status quo of quo vadis? - KCE

82 Quality development in general practice in Belgium: status quo or quo vadis ? KCE Reports 76
Author Research question Method Results Information/country Remarks for Belgium
measures can be used
processes
Major cultural change is
to evaluate the impact
of these interventions
on quality of patient
care, outcomes for
GP’s, system efficiency
and/or relevant
intermediate
outcomes?
• Peer accountabilities in
prescribing through
the auspices of
voluntary clinical audit,
pharmaceutical
advisers and total
purchasing pilots; and
• Significant event audit
Definitions of ‘clinical
required
Generating, gathering and
disseminating research studies
that contribute to the
development of clinical quality
indicators
Performance indicators have
the greatest potential to
deliver improvement
governance’ and ‘good
governance’ provide a useful
macro-level framework for
improving quality in primary
clinical care, but they lack
specificity. ‘Clinical governance’
should apply broadly and
comprehensively across a
multitude of areas including
clinical processes, financial
arrangements and information
systems.
What constitutes the ‘right’
culture for clinical governance?
Continuous quality
improvement
No-blame culture and
system awareness
Teamwork
Communication
Ownership: collective
responsibility
Leadership
Continuous learning
Patient focus
Precursors and enablers:
• A shared culture which
values change
• Leadership which
encourages and
facilitates change
• Effective
communication and
good relationships
within and between
practices, with local
providers and with the