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Related Experiment Videos

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
Summary

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.

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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.

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  • 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.