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Accreditation in general practice in Denmark: study protocol for a cluster-randomized controlled trial.

Merethe K Andersen¹, Line B Pedersen^2,3, Volkert Siersma⁴

¹Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark. mkandersen@health.sdu.dk.

|February 15, 2017

Summary

This summary is machine-generated.

This study evaluates Denmark's mandatory general practice accreditation. It found no significant changes in prescribing for older adults, highlighting the need for more research on accreditation's clinical impact.

Keywords:

Accreditation Clinical effects Cluster-randomized trial General practice

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Area of Science:

Health Services Research
Quality Improvement
General Practice

Background:

Accreditation is increasingly adopted in global health systems, yet evidence of its impact, especially in general practice, remains limited.
Denmark implemented a mandatory accreditation scheme in 2016 under the Danish Healthcare Quality Program, requiring all general practices to undergo assessment.
This study addresses the under-researched consequences of accreditation and standard-setting in general practice.

Purpose of the Study:

To evaluate the effects of a mandatory accreditation scheme in Danish general practice.
To assess the clinical impact of a nationwide accreditation program.
To provide evidence on the effectiveness of quality improvement initiatives in primary care.

Main Methods:

A cluster-randomized controlled trial involving 1252 general practices and 2211 general practitioners in Denmark.
Intervention group: practices accredited in 2016; Control group: practices accredited in 2018.
Outcomes measured using register data (no self-reporting) focusing on clinical relevance and change potential, including drug prescribing for patients over 65, medication safety, clinical practice, and mortality.

Main Results:

The study is ongoing, and main results are pending.
The primary outcome, drug prescribing patterns in patients over 65, has been collected.
Secondary outcomes related to medication safety, clinical practice, and mortality are also being assessed.

Conclusions:

The findings will contribute to understanding the clinical effects of mandatory accreditation in general practice.
This research is the largest of its kind, employing a randomized approach to evaluate a national accreditation scheme.
The results will inform policy and practice regarding the implementation and impact of accreditation in primary healthcare settings.