Domain | Factors ranked most important to patients with OA consulting their GP (top 5 on a 1-5 scale) | Frequency | Draft Patient reported QIs for OA (‘In the last 3 months…..’) | Number of items in the draft OA QI (UK) questionnaire |
---|---|---|---|---|
Information about treatment for OA | Want to know about risks or side effects from the treatments | 6 | You have received information regarding treatment for joint problem from your surgery | 1 |
Want to know about pain management [medications] | 4 | |||
Want to know about the expectations of any possible help, i.e. whether you need an X-ray/pain clinic/operation/investigations/scan/refer to a consultant | 1 | |||
Want to know about surgery and also what to do when the consultant/surgeon says because of the cause there is nothing they can do | 1 | |||
Want to get pain down to a level you can cope with | 1 | |||
Information about OA | What you want is an exchange between the GP and yourself | 4 | You have received information about your joint problem from your surgery | 1 |
How OA will affect quality of life | 2 | |||
When you get more pain, you go to the GP | 2 | |||
Pain has gone – will it stay that way? | 1 | |||
Consultations are a combination of medical and patient expectations | 1 | |||
Age means that OA is seen as inevitable | 1 | |||
Want to know if it’s a serious condition | 1 | |||
Information about selfmanagement for OA | Want to know about techniques to [self] manage pain | 2 | You have received advice and support on how you might help yourself to manage or deal with your joint problem | 3 |
Advice about using medications to relieve joint pain | How to best use anti-inflammatory medications | 1 | You have been offered advice about medications (to relieve joint pain) | 4 |
Advice about exercise or activities | Want to know about should we be doing more or less | 2 | You have been offered information or advice on exercise or activity to help with your joint problem | 3 |
Referral to exercise or activity programmes | Did certain things to help with quality of life (e.g. went to gym, go swimming) | 3 | You have been offered a referral to an exercise or activity programme for your joint problem | 1 |
Quality of the consultation | The quality of consultation is important so that you know you shouldn’t just soldier on [live with pain] | 3 | You are satisfied with the overall quality of the consultation with his/her GP for OAa | 0a |
Consultation to take a holistic approach/to ask patient about feelings and thoughts about the problem* | 2 | |||
Previous consultation was a waste of time and I haven’t been back | 1 | |||
Don’t want to waste the GP’s time | 1 | |||
Additional QIs following the discussion of the five treatment scenarios | ||||
Follow up review | - | - | You have been given a follow-up review of your joint problem | 2 |
Referral to physiotherapy | - | - | You have been offered a referral for physiotherapy for your joint problem | 1 |
Advice about body weight | - | - | You have received advice about body weight and joint pain | 0b |
Referral to weight loss services | - | - | You have received a referral for weight loss services | 0b |