Clinical piloting of “gut feeling” questionnaire in Ukraine.

Pavlo Kolesnyk, Antonina Niroda, Natalia Kopin, Iryna Yakym, Andriy Kolesnyk

Keywords: gut feeling, GFQ questionnaire, piloting.

Background:

The evaluation of family doctors’ (FD’s) “gut feeling” plays a significant role in diagnostic considerations and influences the choice of patient management tactics. The gut feeling questionnaire (GFQ) for their evaluation has already been tested in 4 European countries.

Research questions:

The purpose of the study was a clinical piloting of the Ukrainian version of GFQ questionnaire among FDs in real-live practice to see if a change to the Ukrainian version of the trial was necessary.

Method:

The study involved 8 family practitioners who were interviewed in 67 real clinical cases. After consultation of each patient FDs were asked to fill in the GFQ thinking aloud about each clinical case. FDs’ comments were recorded verbatim.

Results:

Out of 67collected GFQs 40 were totally filled in by FDs. All FDs comments were collected and coded afterwards. Using all collected comments the final Ukrainian version of GFQ has been developed and consensus decision was made.
To explore how well items fit together conceptually, the internal consistency is undertaken (Parsian & Dunning, 2009). This was analyzed using Cronbach’s alpha.

Conclusions:

This study is important for GPs in the decision-making process and in determining patient management tactics (to determine feeling of FD’s confidence, anxiousness concerning diagnosis or clinical strategy). Clinical piloting of GFQ is the final step validating it in Ukraine.

Points for discussion:

This questionnaire has not been used in Ukraine yet, what are possible barieers while it's implementation?

Are there differences in acception the questionaire among family doctors according to their age?

What are differences in gut feeling acoording to the diagnosis among familly doctors of different age

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