alexa Abstract | Perceived usefulness of nine quality improvement tools among Swiss physicians

Quality in Primary Care
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Research Paper Open Access


Background: Doctors’ opinions about quality improvement
tools likely influence their uptake and eventual impact on
patient care. Little is known about physicians’ perception of
the comparative utility of various quality improvement tools.
Methods: We conducted a mail survey of doctors in Geneva,
Switzerland (2745 physicians, of whom 56% participated), to
measure the perceived usefulness of 9 quality improvement
Results: In decreasing order of perceived utility these
tools were regular continuous education (rated as very or
extremely useful by 75% of respondents), mortality and
morbidity conferences (65%), quality circles (60%), patient
satisfaction measurement (42%), assessment of the fulfillment
of therapeutic objectives (41%), assessment of compliance
with guidelines (36%), periodic evaluation of doctors’ skills
(14%), onsite visits with peer-review of medical records (11%),
and certification of office practices (8%).
Conclusion: Quality improvement tools seen as most
useful by physicians are traditional methods such as continuous
education and mortality and morbidity conferences. Methods
that rely on the measurement of indicators or that have a
judgmental component received less support.

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Author(s): Anne Sophie Jannot


health care quality assessment, cross-sectional survey, expert opinions, peer groups, guidelines compliance., Innovative primary care, Primary care medicines, Advanced concepts in primary care

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