Assessment of management in general practice: validation of a practice visit method.
作者： R. Grol , H. J. M. Van Den Hoogen , W. J. H. M. Van Den Bosch , P. Van Den Hombergh
DOI:
关键词: Applied psychology 、 Assessment methods 、 Nursing 、 Linear regression 、 Medicine 、 Global Positioning System 、 Practice management 、 General practice 、 Quality management
摘要: BACKGROUND: Practice management (PM) in general practice is as yet ill-defined; a systematic description of its domain, well valid method to assess it, are necessary for research and assessment. AIM: To develop validate PM practitioners (GPs) practices. METHOD: Relevant potentially discriminating indicators were selected from framework 2410 elements be used an assessment (VIP = visit instrument PM). The was first tested pilot study and, after revision, evaluated order select determine validity dimensions (factor reliability analysis, linear regression). RESULTS: One hundred ten GPs assessed with the using 249 indicators; 208 these discriminated sufficiently at level or GP level. Factor analysis resulted 34 taxonomy PM. Dimensions showed marked variation between Training practices scored higher on five dimensions; single-handed dispensing lower delegated tasks, but accessibility availability. CONCLUSION: A has been developed studied systematically. line other classifications. Selection balanced number useful relevant nevertheless difficult. could discriminate groups practices, establishing value VIP important contribution introduction continuous quality improvement profession.
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