ArticleQuality in health care : QHC1999
Setting up improvement projects in small scale primary care practices: feasibility of a model for continuous quality improvement.
Article in Quality in health care : QHC, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 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
- The Wider Considerations in Closing Chronic Disease Gaps - Focus on Heart Failure and Implementation.Current cardiology reviews · 2023Review
- Improving the efficiency and reducing variability in patient flow in an outpatient parenteral antibiotic therapy unit of a tertiary care hospital.Future healthcare journal · 2021Article
- Mixed method evaluation of Relational Team Development (RELATED) to improve team-based care for complex patients with mental illness in primary care.BMC psychiatry · 2019Article
- Designing the relational team development intervention to improve management of mental health in primary care using iterative stakeholder engagement.BMC family practice · 2019Article
- Improving prevention in primary care: Evaluating the sustainability of outreach facilitation.Canadian family physician Medecin de famille canadien · 2008Article
- A model for continuous quality improvement in small scale practices.Quality in health care : QHC · 1999Article
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7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the feasibility of a model for continuous quality improvement in small scale general practice and the improvement projects that practices ran after the introduction of continuous quality improvement.
designA descriptive study.
settingTwenty general practices in the Netherlands tested the model in an intervention period of 18 months.
interventionA model for continuous quality improvement adapted for general practice was introduced into the practices using a structured strategy. Practices were supported by trained facilitators.
main outcome measuresAcceptance at introduction and continued application of the model; the topics of improvement projects that were set up in the practices; whether the improvement projects had been completed; whether they had met the criteria (the use of the "quality cycle" and the Oxford audit score); and whether the self set objectives had been met.
resultsThe model was introduced and accepted in all participating practices. Practices started 51 improvement projects. At the end of the study period 33 improvement projects had been completed. Practices chose a wide variety of objectives for these projects; most of them concerned medical or organisational topics. Practices started projects mainly because the topic was felt to be a problem or was causing a bottleneck in the organisation. The quality cycle was used in all projects, but practices did not always collect data and evaluate the outcomes. Fourteen projects could be discerned as "full audit". No differences existed in the quality of improvement projects among the various types of practice or between the topics addressed. At the end of the study period half of the practices continued applying the model.
conclusionThis study showed that the model was feasible for small scale general practice. However, application of the model tended to disintegrate after the facilitator had left the practice. Practices succeeded reasonably well in running improvement projects. Introduction of continuous quality improvement should particularly focus on this. It is suggested that intensive support is necessary to implement and maintain continuous quality improvement in small scale practices.
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