Quality of chronic disease care in general practice: the development and validation of a provider interview tool
<p>Abstract</p> <p>Background</p> <p>This article describes the development and psychometric evaluation of an interview instrument to assess provider-reported quality of general practice care for patients with diabetes, cardiovascular disease and asthma – the Australian...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2007-04-01
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| Series: | BMC Family Practice |
| Online Access: | http://www.biomedcentral.com/1471-2296/8/21 |
| _version_ | 1811227609577553920 |
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| author | Holton Christine Grimm Jane Davies Gawaine Beilby Justin Amoroso Cheryl Infante Fernando Jayasinghe Upali W Proudfoot Judith Bubner Tanya Harris Mark |
| author_facet | Holton Christine Grimm Jane Davies Gawaine Beilby Justin Amoroso Cheryl Infante Fernando Jayasinghe Upali W Proudfoot Judith Bubner Tanya Harris Mark |
| author_sort | Holton Christine |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>This article describes the development and psychometric evaluation of an interview instrument to assess provider-reported quality of general practice care for patients with diabetes, cardiovascular disease and asthma – the Australian General Practice Clinical Care Interview (GPCCI).</p> <p>Methods</p> <p>We administered the GPCCI to 28 general practitioners (family physicians) in 10 general practices. We conducted an item analysis and assessed the internal consistency of the instrument. We next assessed the quality of care recorded in the medical records of 462 of the general practitioners' patients with Type 2 diabetes, ischaemic heart disease/hypertension and/or moderate to severe asthma. This was then compared with results of the GPCCI for each general practice.</p> <p>Results</p> <p>Good internal consistency was found for the overall GPCCI (Cronbach's alpha = 0.75). As far as the separate sub-scales were concerned, diabetes had good internal consistency (0.76) but the internal consistency of the heart disease and asthma subscales was not strong (0.49 and 0.16 respectively). There was high inter-rater reliability of the adjusted scores of data extracted from patients' medical notes for each of the three conditions. Correlations of the overall GPCCI and patients' medical notes audit, combined across the three conditions and aggregated to practice level, showed that a strong relationship (r = 0.84, p = 0.003) existed between the two indices of clinical care.</p> <p>Conclusion</p> <p>This study suggests that the GPCCI has good internal consistency and concurrent validity with patients' medical records in Australian general practice and warrants further evaluation of its properties, validity and utility.</p> |
| first_indexed | 2024-04-12T09:43:53Z |
| format | Article |
| id | doaj.art-fc4224570b02453781d66256900bea50 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-04-12T09:43:53Z |
| publishDate | 2007-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-fc4224570b02453781d66256900bea502022-12-22T03:38:00ZengBMCBMC Family Practice1471-22962007-04-01812110.1186/1471-2296-8-21Quality of chronic disease care in general practice: the development and validation of a provider interview toolHolton ChristineGrimm JaneDavies GawaineBeilby JustinAmoroso CherylInfante FernandoJayasinghe Upali WProudfoot JudithBubner TanyaHarris Mark<p>Abstract</p> <p>Background</p> <p>This article describes the development and psychometric evaluation of an interview instrument to assess provider-reported quality of general practice care for patients with diabetes, cardiovascular disease and asthma – the Australian General Practice Clinical Care Interview (GPCCI).</p> <p>Methods</p> <p>We administered the GPCCI to 28 general practitioners (family physicians) in 10 general practices. We conducted an item analysis and assessed the internal consistency of the instrument. We next assessed the quality of care recorded in the medical records of 462 of the general practitioners' patients with Type 2 diabetes, ischaemic heart disease/hypertension and/or moderate to severe asthma. This was then compared with results of the GPCCI for each general practice.</p> <p>Results</p> <p>Good internal consistency was found for the overall GPCCI (Cronbach's alpha = 0.75). As far as the separate sub-scales were concerned, diabetes had good internal consistency (0.76) but the internal consistency of the heart disease and asthma subscales was not strong (0.49 and 0.16 respectively). There was high inter-rater reliability of the adjusted scores of data extracted from patients' medical notes for each of the three conditions. Correlations of the overall GPCCI and patients' medical notes audit, combined across the three conditions and aggregated to practice level, showed that a strong relationship (r = 0.84, p = 0.003) existed between the two indices of clinical care.</p> <p>Conclusion</p> <p>This study suggests that the GPCCI has good internal consistency and concurrent validity with patients' medical records in Australian general practice and warrants further evaluation of its properties, validity and utility.</p>http://www.biomedcentral.com/1471-2296/8/21 |
| spellingShingle | Holton Christine Grimm Jane Davies Gawaine Beilby Justin Amoroso Cheryl Infante Fernando Jayasinghe Upali W Proudfoot Judith Bubner Tanya Harris Mark Quality of chronic disease care in general practice: the development and validation of a provider interview tool BMC Family Practice |
| title | Quality of chronic disease care in general practice: the development and validation of a provider interview tool |
| title_full | Quality of chronic disease care in general practice: the development and validation of a provider interview tool |
| title_fullStr | Quality of chronic disease care in general practice: the development and validation of a provider interview tool |
| title_full_unstemmed | Quality of chronic disease care in general practice: the development and validation of a provider interview tool |
| title_short | Quality of chronic disease care in general practice: the development and validation of a provider interview tool |
| title_sort | quality of chronic disease care in general practice the development and validation of a provider interview tool |
| url | http://www.biomedcentral.com/1471-2296/8/21 |
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