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Mahlknecht, A; Abuzahra, ME; Piccoliori, G; Enthaler, N; Engl, A; Sönnichsen, A.
Improving quality of care in general practices by self-audit, benchmarking and quality circles.
Wien Klin Wochenschr. 2016; 128(19-20):706-718 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Abuzahra Muna
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Abstract:
Guideline adherence of general practitioners (GP) regarding treatment of chronic conditions shows room for improvement. Thus, concepts have to be designed to promote quality of care. The aim of the interventional study "Improvement of Quality by Benchmarking" was to assess whether quality can be improved by self-auditing, benchmarking and quality circles in Salzburg (Austria) and South Tyrol (Italy). In this publication we present the Austrian results. Quality indicators were developed in a consensus process for eight chronic diseases based on pre-existing quality management systems. A quality score consisting of 35 indicators was calculated (0-5 points per indicator depending on fulfilment, maximum 175 points). Data were extracted from the electronic health records of participating practices in 2012, 2013 and 2014. A statistical pre-post analysis was performed using Wilcoxon signed-rank tests. A total of 20 GPs participated in the project. The mean quality score increased from 62.0 at baseline to 84.0 at the second follow-up (p = 0.003). Regarding the individual quality indicators, strong improvements were achieved between baseline and first follow-up, especially in process indicators concerning documentation. Between the first and second follow-up, quality remained in most cases at the same level. The validity of results is limited because of structural and technical problems. Due to the uncontrolled pre-post design we cannot exclude external influences on the results. Nevertheless, the intervention was able to improve measured quality of care. Barriers were detected that should be considered in a possible implementation of quality control programs.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Austria - epidemiology
Benchmarking - standards
Benchmarking - statistics & numerical data
Chronic Disease - epidemiology
Chronic Disease - therapy
Electronic Health Records - statistics & numerical data
Female -
General Practice - classification
General Practice - standards
General Practice - statistics & numerical data
Humans -
Italy - epidemiology
Male -
Management Quality Circles - standards
Management Quality Circles - statistics & numerical data
Medical Audit - standards
Medical Audit - statistics & numerical data
Middle Aged -
Quality Assurance, Health Care - methods
Quality Assurance, Health Care - standards
Quality Improvement - standards
Quality Improvement - statistics & numerical data
Quality Indicators, Health Care - standards
Quality Indicators, Health Care - statistics & numerical data
Retrospective Studies -
Young Adult -

Find related publications in this database (Keywords)
General practice
Healthcare quality
Quality indicators
Chronic diseases
Quality circles
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