BACKGROUND The Patient Enablement Instrument (PEI) was designed to encapsulate consultation outcome from the perspective that increasing their understanding and coping ability would underpin a positive consultation outcome for patients. The objective of the study was the validation of the PEI in Lithuanian general practice and comparison of Lithuanian patients' enablement with previous studies in Europe to see if factors associated with patient enablement in Lithuania were reflective of those in the previous studies. METHODS The Patient Enablement Instrument was translated into Lithuanian and included in the questionnaire along with the questions about a person's health, reasons for visiting the doctor and feeling about the consultation. Practices from 4 different municipalities that are situated in different geographical regions which have both town and rural areas were sampled randomly. Patients scheduled consecutively aged 18 years or more were the subjects of the study. The data analyses focused on internal reliability and concept validity. RESULTS The overall mean patient enablement score was 6.43. Enablement scores declined with increasing patient age, and female patients were more enabled. Patients with biomedical problems had the highest enablement results, while patients with complex problems had the lower results. Enablement was positively related to receiving a prescription and knowing a doctor, and negatively related to wish having consultation with another doctor. CONCLUSIONS This study substantiates the rationality of using PEI in assessing primary care consultations in Lithuania. The correlations of enablement largely reflect the situation in Western and Central Europe: longer consultation and access to the same physician increases patient enablement.

中文翻译：

---

患者参与评估咨询质量：立陶宛一般实践中对患者支持工具（PEI）的验证。

背景技术患者授权工具（PEI）被设计为从提高患者的理解和应对能力将为患者带来积极咨询结果的角度来封装咨询结果。这项研究的目的是验证立陶宛一般实践中的PEI，并将立陶宛患者的能力与欧洲先前的研究进行比较，以查看与立陶宛患者能力相关的因素是否能反映先前研究中的因素。方法患者赋权工具被翻译成立陶宛语，并包含在问卷中，以及有关人的健康，就医原因和咨询感觉的​​问题。随机抽样了来自不同地理区域（城镇和农村地区）的4个不同城市的实践。预定连续年龄18岁或以上的患者为研究对象。数据分析侧重于内部可靠性和概念有效性。结果患者的总体平均使能评分为6.43。能力得分随着患者年龄的增加而下降，而女性患者的能力更高。具有生物医学问题的患者具有最高的启用效果，而具有复杂问题的患者具有较低的启用效果。使能与接受处方和认识医生呈正相关，与希望与另一位医生会诊呈负相关。结论本研究证实了在立陶宛使用PEI评估初级保健咨询的合理性。能力的相关性在很大程度上反映了西欧和中欧的情况：更长的咨询时间和与同一位医生的接触会增加患者的能力。