ArticleBMJ (Clinical research ed.)1999
Quality at general practice consultations: cross sectional survey.
Article in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00129987 (A Multi-centre Randomised Trial of Lay-led Individualised Self-management Education for Adults With Asthma), which is not on this map. Cited by 145 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Multi-centre Randomised Trial of Lay-led Individualised Self-management Education for Adults With Asthma
Who cites it
145 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Personal GP continuity improves healthcare outcomes in primary care populations: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- Profiling health professionals' personality traits, behaviour styles and emotional intelligence: a systematic review.BMC medical education · 2023Pooled it
- Barriers to managing child and adolescent mental health problems: a systematic review of primary care practitioners' perceptions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Pooled it
- Unmet psychosocial needs in haematological cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014Pooled it
- Do longer consultations improve the management of psychological problems in general practice? A systematic literature review.BMC health services research · 2007Pooled it
- The relationship between consultation length, process and outcomes in general practice: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Pooled it
- Randomised controlled trial of a brief intervention targeting predominantly non-verbal communication in general practice consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Trial
- Point of care testing for urinary tract infection in primary care (POETIC): protocol for a randomised controlled trial of the clinical and cost effectiveness of FLEXICULT™ informed management of uncomplicated UTI in primary care.BMC family practice · 2014Trial
- Effect of facemasks on empathy and relational continuity: a randomised controlled trial in primary care.BMC family practice · 2013Trial
- Homeopathy has clinical benefits in rheumatoid arthritis patients that are attributable to the consultation process but not the homeopathic remedy: a randomized controlled clinical trial.Rheumatology (Oxford, England) · 2011Trial
- Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain.BMJ (Clinical research ed.) · 2008Trial
- Trial
- Randomised controlled trial of effect of leaflets to empower patients in consultations in primary care.BMJ (Clinical research ed.) · 2004Trial
- Importance of patient pressure and perceived pressure and perceived medical need for investigations, referral, and prescribing in primary care: nested observational study.BMJ (Clinical research ed.) · 2004Trial
- Accessibility, acceptability, and effectiveness in primary care of routine telephone review of asthma: pragmatic, randomised controlled trial.BMJ (Clinical research ed.) · 2003Trial
- Randomised controlled trial of self management leaflets and booklets for minor illness provided by post.BMJ (Clinical research ed.) · 2001Trial
- A randomised controlled trial of delayed antibiotic prescribing as a strategy for managing uncomplicated respiratory tract infection in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Trial
- Chronic fatigue in general practice: is counselling as good as cognitive behaviour therapy? A UK randomised trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Trial
- Article
- Ambient scribes in general practice - help or hindrance?The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
85 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo measure quality of care at general practice consultations in diverse geographical areas, and to determine the principal correlates associated with enablement as an outcome measure.
designCross sectional multipractice questionnaire based study.
settingRandom sample of practices in four participating regions: Lothian, Coventry, Oxfordshire, and west London.
participants25 994 adults attending 53 practices over two weeks in March and April 1998.
main outcome measuresPatient enablement, duration of consultation, how well patients know their doctor, and the size of the practice list.
resultsA hierarchy of needs or reasons for consultation was created. Similar overall enablement scores were achieved for most casemix presentations (mean 3.1, 95% confidence interval 3.1 to 3.1). Mean duration of consultation for all patients was 8.0 minutes (8.0 to 8.1); however, duration of consultation increased for patients with psychological problems or where psychological and social problems coexisted (mean 9.1, 9.0 to 9.2). The 2195 patients who spoke languages other than English at home were analysed separately as they had generally higher enablement scores (mean 4.5, 4.3 to 4.7) than those patients who spoke English only despite having shorter consultations (mean 7.1 (6. 9 to 7.3) minutes. At individual consultations, enablement score was most closely correlated with duration of consultation and knowing the doctor well. Individual doctors had a wide range of mean enablement scores (1.1-5.3) and mean durations of consultation (3. 8-14.4 minutes). Doctors' ability to enable was linked to the duration of their consultation and the percentage of their patients who knew them well and was inversely related to the size of their practice. At practice level, mean enablement scores ranged from 2.3 to 4.4, and duration of consultation ranged from 4.9 to 12.2 minutes. Correlations between ranks at practice level were not significant.
conclusionsIt may be time to reward doctors who have longer consultations, provide greater continuity of care, and both enable more patients and enable patients more.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.