Quality Circles in the Public Health Sector: Implementation and Effect

Schmele, June A.; Allen, Mary E.; Butler, Sandra S.; Gresham, Deborah

doi:10.1111/j.1525-1446.1991.tb00754.x

Cited by 5 publications

(3 citation statements)

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“…His model of QI in health care was first implemented in in-patient settings and secondary-care clinics in the Netherlands. The development of QCs in health care was driven by a need for participative group problem-solving approaches and shared responsibility for decision-making in rapidly expanding and expensive health care systems [124]. QCs in PHC originated in two centres: McMaster University in Canada and the University of Nijmegen in the Netherlands.…”

Section: Resultsmentioning

confidence: 99%

Quality circles for quality improvement in primary health care: Their origins, spread, effectiveness and lacunae– A scoping review

et al. 2018

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Quality circles or peer review groups, and similar structured small groups of 6–12 health care professionals meet regularly across Europe to reflect on and improve their standard practice. There is debate over their effectiveness in primary health care, especially over their potential to change practitioners’ behaviour. Despite their popularity, we could not identify broad surveys of the literature on quality circles in a primary care context. Our scoping review was intended to identify possible definitions of quality circles, their origins, and reported effectiveness in primary health care, and to identify gaps in our knowledge. We searched appropriate databases and included any relevant paper on quality circles published until December 2017. We then compared information we found in the articles to that we found in books and on websites. Our search returned 7824 citations, from which we identified 82 background papers and 58 papers about quality circles. We found that they originated in manufacturing industry and that many countries adopted them for primary health care to continuously improve medical education, professional development, and quality of care. Quality circles are not standardized and their techniques are complex. We identified 19 papers that described individual studies, one paper that summarized 3 studies, and 1 systematic review that suggested that quality circles can effectively change behaviour, though effect sizes varied, depending on topic and context. Studies also suggested participation may affirm self-esteem and increase professional confidence. Because reports of the effect of quality circles on behaviour are variable, we recommend theory-driven research approaches to analyse and improve the effectiveness of this complex intervention.

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Section: Resultsmentioning

confidence: 99%

Quality circles for quality improvement in primary health care: Their origins, spread, effectiveness and lacunae– A scoping review

et al. 2018

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“…Ethical aspects of quality became essential with increasingly discerning patients and public health interests(135) This model of QI in health care was first implemented in in-patient settings and secondary-care clinics in the Netherlands. Development drivers for QCs were the participative group problem-solving approach and the need for shared responsibility for decision-making in fast growing and costly health care systems (136). Ethical aspects of quality became essential with increasingly discerning patients and public health interests…”

Section: Resultsmentioning

confidence: 99%

Quality circles for quality improvement in primary health care: their effectiveness, gaps of knowledge, origins and significance – a scoping review

Rohrbasser

Harris

Mickan

et al. 2018

Preprint

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Quality circles for quality improvement in primary health care 2 40 Abstract 41 Background 42 Quality circles, or similarly structured small groups in primary health care, such as peer review 43 groups, consist of 6 to 12 professionals from the same background who meet regularly to improve 44 their standard practice. This paper reports the results from a scoping search performed to clarify 45 possible effectiveness, knowledge gaps, underlying concepts and significance.46 Objectives 47 To gain insight into knowledge gaps and understanding of the effectiveness, origins and significance 48 of quality circles.49 Methods 50 A search strategy was developed starting with 'quality circle' in PubMed and the index terms from 51 those articles revealed were then used as search terms to identify further papers. Repeating this process 52 in collaboration with a librarian, search strings relating to quality circles were built, and databases 53 searched up to December 2017. Any paper on structured quality circles or related small group work in 54 primary health care was included when relevant to the objectives. Results 56From 11973 citations, 82 background papers and 58 key papers were identified, in addition to 12 57 books and 10 websites. 19 studies, one paper summarizing three studies and one systematic review 58 suggest that quality circles can be effective in behaviour change, though with varying effect sizes.59 Quality circles and their techniques are complex, as they are not standardized, and changes seem to 60 depend on the topic and context, which requires further research into how and why they work in order 61 to improve them. From their origins in industry, they are now used in primary health care in many 62 countries for continuous medical education, continuous professional development and quality 63 improvement. 64 Conclusion 65The evidence on quality circles indicates that they can successfully change general practitioner 66 behaviour. As they are a complex intervention, theory-driven research approaches are needed to . CC-BY 4.0 International license It is made available under a (which was not peer-reviewed) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity.The copyright holder for this preprint . http://dx.doi.org/10.1101/387605 doi: bioRxiv preprint first posted online Aug. 8, 2018; Quality circles for quality improvement in primary health care 3 67 understand and improve their effectiveness. This is of major importance because they play an 68 important role in quality improvement in primary health care in many countries. 79There are systematic reviews (SRs) on the tools used in these groups but there is still doubt as 80 to whether they make participants improve their practice, even if the tools are used in combination.81 This paper reports the results of a scoping review to map areas of uncertainty regarding QC 82 effectiveness, thereby indicating where further research is needed. It maps size and type of evidence 83 and describes original intentions and report...

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“…Previous literatures suggest that the QCC used in health care is likely to be a powerful technique for facilitating high-quality healthcare and improved outcomes. [14][15][16][17][18][19] The study by Wang et al 14 reviewed the tangible and intangible achievements of 92 QCCs carried out in a medical institution in Zhejiang province. This study showed that QCCs improve performance indicators in terms of reducing costs and internal errors, and improving work quality, patient satisfaction and economic performance.…”

Section: The Status Of Qcc Activities In Hospitals In Mainland Chinamentioning

confidence: 99%

<p>Implementation and Promotion of Quality Control Circle: A Starter for Quality Improvement in Chinese Hospitals</p>

Zhang

Liao

Liu

2020

RMHP

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Purpose: To analyse the quality control circle (QCC) implementation status, tool modification and promotion in hospitals in mainland China. Methods: Data were collected from the 2013-2018 National Quality Control Circle Competition of Chinese Hospitals. A total of 1913 participating QCCs implemented by 34,023 hospital staff from 915 hospitals across 31 provinces and municipalities were included in this study to analyse the characteristics of QCC implementation status in mainland China, using descriptive analyses. Results: The majority of participating QCCs came from central and eastern hospitals. Most of the QCCs were carried out in tertiary hospitals and focused on themes of safety and patient care. The QCC has been modified in terms of its classification, implementation process, participation mechanism, and ways of dissemination. A series of promotion strategies have been made to promote the implementation of QCCs nationwide, including establishing a professional promotion organization, developing standardized training programmes, and organizing QCC academic events. Conclusion: After years of promotion, QCCs are widely used in hospitals and have been modified to fit the practice of healthcare institutions. The QCC promotion strategies in China can offer valuable insights for other countries that are also making efforts to continuously improve care quality in healthcare institutions.

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Quality Circles in the Public Health Sector: Implementation and Effect

Cited by 5 publications

References 5 publications

Quality circles for quality improvement in primary health care: Their origins, spread, effectiveness and lacunae– A scoping review

Quality circles for quality improvement in primary health care: Their origins, spread, effectiveness and lacunae– A scoping review

Quality circles for quality improvement in primary health care: their effectiveness, gaps of knowledge, origins and significance – a scoping review

<p>Implementation and Promotion of Quality Control Circle: A Starter for Quality Improvement in Chinese Hospitals</p>

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