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Peer review in primary care.

R Grol1

  • 1Centre Quality Assurance Research Family Practice University Nijmegen, The Netherlands.

Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care
|January 1, 1990
PubMed
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Family physicians found peer review valuable, despite initial concerns about criticism and time. Implementing this quality assurance program effectively requires a gradual approach, systematic feedback, and good organization.

Area of Science:

  • Medical Education
  • Quality Improvement
  • General Practice

Background:

  • Peer review is a key strategy for enhancing healthcare quality.
  • Implementing peer review programs in primary care settings presents unique challenges.
  • Understanding physician experiences is crucial for successful program design.

Purpose of the Study:

  • To evaluate the feasibility and perceived value of an intensive peer review program for family physicians.
  • To identify challenges faced by physicians during program participation.
  • To determine factors contributing to the successful integration of peer review into daily practice.

Main Methods:

  • A peer review program was introduced to 322 family physicians in Nijmegen, Netherlands.
  • Physician participation rates and initial concerns were recorded.

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  • Qualitative and quantitative data were collected on experienced problems and perceived value throughout the program.

    • Main Results:

    • 73% of approached family physicians agreed to participate.
    • Initial barriers included dislike of criticism and time commitment concerns.
    • While initial problems diminished, adapting practice routines to guidelines became a greater challenge; however, most physicians found the experience valuable.

    Conclusions:

    • Peer review can be a valuable component of daily practice for healthcare providers.
    • Successful implementation hinges on a gradual, personal approach, systematic assessment, varied methods, and strong organization.
    • Addressing physician concerns and facilitating practice changes are key to maximizing the benefits of peer review.