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Audit in the therapy professions: some constraints on progress.

S Robinson1

  • 1King's College, London University, UK.

Quality in Health Care : QHC
|November 3, 1996
PubMed
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Therapy professionals face significant barriers to audit progress, including resource limitations, lack of expertise, and organizational issues. Addressing these constraints is crucial for maintaining their commitment to audit practices.

Area of Science:

  • Healthcare Management
  • Allied Health Professions
  • Quality Improvement in Healthcare

Background:

  • Audit is essential for quality improvement in healthcare.
  • Therapy professions (physiotherapy, occupational therapy, speech and language therapy, clinical psychology) engage in audit.
  • Understanding constraints on audit progress is vital for effective implementation.

Purpose of the Study:

  • To identify and understand the constraints on audit progress experienced by members of four therapy professions.
  • To gather insights into the challenges faced in implementing and advancing audit activities within these professions.

Main Methods:

  • Qualitative study involving interviews with 62 members of four therapy professions and 60 other relevant personnel.
  • Interviews were conducted across six healthcare sites with established audit practices.

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  • Thematic analysis was used to identify recurring constraints on audit progress.

    • Main Results:

    • Key constraints identified include: insufficient resources (time, finance, IT), lack of expertise and guidance, inter-professional relationship issues (support, conflict, confidentiality), organizational structures (weak links, change impact), and inadequate overall audit planning.
    • Specific challenges in expertise included data collection instrument design, proposal writing, objective setting, data analysis, and report writing.
    • Organizational issues involved difficulties in communication, professional cohesion, and the perception of audit findings as proprietary.

    Conclusions:

    • A wide array of constraints impede audit progress within the therapy professions.
    • Resolving these identified barriers is necessary to sustain the commitment of therapy professionals to audit.
    • Recommendations include providing profession-specific expert advice and establishing a collaborative forum to address diverse stakeholder agendas in therapy audit.