The mean PC medical consultation index rose with RUB level to 12.4, 15.2 and 17.7 visits per HF patient per year, with statistically significant differences among the three [one-factor analysis of variance (ANOVA), F = 28.37, P < 0.01].
Similarly, the mean nursing consultation index in each RUB also rose with RUB level to 8.16, 9.95 and 11.05 visits per year, with statistically significant differences in RUB 3 versus RUBs 4 and 5 (one-factor ANOVA, F = 13.48, P < 0.01).
[Parent 612, antibiotics, no re-consultation, index consultation with doctor] Parents were generally receptive to messages that antibiotics were not always required.
[Parent 518, no antibiotics, no re-consultation, index consultation with nurse] One parent described feeling that they were being discouraged from seeing the doctor 'in a nice way' by the interactive booklet but also reported feeling more confident about differentiating between 'normal symptoms' and signs of more serious illness.
I mean she [the doctor] checked his ears and examined his chest and listened to his chest and was, you know, reassuring" [Parent 544, no antibiotic, no re-consultation, index consultation with doctor] Several parents recalled being specifically asked about their concerns, but very few discussed being asked about their expectations.
[Parent 527, antibiotics, no re-consultation, doctor at index consultation] Likewise, a number of clinicians talked about the damage done by inconsistent messages given to parents by clinicians, including actions (varying thresholds for prescribing antibiotics) and communication (conflicting advice).
The endometrial biopsies taken at each consultation (including index biopsy and biopsies taken after 3 and 6 months) were immediately soaked in a separate 10-ml glass with 10% formaldehyde (glasses labelled with woman's name and date of birth).
In the light of the re-consultation, records of the index consultation were judged to be appropriate for significantly more of the PA consultations than GPs (81.6% versus 50.8%), (Table 5).
CAT: COPD Assessment Test COPDD: Chronic Obstructive Pulmonary Disease; CQI-2: Consultation Quality Index-2; ICC: Intraclass correlation coefficient; MRCF: Medication-Related Consultation Framework; PROM: Patient reported outcome measure; RIAS: Roter's Interaction Analysis System; SGRQ: St George's Respiratory Questionnaire; UK: United Kingdom.
In four linear regression analyses, the four consultation Content indices (Illness, Psychosocial, Concern, and Informing/planning) were used as dependent variables and the overall ACIR-mean as the independent variable with gender and age as control variables.
The Consultation Quality Index-2 (CQI-2) measures the holistic quality of the consultation, including patient enablement, empathy and patient satisfaction [ 18], and so may not have been sufficiently sensitive to measure the impact upon a consultation that we expected the CAT to achieve.
