ArticleBMC family practice2008
The General Practice Assessment Questionnaire (GPAQ) - development and psychometric characteristics.
Article in BMC family practice, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
60 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic literature review of patient self-assessment instruments concerning quality of primary care in multiprofessional clinics.Family practice · 2022Pooled it
- A systematic review of the validity and reliability of patient-reported experience measures.Health services research · 2019Pooled it
- Randomized controlled trial demonstrates novel tools to assess patient outcomes of Indigenous cultural safety training.BMC medicine · 2024Trial
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- Validation of the generic medical interview satisfaction scale: the G-MISS questionnaire.Health and quality of life outcomes · 2017Trial
- Implementing the NICE osteoarthritis guidelines: a mixed methods study and cluster randomised trial of a model osteoarthritis consultation in primary care--the Management of OsteoArthritis In Consultations (MOSAICS) study protocol.Implementation science : IS · 2014Trial
- A mobile phone application for the assessment and management of youth mental health problems in primary care: health service outcomes from a randomised controlled trial of mobiletype.BMC family practice · 2013Trial
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- Ageing in general practice (AGP) trial: a cluster randomised trial to examine the effectiveness of peer education on GP diagnostic assessment and management of dementia.BMC family practice · 2012Trial
- A mobile phone application for the assessment and management of youth mental health problems in primary care: a randomised controlled trial.BMC family practice · 2011Trial
- Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice.BMC family practice · 2010Trial
- Women's evaluation of abuse and violence care in general practice: a cluster randomised controlled trial (weave).BMC public health · 2010Trial
- Article
- Psychometric properties and constructs of Patient Reported Experience Measures (PREMs) in primary care: a scoping review.BMC primary care · 2026Article
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- How to measure the core functions of primary care in low-income and middle-income country settings.BMJ global health · 2025Review
- A Remotely Delivered Weight Management Service to Support Existing Obesity Services in the UK National Health Service: Preliminary Findings From an Early-Stage Service Evaluation.JMIR formative research · 2025Article
- Service Quality Assessment of Digital Health Solutions in Outpatient Care: Qualitative Item Repository Development Study.JMIR formative research · 2025Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundContinual quality improvement in primary care is an international priority. In the United Kingdom, the major initiative for improving quality of care is the Quality and Outcomes Framework (QoF) of the 2004 GP contract. Although the primary focus of the QoF is on clinical care, it is acknowledged that a comprehensive assessment of quality also requires valid and reliable measurement of the patient perspective, so financial incentives are included in the contract for general practices to survey patients' views. One questionnaire specified for use in the QoF is the General Practice Assessment Questionnaire (GPAQ). This paper describes the development of the GPAQ (with post-consultation and postal versions) and presents a preliminary examination of the psychometric properties of the questionnaire.
methodsDescription of scale development and preliminary analysis of psychometric characteristics (internal reliability, factor structure), based on a large dataset of routinely collected GPAQ surveys (n = 190,038 responses to the consultation version of GPAQ and 20,309 responses to the postal version) from practices in the United Kingdom during the 2005-6 contract year.
resultsRespondents tend to report generally favourable ratings. Responses were particularly skewed on the GP communication scale, though no more so than for other questionnaires in current use in the UK for which data were available. Factor analysis identified 2 factors that clearly relate to core concepts in primary care quality ('access' and 'interpersonal care') that were common to both version of the GPAQ. The other factors related to 'enablement' in the post-consultation version and 'nursing care' in the postal version.
conclusionThis preliminary evaluation indicates that the scales of the GPAQ are internally reliable and that the items demonstrate an interpretable factor structure. Issues concerning the distributions of GPAQ responses are discussed. Potential further developments of the item content for the GPAQ are also outlined.
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