دورية أكاديمية
أعرض في EDS

Do medical specialists accept claims-based Audit and Feedback for quality improvement? A focus group study.

التفاصيل البيبلوغرافية
العنوان: Do medical specialists accept claims-based Audit and Feedback for quality improvement? A focus group study.
المؤلفون: de Weerdt V; Department of Health Economics, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands v.de.weerdt@vu.nl.; Amsterdam University Medical Centres, Amsterdam, The Netherlands., Ybema S; Department of Organization Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Department of Organization Sciences, Anglia Ruskin University, Chelmsford, UK., Repping S; Amsterdam University Medical Centres, Amsterdam, The Netherlands., van der Hijden E; Department of Health Economics, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Zilveren Kruis Health Insurance, Leiden, The Netherlands., Willems H; Department of Geriatrics, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
المصدر: BMJ open [BMJ Open] 2024 Apr 08; Vol. 14 (4), pp. e081063. Date of Electronic Publication: 2024 Apr 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Quality Improvement* , Medicine*, Child ; Humans ; Focus Groups ; Feedback ; Delivery of Health Care ; Medical Audit
مستخلص: Objectives: Audit and Feedback (A&F) is a widely used quality improvement (QI) intervention in healthcare. However, not all feedback is accepted by professionals. While claims-based feedback has been previously used for A&F interventions, its acceptance by medical specialists is largely unknown. This study examined medical specialists' acceptance of claims-based A&F for QI.
Design: Qualitative design, with focus group discussions. Transcripts were analysed using discourse analysis.
Setting and Participants: A total of five online focus group discussions were conducted between April 2021 and September 2022 with 21 medical specialists from varying specialties (urology; paediatric surgery; gynaecology; vascular surgery; orthopaedics and trauma surgery) working in academic or regional hospitals in the Netherlands.
Results: Participants described mixed views on using claims-based A&F for QI. Arguments mentioned in favour were (1) A&F stimulates reflective learning and improvement and (2) claims-based A&F is more reliable than other A&F. Arguments in opposition were that (1) A&F is insufficient to create behavioural change; (2) A&F lacks clinically meaningful interpretation; (3) claims data are invalid for feedback on QI; (4) claims-based A&F is unreliable and (5) A&F may be misused by health insurers. Furthermore, participants described several conditions for the implementation of A&F which shape their acceptance.
Conclusions: Using claims-based A&F for QI is, for some clinical topics and under certain conditions, accepted by medical specialists. Acceptance of claims-based A&F can be shaped by how A&F is implemented into clinical practice. When designing A&F for QI, it should be considered whether claims data, as the most resource-efficient data source, can be used or whether it is necessary to collect more specific data.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: Clinical audit; HEALTH SERVICES ADMINISTRATION & MANAGEMENT; Hospitals; MEDICAL EDUCATION & TRAINING; Quality in health care
تواريخ الأحداث: Date Created: 20240408 Date Completed: 20240410 Latest Revision: 20240425
رمز التحديث: 20240425
مُعرف محوري في PubMed: PMC11015254
DOI: 10.1136/bmjopen-2023-081063
PMID: 38589258
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2023-081063