ArticleQuality in health care : QHC1996
Adapting total quality management for general practice: evaluation of a programme.
Article in Quality in health care : QHC, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review and meta-analysis of practice facilitation within primary care settings.Annals of family medicinePooled it
- The effects of a team-based continuous quality improvement intervention on the management of primary care: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Trial
- Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives.BMC family practice · 2018Article
- Aiming to improve the quality of primary mental health care: developing an intervention for underserved communities.BMC family practice · 2014Article
- The Dorset Seedcorn Project: interprofessional learning and continuous quality improvement in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- Designing trials of interventions to change professional practice in primary care: lessons from an exploratory study of two change strategies.BMJ (Clinical research ed.) · 2000Article
- Improving the repeat prescribing process in a busy general practice. A study using continuous quality improvement methodology.Quality in health care : QHC · 1999Article
- Setting up improvement projects in small scale primary care practices: feasibility of a model for continuous quality improvement.Quality in health care : QHC · 1999Article
- A model for continuous quality improvement in small scale practices.Quality in health care : QHC · 1999Article
- Introducing a quality improvement programme to primary healthcare teams.Quality in health care : QHC · 1998Article
- Interprofessional working and continuing medical education.BMJ (Clinical research ed.) · 1998Review
- Mental health care in the community: what should be on the agenda?The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
- Quality improvement in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAssessment of the benefits and limitations of a quality improvement programme based on total quality management principles in general practice over a period of one year (October 1993-4).
designQuestionnaires to practice team members before any intervention and after one year. Three progress reports completed by facilitators at four month intervals. Semistructured interviews with a sample of staff from each practice towards the end of the year.
setting18 self selected practices from across the former Oxford Region. Three members of each practice received an initial residential course and three one day seminars during the year. Each practice was supported by a facilitator from their Medical Audit Advisory Group. MEASURES: Extent of understanding and implementation of quality improvement methodology. Number, completeness, and evaluation of quality improvement projects. Practice team members' attitudes to and involvement in team working and quality improvement.
results16 of the 18 practices succeeded in implementing the quality improvement methods. 48 initiatives were considered and staff involvement was broad. Practice members showed increased involvement in, and appreciation of, strategic planning and team working, and satisfaction from improved patients services. 11 of the practices intend to continue with the methodology. The commonest barrier expressed was time.
conclusionQuality improvement programmes based on total quality management principles produce beneficial changes in service delivery and team working in most general practices. It is incompatible with traditional doctor centred practice. The methodology needs to be adapted for primary care to avoid quality improvement being seen as separate from routine activity, and to save time.
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