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Br J Gen Pract. Dec 1997; 47(425): 805–809.
PMCID: PMC1410074

What makes a good general practitioner: do patients and doctors have different views?

Abstract

BACKGROUND: General practitioners (GPs) are expected to be responsive to patients' expectations, but patients and doctors may have different views on what constitutes good general practice care. AIM: To elicit areas of controversy as well as areas of mutual agreement between the opinions of patients and GPs with regard to good general practice care. METHOD: A questionnaire, distributed to 850 patients and 400 GPs, measured which of 40 aspects of general practice care were given priority. A second questionnaire, distributed to 400 different GPs, measured the GPs' perception of the priorities of patients. RESULTS: The priority rank order of all 40 aspects was highly correlated for patients and GPs (0.72), as was the rank order of aspects for patients and the perception of them by GPs (0.71). Nevertheless, when comparing the priorities of patients and GPs, 23 out of 40 aspects differed significantly (P = 0.00125) in their rank number. Similarly, when comparing the priorities of patients with the perception of them by GPs, 23 aspects differed significantly. CONCLUSIONS: There is great similarity between the priorities of patients and those of GPs. GPs are quite capable of assessing most of the priorities of patients. However, potentially controversial areas of general practice care do exist.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Lewis JR. Patient views on quality care in general practice: literature review. Soc Sci Med. 1994 Sep;39(5):655–670. [PubMed]
  • Hagman E, Rehnström T. Priorities in primary health care. The views of patients, politicians and health care professionals. Scand J Prim Health Care. 1985 Nov;3(4):197–200. [PubMed]
  • Hares T, Spencer J, Gallagher M, Bradshaw C, Webb I. Diabetes care: who are the experts? Qual Health Care. 1992 Dec;1(4):219–224. [PMC free article] [PubMed]
  • Hyatt JD. Perceptions of the family physician by patients and family physicians. J Fam Pract. 1980 Feb;10(2):295–300. [PubMed]
  • Satcher D, Kosecoff J, Fink A. Results of a needs assessment strategy in developing a family practice program in an inner-city community. J Fam Pract. 1980 May;10(5):871–879. [PubMed]
  • Smith CH, Armstrong D. Comparison of criteria derived by government and patients for evaluating general practitioner services. BMJ. 1989 Aug 19;299(6697):494–496. [PMC free article] [PubMed]
  • Wensing M, Grol R, van Montfort P, Smits A. Indicators of the quality of general practice care of patients with chronic illness: a step towards the real involvement of patients in the assessment of the quality of care. Qual Health Care. 1996 Jun;5(2):73–80. [PMC free article] [PubMed]
  • Ware JE., Jr Effects of acquiescent response set on patient satisfaction ratings. Med Care. 1978 Apr;16(4):327–336. [PubMed]
  • Bland JM, Altman DG. Multiple significance tests: the Bonferroni method. BMJ. 1995 Jan 21;310(6973):170–170. [PMC free article] [PubMed]
  • Kravitz RL. Patients' expectations for medical care: an expanded formulation based on review of the literature. Med Care Res Rev. 1996 Mar;53(1):3–27. [PubMed]
  • Uhlmann RF, Inui TS, Carter WB. Patient requests and expectations. Definitions and clinical applications. Med Care. 1984 Jul;22(7):681–685. [PubMed]

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