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Development and pilot study of the Primary Care Practice Improvement Tool (PC-PIT): an innovative approach
Lisa Crossland1, Tina Janamian2, Mary Sheehan3
1Centre of Research Excellence in Primary Health Care Microsystems, University of Queensland, Brisbane, QLD, Australia. l.crossland1@uq.edu.au.
Objective:
To assess the usability and validity of the Primary Care Practice Improvement Tool (PC-PIT), a practice performance improvement tool based on 13 key elements identified by a systematic review. It was co-created with a range of partners and designed specifically for primary health care.
Design:
This pilot study examined the PC-PIT using a formative assessment framework and mixed-methods research design.
Setting And Participants:
Six high-functioning general practices in Queensland, Australia, between February and July 2013. A total of 28 staff participated - 10 general practitioners, six practice or community nurses, 12 administrators (four practice managers; one business manager and eight reception or general administrative staff).
Main Outcome Measures:
Readability, content validity and staff perceptions of the PC-PIT.
Results:
The PC-PIT offers an appropriate and acceptable approach to internal quality improvement in general practice. Quantitative assessment scores and qualitative data from all staff identified two areas in which the PC-PIT required modification: a reduction in the indicative reading age, and simplification of governance-related terms and concepts.
Conclusion:
The PC-PIT provides an innovative approach to address the complexity of organisational improvement in general practice and primary health care. This initial validation will be used to develop a suite of supporting, high-quality and free-to-access resources to enhance the use of the PC-PIT in general practice. Based on these findings, a national trial is now underway.
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