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General practitioners, revalidation and appraisal: a cross sectional survey of attitudes, beliefs and concerns in Lincolnshire.

机译:全科医生,重新验证和评估:林肯郡态度,信仰和关注点的横断面调查。

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BACKGROUND: All general practitioners (GPs) are expected to have an appraisal from 2002 and the first cohort will experience revalidation in 2005. Although there is a link between appraisal and revalidation, this has yet to be clarified. OBJECTIVE: To investigate the knowledge, attitudes and beliefs of GPs towards revalidation and appraisal. DESIGN: Cross sectional survey. SETTING: Lincolnshire, UK. PARTICIPANTS: General practitioners. METHOD: In 2000 a self-administered postal questionnaire survey was sent to all 343 GP principals on the list of Lincolnshire Health Authority. The questionnaire consisted of 47 attitudinal statements on appraisal and revalidation. It also included open questions on concerns about appraisal and revalidation and questions on attributes of responders. RESULTS: Of the 343 GPs sent questionnaires, 272 (79%) replied. Lincolnshire GPs had more positive attitudes towards appraisal than towards revalidation. They welcomed appraisal provided that it had local ownership and took into account their views and concerns on the process. Other factors that correlated with a positive attitude towards appraisal included agreement that the purpose of appraisal is educational and that it should result in an agreed development plan. Those who had a positive view of appraisal were more likely to agree set objectives. Previous experience of appraisal either as an appraiser or appraisee was associated with a positive attitude towards appraisal. General practitioners who felt they had more control over the process tended to be more positive. General practitioners who were in favour of appraisal were also more likely to be in favour of revalidation and agree that appraisal formed part of the revalidation process. They were less likely to feel that there was a hidden agenda on the part of government and more likely to agree that revalidation would provide evidence of acceptable care being provided to patients. Time involved and lack of resources were the two main concerns. CONCLUSIONS: A better understanding of knowledge, beliefs and attitudes towards appraisal will ultimately help in setting up a successful appraisal system for GPs. The current emphasis on appraisal as an educational tool will help to foster positive attitudes. The relationship between appraisal and revalidation needs to be clarified. Concerns relating to lack of time and resources for appraisal and revalidation need to be addressed by primary care organisations.
机译:背景:预计所有全科医生(GPs)将从2002年开始进行评估,并且第一批患者将在2005年进行重新验证。尽管评估和重新验证之间存在联系,但这尚未阐明。目的:调查全科医生对重新验证和评估的知识,态度和信念。设计:横断面调查。地点:英国林肯郡。参加者:全科医生。方法:2000年,一项自我管理的邮政问卷调查表发送给了林肯郡卫生局名单上的所有343名GP负责人。问卷包括47个关于评估和重新确认的态度陈述。它还包括有关评估和重新验证的关注的公开问题以及有关响应者属性的问题。结果:在发送的343名GP中,有272名(79%)回答了。林肯郡的全科医生对评估的态度比对重新验证的态度更积极。他们欢迎评估,只要该评估具有地方所有权,并考虑到他们对该过程的看法和关注。与对评估持积极态度相关的其他因素包括,同意评估的目的是教育性的,并且应制定出商定的发展计划。那些对评估持肯定态度的人更有可能同意设定的目标。以前作为鉴定人或鉴定人的鉴定经验与对鉴定的积极态度有关。认为自己对流程有更多控制权的全科医生通常会更加积极。赞成评估的全科医生也更倾向于重新验证,并同意评估是重新验证过程的一部分。他们不太可能感觉到政府方面有一个隐藏的议程,而更有可能同意重新验证将提供为患者提供可接受的护理的证据。花费的时间和缺乏资源是两个主要问题。结论:对评估的知识,信念和态度的更好理解最终将有助于为GP建立成功的评估系统。目前重视评估作为一种教育手段,将有助于培养积极的态度。评估和重新确认之间的关系需要阐明。初级保健组织需要解决与评估和重新验证缺乏时间和资源有关的担忧。

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