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Roadmap for developing a national quality indicator set for general practice.

Ailis ni Riain1, Catherine Vahey, Conor Kennedy

  • 1Education & Research Solutions, Wicklow, Ireland.

International Journal of Health Care Quality Assurance
|May 19, 2015
PubMed
Summary
This summary is machine-generated.

A new quality indicator set for Irish general practice was developed using a Delphi process and road testing. This set helps drive quality improvement activities and can be customized for specific settings.

Keywords:
EvaluationGeneral practiceHealth systemsIrelandPrimary healthcareQuality improvementQuality indicators

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Area of Science:

  • Health Services Research
  • Quality Improvement Science
  • General Practice Management

Background:

  • High-quality clinical care is essential in general practice.
  • Existing quality indicators often require adaptation to specific national contexts.
  • Developing a tailored quality indicator set can enhance healthcare delivery.

Purpose of the Study:

  • To describe the development of a national, comprehensive quality indicator set for Irish general practice.
  • To support the delivery of high-quality clinical care.
  • To provide a framework for quality improvement initiatives.

Main Methods:

  • Literature review to identify potential indicators.
  • Modified two-stage Delphi process involving diverse stakeholders and general practitioners (GPs).
  • Illustrative evaluation and road testing of the indicator set in volunteer practices.

Main Results:

  • Reduced 171 initial indicators to a final set of 68, organized into 14 sub-domains.
  • Practices planned 77 quality improvement activities; 40% were completed within six months.
  • A comprehensive 'General Practice Indicators of Quality' set and support materials were produced.

Conclusions:

  • Customizing existing quality indicators for specific settings is feasible and beneficial.
  • The development process fosters awareness, capacity, and quality improvement in general practices.
  • This methodology offers a detailed approach for developing national or regional quality indicators.