Understanding high and low patient experience scores in primary care: analysis of patients' survey data for general practices and individual doctors.
Bottom Line: Practice level surveys may be better used to "screen" for concerns about performance that require an individual level survey.Higher scoring practices are unlikely to include lower scoring doctors.However, lower scoring practices require further investigation at the level of the individual doctor to distinguish higher and lower scoring general practitioners.
Affiliation: University of Exeter Medical School, St Lukes Campus, Exeter EX1 2LU, UK.Show MeSH
Related in: MedlinePlus
Mentions: Figure 1 shows the estimated mean communication scores for individual doctors and for practices as a whole. It illustrates the extent to which the variation in mean communication scores between individual doctors (within practices) was greater than the variation between practices and suggests that within practice variability in doctors’ scores was greater in the lower scoring practices. Further analysis confirmed this: the within practice standard deviation of general practitioners’ mean communication scores was negatively correlated with the practice’s mean communication score (Pearson’s r=−0.505; P=0.010). Figure 2 shows the adjusted doctor level and practice level mean scores for “cleanliness of the practice buildings” and highlights, in contrast to figure 1, the minimal within practice variability between general practitioners for this non-doctor-specific measure.
Affiliation: University of Exeter Medical School, St Lukes Campus, Exeter EX1 2LU, UK.