Abstract
A study has been undertaken to determine whether it is possible for a set of standardized (simulated) patients to visit general practitioners, without being detected, in a health care system where doctors have fixed patient lists. Since sending standardized patients into doctors' offices is a new way to assess the performance of general practitioners; this paper describes in detail the methodology that has been used for visits. The paper looks first at the general preparation for visits and secondly at the specific preparation concerning the fine detail of the individual visit. The method was tested in 156 consultations with 39 general practitioners and in no cases were the standardized patients detected. None of the doctors visited felt offended and all were prepared to cooperate in future studies with standardized patients. It is concluded that the standardized patient method, following the step-by-step procedure described, is feasible in actual practice.
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Selected References
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- Berwick D. M. Continuous improvement as an ideal in health care. N Engl J Med. 1989 Jan 5;320(1):53–56. doi: 10.1056/NEJM198901053200110. [DOI] [PubMed] [Google Scholar]
- Maguire P. Assessing clinical competence. BMJ. 1989 Jan 7;298(6665):4–5. doi: 10.1136/bmj.298.6665.4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McClure C. L., Gall E. P., Meredith K. E., Gooden M. A., Boyer J. T. Assessing clinical judgment with standardized patients. J Fam Pract. 1985 May;20(5):457–464. [PubMed] [Google Scholar]
- Norman G. R., Neufeld V. R., Walsh A., Woodward C. A., McConvey G. A. Measuring physicians' performances by using simulated patients. J Med Educ. 1985 Dec;60(12):925–934. doi: 10.1097/00001888-198512000-00004. [DOI] [PubMed] [Google Scholar]
- Rethans J. J., Sturmans F., Drop R., van der Vleuten C. Assessment of the performance of general practitioners by the use of standardized (simulated) patients. Br J Gen Pract. 1991 Mar;41(344):97–99. [PMC free article] [PubMed] [Google Scholar]
- Rethans J. J., van Boven C. P. Simulated patients in general practice: a different look at the consultation. Br Med J (Clin Res Ed) 1987 Mar 28;294(6575):809–812. doi: 10.1136/bmj.294.6575.809. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Woodward C. A., McConvey G. A., Neufeld V., Norman G. R., Walsh A. Measurement of physician performance by standardized patients. Refining techniques for undetected entry in physicians' offices. Med Care. 1985 Aug;23(8):1019–1027. doi: 10.1097/00005650-198508000-00009. [DOI] [PubMed] [Google Scholar]