status quo of quo vadis? - KCE

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]