GPAQ-R: development and psychometric properties of a version of the general practice assessment questionnaire for use for revalidation by general practitioners in the UK.

BACKGROUND: The General Practice Assessment Questionnaire (GPAQ) has been widely used to assess patient experience in general practice in the UK since 2004. In 2013, new regulations were introduced by the General Medical Council (GMC) requiring UK doctors to undertake periodic revalidation, which includes assessment of patient experience for individual doctors. We describe the development of a new version of GPAQ - GPAQ-R which addresses the GMC's requirements for revalidation as well as additional NHS requirements for surveys that GPs may need to carry out in their own practices. METHODS: Questionnaires were given out by doctors or practice staff after routine consultations in line with the guidance given by the General Medical Council for surveys to be used for revalidation. Data analysis and practice reports were provided independently. RESULTS: Data were analysed for questionnaires from 7258 patients relating to 164 GPs in 29 general practices. Levels of missing data were generally low (typically 4.5-6%). The number of returned questionnaires required to achieve reliability of 0.7 were around 35 for individual doctor communication items and 29 for a composite score based on doctor communication items. This suggests that the responses to GPAQ-R had similar reliability to the GMC's own questionnaire and we recommend 30 completed GPAQ-R questionnaires are sufficient for revalidation purposes. However, where an initial screen raises concern, the survey might be repeated with 50 completed questionnaires in order to increase reliability. CONCLUSIONS: GPAQ-R is a development of a well-established patient experience questionnaire used in general practice in the UK since 2004. This new version can be recommended for use in order to meet the UK General Medical Council's requirements for surveys to be used in revalidation of doctors. It also meets the needs of GPs to ask about patient experience relating to aspects of practice care that are not specific to individual general practitioners (e.g. receptionists, telephone access) which meet other survey requirements of the National Health Service in England. Use of GPAQ-R has the potential to reduce the number of surveys that GPs need to carry out in their practices to meet the various regulatory requirements which they face

MedSurv: a software application for creating, conducting and managing medical surveys and questionnaires

MedSurv is a system designed for the rapid creation and maintenance of research surveys and questionnaires that does not require programmer intervention. MedSurv is built with medical surveys in mind and utilizes a group-based permission control with additional security features to help ensure compliance with applicable healthcare regulations. MedSurv is designed as a module for DotNetNuke [1], an open source portal and content management system built with ASP.Net technology, and therefore can be deployed and managed as intranet, extranet, and web sites. At the same time, all data is stored at the researcher\u27s institution to guarantee the required data privacy. Thanks to its built-in support for user authentication and user roles, there is no need to create such functionality from scratch. However, a group-based permissions system is added to MedSurv to support sufficient granularity for access control. Although from the data access point of view data storage acts as a relational table, MedSurv uses a solution that we call virtual tables. The premise behind such a solution is that the structure of the tables is itself stored in a set of relational tables within the database, essentially creating a miniature database within the database. This additional layer is transparent to the user and removes the need for any programming or database knowledge. At the same time it gives the user the flexibility of changing the survey at runtime. Unlike a traditional structure that may require database developer\u27s involvement each time a survey is added or changed, with virtual tables there is very low developer and database administration need after launch. MedSurv allows for creating complex medical surveys and is, in particular, used to develop questionnaires for research driven data collection in the Department of Gastroenterology

Report and Recommendations on Two Chilean Labor Force Surveys

For many years, Chile has benefited from two surveys of labor force developments for the “Greater Santiago Area.” One of these surveys dates back to the 1950s and is conducted by the University of Chile. The other is a national survey, conducted by the National Institute of Statistics (NIS), from which data are also available for the Santiago Metropolitan Area. Results, especially the rate of unemployment, do not always coincide, and this has been particularly the case for all years since 1998. This report studies this problem of non concurrence, identifies a number of areas for possible explanation, and makes recommendations for improvement of survey operations. Both surveys were found to follow quite well recommendations of the International Labor Organization regarding the measurement of employment and unemployment. Two significant areas in the report concern the questionnaires used for the surveys and data estimation techniques. Fourteen recommendations for improvements in the surveys are offered, with major attention focused on plans by the NIS to introduce an entirely new questionnaire in the near future. With respect to the University’s survey, the authors recommend changes in the basic questionnaire and survey weighting procedures. They also recommend improving data analysis (NIS), maintaining error profiles for data collection (both surveys), and using seasonal adjustment for statistical analysis (both).

Google online marketing challenge and research opportunities

The Google Online Marketing Challenge is an ongoing collaboration between Google and academics, to give students experiential learning. The Challenge gives student teams US$200 in AdWords, Google’s flagship advertising product, to develop online marketing campaigns for actual businesses. The end result is an engaging in-class exercise that provides students and professors with an exciting and pedagogically rigorous competition. Results from surveys at the end of the Challenge reveal positive appraisals from the three—students, businesses, and professors—main constituents; general agreement between students and instructors regarding learning outcomes; and a few points of difference between students and instructors. In addition to describing the Challenge and its outcomes, this article reviews the postparticipation questionnaires and subsequent datasets. The questionnaires and results are publicly available, and this article invites educators to mine the datasets, share their results, and offer suggestions for future iterations of the Challenge

