Skip to main content

Table 3 Responses to questionnaire enquiries (% of positive answers, except where specified)

From: Headache service quality evaluation: implementation of quality indicators in primary care in Europe

Domain and indicator

Information source(s)

Enquiry

Germany

Turkey

Latvia

Portugal

Average

A1a

Patients’ records

Is duration of presenting complaint recorded in patient’s record?

43

98

20

51

47

A1b

Patients’ records

Are frequency or days/month of symptoms recorded in patient’s record?

25

88

8

30

32

A2a

Patients’ records

Is diagnosis recorded in patient’s record?

100

65

82

missing

83

A2b

Patients’ records

Does diagnostic record use ICHD terminology?

72

46

53

41

53

A3

Patients’ records

Is working diagnosis at first visit recorded in patient’s record?

59

62

86

72

72

A4

Patients’ records

Is definitive diagnosis recorded in patient’s record or, if not, has an appointment for review been given?

68

46

77

62

66

A5

Doctors

Is it routine practice in your headache service to review a patient’s diagnosis during follow-up?

78

75

100

95

93

A6

Doctors, manager

Are diagnostic diaries available in your headache service?

0

25

30

26

23

B1a

Doctors, manager, secretary

Does a formal triage system exist in your headache service?

52

8

47

17

23

B1b

Doctors, manager, secretary

(If yes) Is your triage system designed to pick out potentially urgent cases for early appointments?

100

100

100

73

85

B2a

Patients

Time per visit in minutes (mean ± SD)

17 ± 8

8 ± 4

17 ± 7

24 ± 12

16 ± 9

B2b

Patients

Satisfaction with time per visit (“about right”)

84

83

71

99

82

B2c

Doctors, other HCPs

Are you satisfied that sufficient time is allocated to each patient’s visit to enable a good management?

63

50

50

31

36

B4

Doctors, other HCPs, manager

Does an access route to psychological therapies exist in your headache service?

67

33

33

67

63

B5

Doctors, other HCPs, manager

Is an instrument for disability assessment available in your headache service?

7

8

33

21

19

B6a

Doctors, other HCPs, manager

Does your headache service allow follow-up of every patient who needs it?

97

67

100

missing

91

B6b

Doctors, other HCPs, manager

Is a follow up diary or calendar available in your headache service?

23

25

40

24

25

C1

Doctors, manager, secretary

Does a referral pathway exist?

85

0

33

90

80

C2

Doctors, manager, secretary

(If yes) Does this pathway permit, and respond to, urgent referral when needed?

83

0

100

83

84

D1a

Doctors, other HCPs, manager

Are information leaflets available?

27

0

60

14

18

D1b

Patients

Doctor provides patient with information

48

81

96

99

81

D1c

Patients

(If yes) Information given understandable?

100

97

92

99

96

D1d

Patients

(If yes) Amount of information about right

83

88

67

94

81

D2

Patients

Patients were given reassurance

91

82

86

97

88

E1a

Patients

Service environment clean and comfortable

98

82

96

98

93

E1b

Doctors, other HCPs

Service environment clean and comfortable

88

75

90

43

52

E2

Patients

Satisfaction with welcome

99

96

90

100

96

E3a

Patients

How long were you kept waiting to see the doctor (in minutes)? (mean ± SD)

57 ± 53

6 ± 7

15 ± 15

24 ± 28

24 ± 36

E3b

Doctors, other HCPs

Satisfaction with waiting time

67

100

100

85

84

E3c

Patients

Satisfaction with waiting time

 reasonable

60

75

79

83

74

 too long

23

17

16

15

18

 much too long

17

8

5

2

8

F1

Patients

Satisfaction with overall management

 very good

38

9

9

26

19

 good

39

36

40

28

37

 adequate

15

46

37

45

35

 poor

7

7

13

1

8

 very poor

1

2

1

0

1

G1

Manager

Protocol to limit wastage exists

33

25

20

42

33

G2

Manager

Record of input costs exists

83

0

0

58

44

G3

Doctors, other HCPs, manager

Policy to ensure equal access exists

100

67

93

81

83

H1

Doctors, other HCPs, manager

Outcome measures include Headache Under-Response to Treatment questionnaire (HURT) or similar

10

25

13

5

7

H2

Doctors, other HCPs, manager

Outcome measures include Headache-Attributed Lost Time index (HALT) or similar

0

8

0

3

3

H3

Doctors, other HCPs, manager

Outcome measures include World Health Organization Quality of Life questionnaire (WHOQoL) or similar

3

0

13

3

4

I1

Doctors, other HCPs, manager

Protocol for reporting serious adverse events exists

73

25

80

58

60