Evidence map›Paper›PMID 15465939›Full record

ArticleQuality & safety in health care2004

RCGP Quality Team Development programme: an illuminative evaluation.

F Macfarlane, T Greenhalgh, T Schofield, T Desombre

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Quality & safety in health care, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Practice accreditation: the European perspective.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
    Article
  4. Primary Medical Care Provider Accreditation (PMCPA): pilot evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
  5. Article
  6. Mangin on QOF.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Article
  7. Lost in the global sum? Professional and practice development in primary care after the new general practice contract.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

F MacfarlaneUniversity of Surrey, Guildford, Surrey GU2 7XH, UK. f.macfarlane@surrey.ac.uk.
T Greenhalgh
T Schofield
T Desombre
University of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is increasing interest in quality initiatives that are locally owned and delivered, team based, multiprofessional, and formative. The Royal College of General Practitioners' Quality Team Development (QTD) programme is one such initiative aimed at developing primary healthcare teams and their services.

aimsTo evaluate QTD from the perspective of participants and assessors.

settingUK primary health care. DESIGN AND

methodTwelve of 14 practices and all four primary care organisations (PCOs) approached agreed to participate. Thirty four semi-structured interviews were conducted with key stakeholders. The interviews were taped, transcribed, and analysed using the constant comparative method.

resultsThe QTD programme appears to be highly valued by participating organisations. Practice based respondents perceived it as acceptable and feasible, and reported positive changes in teamwork and patient services. They valued its formative, participative, and multiprofessional nature, especially the peer review element. PCOs saw QTD as a method of delivering on prevailing national policies on clinical quality and modernization agendas as well as promoting interorganizational collaboration. The main concerns raised were the workload, particularly for assessors, and maintaining the quality of the assessments and the programme.

conclusionThis qualitative study suggests positive benefits for participants in the QTD programme. However, such practices are a self-selecting innovative minority. Further research is needed on more typical practices to identify barriers to their participation in QTD or other formative, team based quality improvement programmes.

Indexed as

Attitude of Health PersonnelBenchmarkingCooperative BehaviorEnglandFamily PracticeHumansInterviews as TopicManagement Quality CirclesPatient Care TeamPrimary Health CareProgram DevelopmentQualitative ResearchRural Health ServicesSocieties, MedicalTotal Quality ManagementUrban Health Services

Identifiers

PMID15465939
PMCPMC1743884
OpenAlexW2037624751

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.