status quo of quo vadis? - KCE

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132 Quality development in general practice in Belgium: status quo or quo vadis ? KCE Reports 76 EPA: TASKS AND RESPONSIBILITIES TI Preparation Data enquiry and analysis Visitation Post processing (If organised differently in Belgium as in Germany, this is indicated by (x)) Process Responsibility Dispatch of Registration Forms, Information, Information on x certification Registration for EPA x Input of data from registration form x Selection of Visitor, input in Visotool x Dispatch of Visitor Contact (VC) x Institute Visitor Making an appointment for visitation day with practice x (x) Confirmation of visitation day to institute x (x) Input of visitation day in Visotool x If necessary: reservation of laptop/beamer/UMTS-card for visitation x Confirmation of visitation day to practice (via fax) x Dispatch of material and questionnaires for patient and team x questioning, self assessment Input/import of data of patient questioning, team questioning and self x assessment in Visotool Activating feedback (click on the first answers in OC/OI onlinequestionnaires) (x) x Check of data return x Dispatch of technique and/or visitation material (incl. evaluation form and certification criteria) to visitor Performance of visitation x Data input (OC / OI) in Visotool X Controlling process of visitation x Support of visitors during visitation, i.e. technical problems x Evaluation of EPA and visitation of participants (field notes) X Dispatch of visitation material X Return of visitation material and technique, looking and checking x - Documentation of visitor report - If necessary: modification of data - Prove of fulfilment of certification criteria Dispatch of paper based feedback-report and accreditation attest x x
KCE Reports 76 Quality development in general practice in Belgium: status quo or quo vadis ? 133 BASELINE DATA OF PARTICIPATING PRACTICES PART 1 patient questionnaires Questionnaires’ respons rates, (ratio, %) Flanders (19*) (40/practice) 703/760 (93%) general practice manager questionnaires (1/practice) general practitioners’ questionnaires staff (non-GPs) questionnaires 19/19 (100%) 54/56 (96%) 34/41 (92%) Walloon Region (17) 530/680 (78%) 16/17 (94%) 34/47 (72%) 26/26 (100%) Total (36) 1233/1440 (86%) 35/36 (97%) 88/103 (85%) 60/67 (90%) BASELINE DATA OF PARTICIPATING PRACTICES PART 2 Participating generals practices’ baseline data Belgium (N=36) Flanders (N=19 ) Walloon region (N=17) mean practice size (m²) 94 urban localisation (%) 32 % rural localisation (%) 68 % N° practices 36 mean N° doctors (y) 2,9 mean age doctors (y) 43 male doctors (%) 55 % mean N° non-GPs / assistance staff 1,9 mean age non-GP's (y) 43 male non-GPs (%) 15 % mean age patients (y) 52 male patients (%) 38 % average N° of consultations in the past 12 months 6,9 rate of patients with a self reported serious disease, that has lasted more than three months (%) 31 % overall achievement of all indicators (%) 84 %
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