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Background:

Annual recording of the Royal College of Physicians three questions (RCP3Q) morbidity score is rewarded within the UK ‘pay-for-performance’Quality and Outcomes Framework.

Aims:

To investigate the performance of the RCP3Q for assessing control in real-life practice compared with the validated Asthma Control Questionnaire (ACQ) administered by self-completed questionnaire.

Methods:

We compared the RCP3Q score extracted from a patient's computerised medical record with the ACQ self-completed after the consultation. The anonymous data were paired by practice, age, sex, and dates of completion. We calculated the sensitivity and specificity of the RCP3Q scale compared with the threshold for good/poor asthma control (ACQ≥ 1).

Results:

Of 291 ACQ questionnaires returned from 12 participating practices, 129 could be paired with complete RCP3Q data. Twenty-five of 27 patients who scored …