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dc.contributor.authorEide, Torunn Bjerve
dc.contributor.authorStraand, Jørund
dc.contributor.authorMelbye, Hasse
dc.contributor.authorRørtveit, Guri
dc.contributor.authorHetlevik, Irene
dc.contributor.authorRosvold, Elin Olaug
dc.date.accessioned2017-03-21T13:34:21Z
dc.date.available2017-03-21T13:34:21Z
dc.date.issued2016-08-24
dc.description.abstractBackground: General practitioners (GPs) constitute a vital part of a strong primary health care system. We need further knowledge concerning factors that may affect the patients’ experiences in their meetings with the GPs. We investigated to what degree organizational factors and GP characteristics are associated with patients’ communicative experiences in a consultation. Methods: We used data from the Norwegian part of the international, multi-center study Quality and Costs of Primary Care in Europe (QUALICOPC). We included 198 Norwegian GPs and 1529 patients. The patients completed a survey concerning experiences in a consultation with a GP on the inclusion day. The GPs completed a survey regarding organizational aspects of their own practice. Main outcome measures were seven statements concerning how the patients experienced the communication with the GP during the consultation. A generalized estimating equation logistic regression model was used to identify variations in patient experiences associated with characteristics of the GPs and their practices. Results: The patients reported overall positive experiences with their GP consultations. Patients who consulted a GP with a short patient list were less likely than patients who consulted a GP with a medium sized list to regard the GP as polite (Odds Ratio (OR) 0.2; 95 % CI 0.1–0.7), to report that the GP asked questions about their health problems (OR 0.6; 0.4–1.0) or that the GP used sufficient time (OR 0.5; CI 0.3–0.9). Patients who consulted a GP with a long patient list compared to patients who consulted a GP with a medium sized list were less likely to feel that they could cope better after the GP visit (OR 0.5; 0.3–0.9) and more likely to feel that the GP hardly looked at them while talking (OR 1.8; 1.0–3.0). No associations with patient experiences were found with the average duration of the consultations, whether the GP worked in a fee-for-service model or whether the GP was the patient’s regular doctor. Conclusions: Norwegian patients report predominantly positive experiences when consulting a GP. Positive communication experiences are most likely to be reported when the GP has a medium sized patient list.en_US
dc.description.sponsorshipThis study was conducted as part of the European QUALICOPC project. QUALICOPC was co- funded by the European Commission under the Seventh Framework Program (FP7/2007–2013) under grant agreement 242141. TBE received funding from The Norwegian Committee on Research in General Practice and the Norwegian Research Fund for General Practice.en_US
dc.descriptionPublished version. Source at http://dx.doi.org/10.1186/s12913-016-1684-z. License CC BY 4.0.en_US
dc.identifier.citationEide TB, Straand J, Melbye H, Rørtveit G, Hetlevik I, Rosvold EO. Patient experiences and the association with organizational factors in general practice: Results from the Norwegian part of the international, multi-centre, cross-sectional QUALICOPC study. BMC Health Services Research. 2016;16(428)en_US
dc.identifier.cristinIDFRIDAID 1394830
dc.identifier.doi10.1186/s12913-016-1684-z
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/10037/10800
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.relation.journalBMC Health Services Research
dc.relation.projectIDinfo:eu-repo/grantAgreement/EU/FP7-HEALTH/242141/Quality and costs of primary care in Europe/QUALICOPCen_US
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subjectPrimary health careen_US
dc.subjectGeneral practiceen_US
dc.subjectPatient satisfactionen_US
dc.subjectPhysician-patient relationsen_US
dc.subjectQUALICOPCen_US
dc.subjectNorwayen_US
dc.subjectHealth-services administrationen_US
dc.titlePatient experiences and the association with organizational factors in general practice: Results from the Norwegian part of the international, multi-centre, cross-sectional QUALICOPC studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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