title: Association between patients' recommendation of their GP and their evaluation of the GP.
abstract: OBJECTIVE
  Patient priorities and patient evaluations indicate that accessibility should receive more attention to increase quality in general practice. The definition of family medicine emphasizes the patient-centred approach, communication skills, continuity, and clinical skills. We aimed to explore the associations between the 23 items in the Europep questionnaire measuring patient evaluation of general practice and the patients' recommendation of their general practitioner (GP) to friends and to study the relationship of these items with the core competences of family medicine.
  
  
  METHODS
  Cross-sectional study where patients aged 18 years and over attending the practice were included. Patients completed the Danish version of the 23 item Europep questionnaire and an additional item about the degree to which they could recommend their GP to friends.
  
  
  METHODS
  Danish general practice (the DanPEP study).
  
  
  METHODS
  A total of 50 191 patients and 690 GPs were included in the analyses.
  
  
  METHODS
  For each item, associations were calculated between a positive answer and the degree to which the patient could recommend the GP. Analyses were made at patient and GP levels.
  
  
  RESULTS
  We found 12 items that covered the 10 most strongly associated items from both analyses: four of six items from the "doctor-patient relationship", two of five items from "medical care", and all items from "information and support" and "organization of services". No items from "accessibility" were among the 12 items.
  
  
  CONCLUSIONS
  Recommending the GP to others was most strongly associated with the "emphatic", "patient-oriented", "informative and coordinating", and "competent/skilled" GP and to a lesser degree with accessibility to general practice.
authors.affiliation: The Research Unit for General Practice, Institute of Public Health, University of Aarhus, Denmark. p.vedsted@alm.au.dk
authors.forename: Peter
authors.initials: P
authors.lastname: Vedsted
authors.forename: Hanne N
authors.initials: HN
authors.lastname: Heje
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002983:Clinical Competence; D003718:Denmark; D004645:Empathy; D005194:Family Practice / Q000458:organization & administration / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000592:standards*; D011795:Surveys and Questionnaires
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