status quo of quo vadis? - KCE

KCE Reports 76 Quality development in general practice in Belgium: status quo or quo vadis ? 87
Foy 2005{Foy, 2005
#534}
Van den Homberg
2005{van den
Hombergh, 2005 #436}
Wakley 2005{Wakley,
2005 #445}
Ashworth
2006{Ashworth, 2006
#215}
What do we
know about how
to do audit and
feedback? Pitfalls
in applying
evidence from a
systematic review
Saying ‘goodbye’
to single-handed
practices; what
do patients and
staff lose or gain?
Evaluating service
performance for
clinical
governance
The relationship
between general
practice
characteristics
and quality of
care: a national
survey of quality
indicators used in
the UK Quality
and Outcomes
Framework,
2004-5
UK Critical appraisal of
reviews of the value
of audits and criteria
as set by NICE (UK
body for audit)
Netherlands Secondary analysis of
the practice visit
project in the
Netherlands using
the independent
variables singlehanded
versus grouppractice,
urban-rural
and male-female
For one example
(diabetes in primary
care) it is argued
that audit is possible
because it is
common with
important
consequences,
effective
interventions are
available, measurable
outcomes were
defined and there is
potential for
improvement.
Audit and feedback
will continue to be
an unreliable
approach to quality
improvement.
A theoretical
framework offers a
way forward.
The quality of the
practice
infrastructure and
the team scored
better in group
practices, but
patients appreciated
the single-handed
practice better.
UK Reflective paper Describes aspects
and domains what a
good quality practice
UK Secondary data of
the use of indicators
of 8480 practices in
the QOF were linked
to demographic data.
would look like.
Socially deprived
areas experience a
lower quality of
primary care, as
judged by QOF
scores. Social
deprivation itself is
an independent
predictor of lower
quality.