Pawlikowska, Teresa R. B., Walker, Jeremy J., Nowak, Pawel R. and Szumilo-Grzesik, Wieslawa. (2010) Patient involvement in assessing consultation quality: a quantitative study of the Patient Enablement Instrument in Poland. Health Expectations, Vol.13 (No.1). pp. 13-23. ISSN 1369-6513

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Abstract

Background

Promoting a more patient-responsive service has been the focus of policy initiatives in newer EU states. One measure of success should be the patient's assessment of their consultation with their doctor.

Objectives

To measure consultation quality in Polish primary care using patient enablement (a patient-driven instrument developed in the UK) and to test its theoretical framework. To compare the patient enablement outcome of different types of doctor delivering primary care in Poland following reform.

Design

Cross-sectional quantitative questionnaire survey.

Setting

Random sample of primary care doctors practising within a 60-km radius of Gdansk, Poland.

Subjects and outcome measures

Patient Enablement Instrument and correlates were measured in 7924 consecutive adult consultations of 48 doctors, stratified according to training: family medicine specialists (diploma holders), non-diplomates and general medicine doctors (polyclinic internists).

Results

Completion was high (78%). The mean patient enablement score in Poland was 4.0 (SD 3.3) and mean consultation length was 10.3 min (SD 5.4 min). Consultation length and knowing the doctor are independently related to patient enablement in the Polish context. Variation between doctors is significant, but earlier differences in enablement between alternative providers have largely been ameliorated in practice.

Conclusion

It is feasible to use patient enablement on a large scale at routine consultation in primary care in Poland: acceptability was good in diverse environments. The internal consistency of enablement and its relationships broadly mirror those found in the UK. The effect of patient expectations shaped by social and cultural issues influencing enablement outcome requires further investigation.

Item Type:	Journal Article
Subjects:	H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Faculty of Medicine > Warwick Medical School
Journal or Publication Title:	Health Expectations
Publisher:	Blackwell
ISSN:	1369-6513
Official Date:	March 2010
Volume:	Vol.13
Number:	No.1
Number of Pages:	11
Page Range:	pp. 13-23
Identification Number:	10.1111/j.1369-7625.2009.00554.x
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	Medical Academy, Gdansk University
URI:	http://wrap.warwick.ac.uk/id/eprint/6380

Data sourced from Thomson Reuters' Web of Knowledge

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