status quo of quo vadis? - KCE

88 Quality development in general practice in Belgium: status quo or quo vadis ? KCE Reports 76
Brown 2006{Brown,
2006 #236}
Doran 2006{Doran,
2006 #71}
Engels 2006{Engels,
2006 #527}
Fraser 2006{Fraser,
2006 #535}
Cross sectional
study of
performance
indicators for
English Primary
Care Trusts:
testing construct
validity and
identifying
explanatory
variables
Pay-forperformance
programs in
family practices in
the United
Kingdom
Testing a
European set of
indicators for the
evaluation of the
management of
primary care
practices
Evaluation of an
inter-practice
visit peer review
program for rural
Australian
general practice
registrars
UK Secondary analysis of
the aggregated QOF
scores of GPs with 6
Performance
Indicators in 303
English primary Care
Trusts.
UK Secondary analysis of
the QOF scores and
exception rates per
condition. QOF
scores were
correlated with socio
demographic data of
GPs and practices.
Europe Validation and
feasibility study in 9
countries of a
European instrument
of practice
management and
organization.
Australia Qualitative analysis of
a project where
consultations of GPs
were observed by
peers in 18 practices.
In the UK Primary
Care Trusts are the
umbrella of GPs in a
region.
Within the QOF it
shows that there is
some correlation
between the QOF
scores and patient
satisfaction but not
with other measures.
The results of this
analysis provide little
evidence that the
current indicators
have sufficient
construct validity to
measure the
underlying concept
of quality, except
when the specific
area of screening is
considered.
The median
reported and claims
achievement was
83,4 percent. Sociodemographic
effects
of both practices and
patients had
moderate but
significant effects.
Exception reporting
was high in a about 1
percent of practices.
These practices
should be
monitored.
57 indicators were
found to be valid in
all countries. In
some countries
resistance was
reported among
practice staff but
could be overcome.
Procedures were
sometimes slowly
implemented.
The visitor learns.
No data on the
observed GP.