The 'One in a Million' study: creating a database of UK primary care consultations
Dr Rebecca Barnes, Senior Research Fellow in Applied Conversation Analysis, School for Social and Community Medicine, University of Bristol
Wednesday, 16 November 2016, 10.30am to 11.30am
St Luke's Chapel, Woodstock Road, Oxford, OX2 6GG
Around one million primary care consultations happen in England every day. Despite this, much of what happens in these visits remains a “black box”.
To establish the feasibility of creating an archive of video-recorded consultations based on a representative sample of routine face-to-face doctor-patient consultations and collecting linked data, gaining consent for use in research and training.
Design and setting:
Cross-sectional study in 12 General Practices (West of England)
Up to two general practitioners (GPs) from each practice were invited to video-record up to 20 consecutive patients over one to two days. Eligible patients were 18+ years, consulting on their own behalf, English-speaking and with capacity to consent. GP questionnaires were self-administered during the data collection period. Patient questionnaires were self-administered immediately pre- and post-consultation and GPs filled out a checklist after each recording. A follow-up questionnaire was sent to patients 10 days after the index recorded consultation, and data were extracted from medical records data after three months.
Between July 2014-April 2015, 421 (86%) of 491 patients approached were found to be eligible. 334 (79%) eligible patients consented to participate and 327 consultations with 23 GPs were successfully recorded (307 video, 20 audio only). The majority of patients (n=300, 89%) consented to use by other researchers, subject to specific ethical approval.
Most patients were willing to allow their consultations to be video-recorded, and with very few exceptions, to allow recordings and linked data to be stored in a data repository for future use for research and training.