Three single-topic studies measured consultation behaviour, of which Francis et al 25 found reduced intention to consult in the intervention compared to control group while two did not.
Tables 1, 2 and 4 contain information on the method used to measure consultation length for each study.
Although the studies report different mean lengths of general practice consultations and different methods of measuring consultation length, 14 out of 16 included studies suggest that consultations with a recorded diagnosis of psychological problems take longer.
In the sampling period (the first six months), a nurse measured consultation time, and asked every fifth patient who met the inclusion criteria if they were willing to repeat their given advice after leaving the consultation with the GP.
Additionally, the nurse gave an overall score for each FOC on a 5-point Likert scale, from 1 (very weak) to 5 (very good).> -wrap-foot> aMann-Whitney test: U = 487, z = 2.08, p = .04, r = .28 bMann-Whitney test: U = 514, z = 2.25, p = .02, r = .30 The SPs completed the so called CARE-questionnaire, a validated instrument consisting of 10 questions to measure consultation skills and empathy [ 27].
Since 2007, HFMD surveillance has been performed in Beijing, and relies on measuring consultations for clinically diagnosed cases [ 4].
What it serves to illustrate is that while enablement (as measured by the PEI) appears to be a better measure of consultation benefit than satisfaction measures, like all measures there will be cases where it may not track what we had intended, or assumed.
The aim of the present study was to explore Chinese patients' views on quality of primary care consultations in Hong Kong and to compare these with the items in the CARE measure (a process measure of consultation quality widely used in the UK) in order to assess the potential utility of the CARE measure in a Chinese population.
In a bid to tackle so-called "health tourism" Jeremy Hunt, the health secretary, believes the measures under consultation could save the NHS £500 million a year, according to the Times.
Decides to review Syria's implementation of this resolution within 15 days and, in the event that Syria has not complied, to adopt further measures, in consultation with the League of Arab States;] 16.
