status quo of quo vadis? - KCE

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70 Quality development in general practice in Belgium: status quo or quo vadis ? KCE Reports 76 6 APPENDICES APPENDIX 1: SEARCH STRATEGY AND DATA SOURCES DATABASES • Pubmed: is a service of the U.S. National Library of Medicine that includes over 16 million citations from MEDLINE and other life science journals for biomedical articles back to the 1950s. It includes 4500 journals. Access by www.pubmed.gov • Embase: is a European database that includes over 18 million citations: 7 million unique Medline records and 11 million Embase records. It includes more than 7000 pharmocological and biomedical journals. Access by www.embase.com • Cochrane database: is a database of systematic reviews. Cochrane Reviews are systematic assessments of evidence of the effects of healthcare interventions and are published in full text in The Cochrane Database of Systematic Reviews, one of the databases in The Cochrane Library. Access by www.thecochranelibrary.com • Centre for Reviews and Dissemination (CRD) databases includes mainly: o DARE (Database of Abstracts of Reviews of Effects) which contains over 4000 abstracts of quality assessed and critically appraised systematic reviews. This database focuses on the effects of interventions used in health and social care. o NHS Economic Evaluation Database (NHS EED) contains over 6000 abstracts of quality assessed economic evaluations. o The HTA database which brings together details of completed and ongoing health technology assessments from around the world. • The European Observatory on Health Systems and Policies supports and promotes evidence-based health policy-making through comprehensive and rigorous analysis of the dynamics of health care systems in Europe. The Observatory is a partnership between the World Health Organization Regional Office for Europe, the Governments of Belgium, Finland, Greece, Norway, Slovenia, Spain and Sweden, the Veneto Region of Italy, the European Investment Bank, the Open Society Institute, the World Bank, the London School of Economics and Political Science, and the London School of Hygiene & Tropical Medicine. Published country-based reports provide a detailed description of health care systems and of reforms and policy initiatives in progress or under development. Access by http://www.euro.who.int/observatory
KCE Reports 76 Quality development in general practice in Belgium: status quo or quo vadis ? 71 SEARCH STRATEGY MEDLINE EMBASE MESH terms The following MESH terms were selected: • "Quality Assurance, Health Care"[MeSH] • "Quality Indicators, Health Care"[MeSH] • "Program Evaluation"[MeSH] • "Primary Health Care""[MeSH] • "Family Practice"[MeSH] • "Physicians, Family"[MeSH]) Query The MESH terms were combined as follows: ("Quality Assurance, Health Care"[MeSH] OR "Quality Indicators, Health Care"[MeSH]) OR "Program Evaluation"[MeSH]) AND ("Primary Health Care"[MeSH] OR "Family Practice"[MeSH]) OR "Physicians, Family"[MeSH]). The initial list of 10586 articles was further restricted to 727 references, using date limits (1996 onwards) and limited to systematic reviews. Title/abstract screening The final list of 727 references was independently reviewed by two researchers (PL and RR). References were excluded (code “N”) using the following criteria: • Major topic not related to family practice (code N1); • Major topic not related to quality of care (code N2); • Focus on specific pathology(ies) (code N3); • Focus on a specific country, non West European (code N4); • Methodology for developing clinical quality indicators (see KCE report 41). Code “D” meant that a possible in- or exclusion had to be discussed with the other researcher. Code “Y” meant that the publication was selected by the title/abstract screening because it was related to family practice and quality of care. Code “Y1” meant that the main focus was on practice evaluation systems. If not, the code was “Y2”. Finally 5 reviews were selected. Emtree terms The following EMTREE-terms were selected: • general practice [EMTREE] • primary medical care [EMTREE] • clinical effectiveness [EMTREE] • clinical indicator [EMTREE] • performance measurement [EMTREE] • accreditation [EMTREE] • medical audit [EMTREE] • peer review [EMTREE]
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