Evidence map›Paper›PMID 28193288›Full record

Trial reportTrials2017

Accreditation in general practice in Denmark: study protocol for a cluster-randomized controlled trial.

Merethe K Andersen, Line B Pedersen, Volkert Siersma, Flemming Bro, Susanne Reventlow, Jens Søndergaard, Marius Brostrøm Kousgaard, Frans B Waldorff

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02762240 (The Effectiveness of a Nationwide Mandatory Accreditation in General Practice in Denmark), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02762240 naunknown statusnot on this map

The Effectiveness of a Nationwide Mandatory Accreditation in General Practice in Denmark: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Southern DenmarkRan2014 to 2020Enrolled1,900ConditionsQuality ControlArmsDHQP 2016, DHQP 2018
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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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

8 authors.

Merethe K AndersenResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark. mkandersen@health.sdu.dk.
Line B PedersenResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
Volkert SiersmaThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Flemming BroThe Research Unit for General Practice and Section of General Practice, Department of Public Health, Aarhus University, Aarhus, Denmark.
Susanne ReventlowThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Jens SøndergaardResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
Marius Brostrøm KousgaardThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Frans B WaldorffResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccreditation is used increasingly in health systems worldwide. However, there is a lack of evidence on the effects of accreditation, particularly in general practice. In 2016 a mandatory accreditation scheme was initiated in Denmark, and during a 3-year period all practices, as default, should undergo accreditation according to the Danish Healthcare Quality Program. The aim of this study is primarily to evaluate the effects of a mandatory accreditation scheme. METHODS/

designThe study is conducted as a cluster-randomized controlled trial among 1252 practices (clusters) with 2211 general practitioners in Denmark. Practices allocated to accreditation in 2016 serve as the intervention group, and practices allocated to accreditation in 2018 serve as controls. The selected outcomes should meet the following criteria: (1) a high degree of clinical relevance; (2) the possibility to assess changes due to accreditation; (3) availability of data from registers with no self-reporting data. The primary outcome is the number of prescribed drugs in patients older than 65 years. Secondary outcomes are changes in outcomes related to other perspectives of safe medication, good clinical practice and mortality. All outcomes relate to quality indicators included in the Danish Healthcare Quality Program, which is based on general principles for accreditation. DISCUSSION: The consequences of accreditation and standard-setting processes are generally under-researched, particularly in general practice. This is the largest study in general practice with a randomized implementation approach to evaluate the clinical effects of a nation-wide mandatory accreditation scheme in general practice.

trial registrationClinicalTrials.gov, NCT02762240 . Registered on 24 May 2016.

Indexed as

AccreditationAgedDenmarkDrug InteractionsDrug-Related Side Effects and Adverse ReactionsFemaleGeneral PracticeGeneral PractitionersHumansMaleMiddle AgedPatient SafetyPolypharmacyPractice Patterns, Physicians'Prescription DrugsProgram EvaluationPrescription DrugsAccreditationClinical effectsCluster-randomized trialGeneral practice

Identifiers

PMID28193288
PMCPMC5307771

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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.