A process for developing standards to promote quality in general practice

Khoury, Julie; Krejany, Catherine; Versteeg, Roald; Lodewyckx, Michaela A; Pike, Simone R; Civil, Michael S; Jiwa, Moyez

doi:10.1093/fampra/cmy049

Cited by 6 publications

(3 citation statements)

References 20 publications

(7 reference statements)

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“…In relation to the heterogeneity of CESFAMs in Chile regarding their level of complexity [ 49 ], geographic location, structural characteristics, number of beneficiaries, funding levels, and other administrative variables, Díaz and Galán [ 9 ] consider that these “contextual and structural differences in health centers would not make the achievement of quality, goals, good practices, accreditation and excellent care comparable to transversal levels”. This places the management of people at the center of the discussion, since, in such varied environments, the management skills of the directors, the variables, the social skills of the staff, and the motivation and leadership of the interdisciplinary teams of primary care are highly relevant both in the planning of improvements, the result of an accreditation process, and in the improvements that are essential to develop a culture of quality management [ 9 , 10 , 50 , 51 ].…”

Section: Discussionmentioning

confidence: 99%

Characterization of Communes with Quality Accredited Primary Healthcare Centers in Chile

Coss-Mandiola

López

Rojas

et al. 2022

IJERPH

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The accreditation process of primary healthcare centers in Chile has not had the same progress as in hospitals, which show high levels of compliance. The purpose of this research is to characterize the communes that have accredited family healthcare centers (CESFAMs) through socio-economic, municipal management, clinical management, and population variables by performing a principal components analysis (PCA) with biplot analysis and a grouping of communes through a hierarchical analysis. The biplot analysis and hierarchical analysis yielded the formation of three large groups of communes with accredited CESFAMs, characterized mainly by population size, number of people registered in the municipal health system, socioeconomic indicators, and financial management and clinical management variables. It was found that the communes that have accredited CESFAMs are characterized by dissimilar behavior in relation to the variables analyzed. Through the model used, it was possible to establish at least three groups of communes according to their behavior against these variables. Of these, the variables of a municipal financial nature were not decisive in achieving the accreditation of the CESFAMs of these communes. Therefore, it is possible that there are other variables or factors that could be facilitating the achievement of accreditation processes.

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Section: Discussionmentioning

confidence: 99%

Characterization of Communes with Quality Accredited Primary Healthcare Centers in Chile

Coss-Mandiola

López

Rojas

et al. 2022

IJERPH

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“…To resolve a shortage of GPs and the complex medical needs of an aging population, the design of higher-quality general practice courses and standards has received increasing attention recently ( 18 , 19 ). The curriculum and practice standards for one provincial-level administrative region do not necessarily wholly relate to the needs of another.…”

Section: Introductionmentioning

confidence: 99%

Training needs and curriculum of continuing medical education among general practitioners in Tibet, China: A cross-sectional survey

Zhang

Qiao

et al. 2022

Front. Public Health

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BackgroundUneven distribution of health resources is higher in Tibet than in other regions. The development of core professional capability for general practitioners (GPs) is the main goal of continuing medical education (CME) training programs.AimThis study aimed to explore the needs of CME for GPs and provide advice for the development of policy, practice, and CME curriculums.MethodsWe conducted a cross-sectional online survey among GPs in Tibet Autonomous Region, China. We designed an online questionnaire including the demographic section, training contents, and training formats about CME.ResultsA total of 108 questionnaires were included in this study. Notably, 79 (73.15%) were women and 56 participants (51.85%) were working in primary care settings. We developed a curriculum priority: first-choice, major alternatives, and secondary considerations. The topics identified as first-choice for CME were related to “cardiovascular disease” (85.19%), “respiratory disease” (81.48%), and “digestive disease” (80.56%). Major alternatives included two essential knowledge and eight clinical skill items. We rated 10 items as secondary considerations. Only 39.81% ranked mental health as an essential priority; bedside teaching (51.85%) was the first choice.ConclusionWe presented priority areas identified in this study to focus on CME for GPs in Tibet. The 23 topics may reflect the features of general practice, which increasingly require common disease management skills, while a demand-oriented curriculum and staged training plans should be adopted. CME programs should be adapted dynamically to respond to evolving needs.

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“…Globally, there has recently been a strong focus on the development of high-quality General Practice curriculum and practice standards (18)(19)(20). The content of international standards for General Practice/Family Medicine curriculums is, of course, an important focus, and guide for the development of the General Practice/Family Medicine discipline in China.…”

Section: Introductionmentioning

confidence: 99%

The Development of a Competency Assessment Standard for General Practitioners in China

Rao¹,

Lai²,

Wu³

et al. 2020

Front. Public Health

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This paper describes the development of a competency assessment standard for General Practitioners in Shenzhen, China. The standard is to be used for developing and delivering the training curriculum for General Practitioners and to enable rigorous assessment of the mastery of the standards by GP trainees. The requirement for the training of General Practitioners in China is mandated by government policy requires an international standard curriculum to meet the needs of patients and the community. A modified Delphi process was employed to arrive at a curriculum consensus. An expert panel and 14 expert working groups derived from the expert panel were established to review and evaluate national and international competency standards for General Practice and develop a set of standards, through a modified Delphi methodology. Forty three experts were involved in the project. The project resulted in a detailed curriculum statement. The curriculum was then used in 2017 and 2018 where pilot examinations of GP trainees (n = 298 and n = 315, respectively) were conducted to assess the trainee's competencies against the Standards. The examination included two modules, a written test (Module A) and a practical test (Module B). The success rate for participants was relatively low with the majority not successfully completing the assessments. The assessments will be further refined in subsequent work. The project achieved its goal of developing a rigorously evaluated standard to support clinical practice and the training and assessment of GPs.

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A process for developing standards to promote quality in general practice

Abstract: The Standards represent the consensus view of national stakeholders on the indicators of quality and safety in Australian general practice and primary care.

Cited by 6 publications

References 20 publications

Characterization of Communes with Quality Accredited Primary Healthcare Centers in Chile

Characterization of Communes with Quality Accredited Primary Healthcare Centers in Chile

Training needs and curriculum of continuing medical education among general practitioners in Tibet, China: A cross-sectional survey

The Development of a Competency Assessment Standard for General Practitioners in China

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