01 00:00:00

  • House calls in Lebanon: reflections on personal experience.

    abstract:BACKGROUND:Home health services play an important role in decreasing hospital admissions and physicians' medical house calls play an integral role in home health services. There is no national survey of physicians' house call practice in the Lebanon. OBJECTIVES:The aim of this study was to provide some information abo...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/15.6.571

    authors: Sarru E,Abyad A

    更新日期:1998-12-01 00:00:00

  • Research in general practice: international problems--international solutions.

    abstract::Although research in primary care has a higher profile than ever before, its impact on professional practice and on government planning often seems less than it should be. In the first part of the paper, the different research agendas of governments, health departments, professional associations and colleges, and of u...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/11.4.351

    authors: Howie JG

    更新日期:1994-12-01 00:00:00

  • The relevance of continuity of care: a solution for the chaos in the emergency services.

    abstract:BACKGROUND:In Brazil, there continues to be an excessive use of emergency services by patients with elective medical problems. Those patients who report having a primary care physician are less likely to utilize the emergency department for non-urgent consultations. OBJECTIVE:The objective of this study was to compare...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/19.2.207

    authors: Stein AT,Harzheim E,Costa M,Busnello E,Rodrigues LC

    更新日期:2002-04-01 00:00:00

  • Patient characteristics which are related to the doctor-patient interaction.

    abstract::Audiotapes were made of 140 visits to the offices of family physicians by patients with acute or chronic problems. The tapes were analysed using Bales Interaction Process Analysis to identify interviews which were patient-centred: interviews in which the physician was supportive and encouraged the patient to express h...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/1.1.30

    authors: Stewart M

    更新日期:1984-03-01 00:00:00

  • Validation of self-reported help-seeking, and measurement of the patient interval, for cancer symptoms: an observational study to inform methodological challenges in symptomatic presentation research.

    abstract:BACKGROUND:To improve earlier presentation with potential symptoms of cancer, accurate data are needed on how people respond to these symptoms. It is currently unclear how self-reported medical help-seeking for symptoms associated with cancer by people from the community correspond to what is recorded in their general ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmz047

    authors: Smith SM,Whitaker KL,Cardy AH,Elliott AM,Hannaford PC,Murchie P

    更新日期:2020-02-19 00:00:00

  • The impact of chronic diseases on the health-related quality of life (HRQOL) of Chinese patients in primary care.

    abstract:BACKGROUND:Ageing of the population results in an increasing number of people living with chronic diseases that can adversely affect their quality of life. Information on the impact of chronic diseases on quality of life can make health services more patient-centred. OBJECTIVES:The aim of this study was to determine t...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/17.2.159

    authors: Lam CL,Lauder IJ

    更新日期:2000-04-01 00:00:00

  • Elderly patients' and GPs' views on different methods for patient involvement: an international qualitative interview study.

    abstract:BACKGROUND:Elderly patients' interaction with the GP may be improved through patient involvement techniques, and there is a variety of such techniques which improve patients' involvement in their own care, although little is known about their acceptability. OBJECTIVES:The aim of this study was to identify barriers and...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmh733

    authors: Geest TA,Wetzels R,Raposo V,Lopes Ferreira P,Baker R,Wensing M,Olesen F,Improve Research Group.

    更新日期:2005-04-01 00:00:00

  • The extent of inter- and intrareviewer agreement on the classification and assessment of designs of single-practice research.

    abstract::The aim of this study was to investigate how much inter- and intrareviewer agreement there was with regard to the classification of research designs and the assessment of the methodological quality of research reports. This was done by means of formal criteria and criteria relating to content. Three successive reliabi...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/12.1.93

    authors: Meijman FJ,de Melker RA

    更新日期:1995-03-01 00:00:00