Table 6

Mean ratings/scores of overall quality of care: comparison of two review methods

Staff typeNo. of holistic and criterion-based reviews (and review staff)*Holistic mean rating of overall quality of care (95% CI)Criterion-based review mean score as a percentage of total criteria (95% CI)Mean difference (95% CI)p Value for difference
Doctor462 (16)76.8 (72.2 to 81.4)78.7 (77.1 to 80.4)−1.9 (−6.7 to 2.9)0.406
Nurse/other clinical428 (14)71.2 (66.4 to 76.0)77.5 (75.0 to 80.1)−6.3 (−10.5 to −2.2)0.005
Non-clinical audit219 (8)78.5 (74.7 to 82.3)75.4 (71.1 to 79.7)3.1 (−2.4 to 8.5)0.223
All staff1109 (38)75.0 (72.3 to 77.6)77.6 (76.2 to 79.0)−2.6 (−5.4 to 0.1)0.057
  • All CIs and p values are adjusted for clustering by staff type.

  • * Numbers of reviews used in tables 1 and 2 differ slightly because of small amounts of missing data.

  • Reviewers rated the overall quality of care on a 10-point scale from 1 (unsatisfactory) to 10 (very best care). This was converted to a percentage for comparison with criterion-based review data.

  • Scores are shown as percentages out of 32 criteria (where patient is a current or ex-smoker) or out of 31 criteria (where patient is a non-smoker).