Table 2

Results of Royal College of General Practitioners quality assessment of consultations

CriterionPrevalence (%)κRater 1Rater 2
OR95% CIOR95% CI
Patient's contribution encouraged980.920.840.21 to 8
Is seen to respond to cues that lead to deeper understanding740.723.000.88 to 193.171.20 to 12
Obtains sufficient information to include or exclude likely relevant significant conditions830.714.821.80 to 187.501.76 to 50
Relevant psychosocial context is clarified by doctor or patient630.801.890.78 to 61.350.54 to 4.56
Clinically appropriate working diagnosis is made940.851.600.49 to 91.060.27 to 10
Patient's understanding of their problems expressed840.681.600.66 to 51.670.62 to 6
Patient's concerns expressed870.791.100.38 to 4.761.420.52 to 6
Appropriate management plan is made970.917.430.90 to 50
Appropriate explanatory communication910.682.060.78 to 81.69
Treatments options were discussed530.31*2.181.00 to 61.290.57 to 3.63
Checks understanding190.570.940.37 to 3.242.360.81 to 10
Safety-nets consultation540.211.830.83 to 4.930.450.21 to 1.16
Reaches agreement990.961.330.16 to 50
  • Prevalence represents the proportion of consultations in which the criterion was judged to be present, excluding consultations where it was deemed inappropriate or the rater was unsure. Odds ratios represent comparisons of face-to-face versus telephone consultations.

  • Empty cells indicate that the OR could not be calculated because of no cases with the criterion absent.

  • * Non-prevalence-adjusted κ=0.52.

  • Non-prevalence-adjusted κ=0.43.