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Factors influencing audit in general practice.

C Davies1, J Fletcher, A Szczepura

  • 1Warwick Business School, University of Warwick, Coventry, UK.

International Journal of Health Care Quality Assurance
|December 9, 1995
PubMed
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Audit strategies in UK general practice are influenced by practice culture. Identifying these cultural factors can improve the effectiveness of external assistance for quality improvement initiatives.

Area of Science:

  • Healthcare Management
  • General Practice
  • Quality Improvement

Background:

  • UK general practice has undergone significant changes since 1990, including fund holding and national incentives.
  • Audit is a critical tool for monitoring changes and enhancing the quality of medical care in general practice.

Purpose of the Study:

  • To present a successful co-ordinated audit in Warwickshire (1991-1993) involving 53 general practices.
  • To highlight the influence of internal practice attitudes and communication on audit success.
  • To associate practice culture aspects with successful audit implementation.

Main Methods:

  • A co-ordinated audit was conducted across 53 general practices in Warwickshire between 1991 and 1993.
  • Analysis focused on the impact of internal practice dynamics, including team working and decision-making.

Related Experiment Videos

  • Six descriptive practice types were postulated based on cultural factors.

    • Main Results:

    • Practice culture, including team working and decision-making, significantly influences the success of audit strategies.
    • Attitudes and communication within practices play a key role in the effectiveness of audit.
    • Six distinct practice types were identified, primarily related to cultural characteristics.

    Conclusions:

    • Identifying cultural factors within general practices is crucial for optimizing audit strategies.
    • External assistance for audit can be more focused and effective when tailored to specific practice cultures.
    • Understanding practice culture is essential for successful quality improvement in UK general practice.