status quo of quo vadis? - KCE

92 Quality development in general practice in Belgium: status quo or quo vadis ? KCE Reports 76
McKay 2007{McKay,
2007 #356} (*)
Elwyn 2005{Elwyn,
2006 #922} (*)
Williams
2006{Williams, 2006
#454} (*)
Development and
testing of an
assessment
instrument for
the formative
peer review of
significant event
analysis
Using a ´peer
assessment
quastionnaire´ in
primary medical
care
Does a higher
´quality points´
score mean
better care in
stroke? An audit
of general
practice medical
records
UK,
Scotland
A voluntary
educational model
that was available
since 1998, was
evaluated. Content
validity and reliability
was tested.
UK Among GPs that
were appraised, an
optional
questionnaire study
was held among
chosen colleagues to
fill out a
questionnaire with
judgements about
clinical skills and
other characteristics
such as compassion,
integrity and
responsibility
UK To investigate
whether a high
stroke quality score
is associated with
adherence to RCP
guidelines. DESIGN:
Examination of
computer and
written medical
records of all patients
with a diagnosis of
stroke. SETTING:
Two general
practices, one in
southwest London,
one in Surrey, with a
combined practice
population of over 20
000.
The appraisal
instrument is valid
and reliable. This
method is part of the
GP appraisal in
Scotland.
This volunteer
sample fund no
objections to peer
assessment
questionnaire
Higher quality points
did not reflect better
adherence to RCP
guidance. This audit
highlights a gap
between relatively
simplistic measures
of quality in the
QOF, dependent on
the recording of a
narrow range of
computer codes, and
the actual standard
of care being
delivered.