Measuring Impacts of New Highways Capacity – A Discussion of Potential Survey Methods

The paper reviews survey methods that might be used to detect the various impacts of new highway capacity (changes in flow and network travel times; behavioural responses such as rerouting, change in departure times, change of mode, redistribution and change in trip frequency; and changes in land use). The review was conducted in the context of a study for TRRL which sought to establish the feasibility of measuring responses to new highway capacity. The paper considers, in turn, surveys of traffic flow, public transport usage and network travel times, methods of estimating origin-destination matrices and a variety of questionnaire and interview techniques which might be used to collect individual travel data (roadside interviews; stopline surveys; household interviews; trip-end interviews; self completion questionnaires; retrospective, prospective and stated preference questions; panel surveys and indepth interviews). There is also a brief discussion of methods to determine bight movements and land use effects. The paper should not be regarded as a source of detailed information about the various types of survey but rather as a review of their comparative strengths and weaknesses in the given context

Children’s Food and Drink Purchasing Behaviour ‘‘Beyond the School Gate’’ : The Development of a Survey Module

Copyright © 2013 Wendy J.Wills 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 citedMany children eat a diet which supplies a higher than recommended amount of nonmilk extrinsic sugars and saturated fatty acids. The school setting is often targeted for nutrition intervention as many children consume food at school. In Scotland, attempts have been made to improve the nutritional content of food in schools and attention has now turned to food and drink available “beyond the school gate.” This paper describes the development of a module on food and drink purchasing behaviour. The Food Purchasing Module was designed to collect data, for the first time, from a representative sample of children aged 8–16 years about food and drinks purchased on the way to/from school, during break time/free periods, and at lunchtime, from outlets around schools. Cognitive testing of the module highlighted that younger children find self-completion questionnaires problematic. Older children have fewer problems with self-completion questionnaires butmany do not follow question routing, which has implications for the delivery of future surveys. Development of this survey module adds much needed evidence about effectively involving children in surveys. Further research exploring food and drinks purchased beyond the school gate is needed to continue to improve the nutritional quality of children’s dietsPeer reviewe

Aquaculture Industry of Arkansas in 1979-1980

A survey of previous fish farmer certificate holders in Arkansas was conducted during 1979-1980 using renewal questionnaires, telephone conversations, and personal contacts. This survey was compared with similar surveys from preceding years. Approximately 51.0% of 12,372 intensively farmed hectares in 1979-80 were devoted to bait fish production, while 22.9% were utilized in food fish production. Acreage in bait fish, food fish, and fingerling production decreased from 1979 to 1980; however, price increases during this time resulted in a higher total value of the industr

Validity of rapid estimates of household wealth and income for health surveys in rural Africa

Drawing data from four different integrated household surveys in rural areas of Mali, Malawi, and two national surveys in Côte d'Ivoire, this paper tests the validity of proxy measures of household wealth and income that can be readily implemented in health surveys in rural Africa. The assumptions underlying the choice of wealth proxy are described, and correlations with the true value are assessed in two different settings. The expenditure proxy is developed and then tested for replicability in two independent data sets representing the same population. The study found that in both Mali and Malawi, the wealth proxy correlated highly (r $ 0.74) with the more complex monetary value method. For rural areas of Côte d'Ivoire, it was possible to generate a list of just 10 expenditure items, the values of which, when summed, correlated highly with expenditures on all items combined (r = 0.74, development data set; r = 0.72, validation data set). Total household expenditure is an accepted alternative measure of household wealth and income in developing country settings. This paper thus shows that it can be feasible to approximate both household wealth and expenditures in rural African settings without dramatically lengthening questionnaires whose primary focus is on health.Africa Rural conditions. ,Household surveys. ,Income Rural areas Africa. ,Health surveys. ,

Do patient surveys work? The influence of a national survey programme on local quality-improvement initiatives

Objectives: To assess current attitudes towards the national patient survey programme in England, establish the extent to which survey results are used and identify barriers and incentives for using them. Design: Qualitative interviews with hospital staff responsible for implementing the patient surveys (survey leads). Setting: National Health Service (NHS) hospital organisations (trusts) in England. Participants: Twenty-four patient survey leads for NHS trusts. Results: Perceptions of the patient surveys were mainly positive and were reported to be improving. Interviewees welcomed the surveys’ regular repetition and thought the questionnaires, survey methods and reporting of results, particularly inter-organisational benchmark charts, were of a good standard. The survey results were widely used in action planning and were thought to support organisational patient-centredness. There was variation in the extent to which trusts disseminated survey findings to patients, the public, staff and their board members. The most common barrier to using results was difficulty engaging clinicians because survey findings were not sufficiently specific to specialties, departments or wards. Limited statistical expertise and concerns that the surveys only covered a short time frame also contributed to some scepticism. Other perceived barriers included a lack of knowledge of effective interventions, and limited time and resources. Actual and potential incentives for using survey findings included giving the results higher weightings in the performance management system, financial targets, Payment by Results (PbR), Patient Choice, a patient-centred culture, leadership by senior members of the organisation, and boosting staff morale by disseminating positive survey findings. Conclusion: The national patient surveys are viewed positively, their repetition being an important factor in their success. The results could be used more effectively if they were more specific to smaller units