ArticleBMJ (Clinical research ed.)1999
Improving quality in general practice: qualitative case study of barriers faced by health authorities.
Article in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Middle managers' role in implementing evidence-based practices in healthcare: a systematic review.Implementation science : IS · 2018Pooled it
- Theory-informed refinement and tailored implementation of a quality improvement program in maternity care to reduce unwarranted clinical variation across a health service network.BMC health services research · 2025Article
- Parent Experiences of Sanfilippo Syndrome Impact and Unmet Treatment Needs: A Qualitative Assessment.Neurology and therapy · 2021Article
- Article
- Factors that Facilitate and Impede Effective Knowledge Translation in Population Health Promotion: Results from a Consultation Workshop in Iran.Health promotion perspectives · 2012Article
- European citizens' opinions on immunisation.Vaccine · 2008Article
- Data feedback efforts in quality improvement: lessons learned from US hospitals.Quality & safety in health care · 2004Article
- Practice and professional development plans (PPDPs): results of a feasibility study.BMC family practice · 2001Article
- Organisational development in general practice: lessons from practice and professional development plans (PPDPs).BMC family practice · 2000Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify and assess the barriers that health authorities face as they manage quality improvements in general practice in the context of the NHS reforms.
designQualitative case study.
settingThree UK health authorities: a rural health authority in the south west, a deprived inner city health authority in the north east, and an affluent suburban health authority in the south east.
participantsSenior and junior managers.
main outcome measuresStructure of strategic and organisational management, and barriers to the leadership and management of quality improvement in general practice.
resultsSeven barriers were identified: absence of an explicit strategic plan for general practice, competing priorities for attention of the health authority, sensitivity of health professionals, lack of information due to poor quality of clinical data, lack of authority to implement change, unclear roles and responsibilities of managers within the organisations, and isolation from other authorities or organisations facing similar challenges.
conclusionsThe health authorities faced significant barriers that would impede their ability to fulfil their responsibilities in the new NHS and that would reduce their capacity to contribute to quality improvements in general practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.