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International Journal of Family Medicine
Volume 2013 (2013), Article ID 672857, 6 pages
http://dx.doi.org/10.1155/2013/672857
Research Article

The Missing Evaluation at the End of GP’s Consultation

1Department of Health Care and Social Services, City of Turku, PB 670, 20101 Turku, Finland
2Department of Primary Health Care, Turku University Hospital, PB 52, 20521 Turku, Finland
3Family Medicine, University of Turku, Lemminkäisenk 1, 20014 Turku, Finland
4Säkylä Köyliö Municipal Primary Health Care Centre, Välskärintie 5, 27800 Säkylä, Finland
5Public Health, University of Turku, Lemminkäisenkatu 1, 20014 Turku, Finland
6Turku Clinical Research Centre, Turku University Hospital, PB 52, 20521 Turku, Finland

Received 29 August 2012; Revised 4 December 2012; Accepted 4 December 2012

Academic Editor: Janko Kersnik

Copyright © 2013 Maisa Kuusela et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Evaluation at the end of a consultation is an element of a successful encounter. The doctor should inquire if patient’s expectations were fulfilled and sum up the information given, the examinations performed, and the decisions made with the patient. This way the patient would be fully aware of what has been decided and that the problems and expectations of the patient had been taken into account. Twenty consultations of four general practitioners (GPs) in Finland were videotaped. The doctors were men and women, two of them had a long experience and two were trainees in general practice. The data (videotapes, questionnaires, and interviews) were analysed by multiple research methods with investigator and methodological triangulation. MAAS-Global Rating List was used as an assessment tool. The evaluation of the consultation was often missing or having shortages; only one-third was assessed to be better than doubtful. The assessments done by experienced GPs and the medical student were similar. According to the result of this study as well as the information in the current literature, doctors in all periods of their career should repeatedly be reminded about the importance of the evaluation at the end of the consultation.