Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2006
The effects of a team-based continuous quality improvement intervention on the management of primary care: a randomised controlled trial.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Effectiveness of Quality Improvement Coaching on Process Outcomes in Health Care Settings: A Systematic Review.Journal of general internal medicine · 2022Pooled it
- The use of external change agents to promote quality improvement and organizational change in healthcare organizations: a systematic review.BMC health services research · 2018Pooled it
- Systematic review and meta-analysis of practice facilitation within primary care settings.Annals of family medicinePooled it
- Trial
- Effectiveness of educational outreach in infectious diseases management: a cluster randomized trial in Uganda.BMC public health · 2016Trial
- Trial
- Trial
- A Randomized Trial of High-Value Change Using Practice Facilitation.Journal of the American Board of Family Medicine : JABFMTrial
- Implementing a text-messaging intervention for unhealthy alcohol use in emergency departments: protocol for implementation strategy development and a pilot cluster randomized implementation trial.Implementation science communications · 2022Article
- Role enactment of facilitation in primary care - a qualitative study.BMC health services research · 2017Article
- Facilitation roles and characteristics associated with research use by healthcare professionals: a scoping review.BMJ open · 2017Article
- Green shoots of recovery: a realist evaluation of a team to support change in general practice.BMJ open · 2017Article
- Improving palliative care in selected settings in England using quality indicators: a realist evaluation.BMC palliative care · 2016Article
- PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice.Implementation science : IS · 2016Article
- The role of the practice facilitators in Ontario primary healthcare quality improvement.BMC family practice · 2015Article
- Practice accreditation: the European perspective.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- The estimation of patients' views on organizational aspects of a general dental practice by general dental practitioners: a survey study.BMC health services research · 2011Article
- High workload and job stress are associated with lower practice performance in general practice: an observational study in 239 general practices in the Netherlands.BMC health services research · 2009Article
- The meaning of quality work from the general practitioner's perspective: an interview study.BMC family practice · 2006Article
- Engagement of groups in family medicine board maintenance of certification.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo study the effects of a team-based model for continuous quality improvement (CQI) on primary care practice management. DESIGN OF STUDY: Randomised controlled trial.
settingTwenty-six intervention and 23 control primary care practices in the Netherlands.
methodPractices interested in taking part in the CQI project were, after assessment of their practice organisation, randomly assigned to the intervention or control groups. During a total of five meetings, a facilitator helped the teams in the intervention group select suitable topics for quality improvement and follow a structured approach to achieve improvement objectives. Checklists completed by an outreach visitor, questionnaires for the GPs, staff and patients were used to assemble data on the number and quality of improvement activities undertaken and on practice management prior to the start of the intervention and 1 year later.
resultsPre-test and post-test data were compared for the 26 intervention and 23 control practices. A significant intervention effect was found for the number of improvement objectives actually defined (93 versus 54, P<0.001) and successfully completed (80 versus 69% of the projects, P<0.001). The intervention group also improved on more aspects of practice management, as measured by our practice visit method, than the control group but none of these differences proved statistically significant.
conclusionThe intervention exerted a significant effect on the number and quality of improvement projects undertaken and self-defined objectives met. Failure of the effects of the intervention on the other dimensions of practice management to achieve significance may be due to the topics selected for some of the improvement projects being only partly covered by the assessment instrument.
Indexed as
Identifiers
17007709PMC1920719W2146873481What OpenQuestion holds
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.