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A process for developing standards to promote quality in general practice.

Julie Khoury1, Catherine J Krejany2, Roald W Versteeg1

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Summary
This summary is machine-generated.

The Royal Australian College of General Practitioners developed new quality standards for Australian general practices using a modified Delphi process. This involved extensive stakeholder consultation and piloting to ensure consensus on best practices.

Keywords:
Delphi techniquegeneral practicehealth careprimary carequality assurancequality improvementquality of health care

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Area of Science:

  • Healthcare Quality Improvement
  • General Practice Management
  • Primary Care Standards

Background:

  • The Royal Australian College of General Practitioners (RACGP) Standards for General Practices have guided quality care and risk management since 1991.
  • These standards are crucial for Australian general practices and linked to remuneration incentives.
  • A revision of the Standards was completed in 2017.

Purpose of the Study:

  • To detail the development process for the fifth edition of the RACGP Standards (published 2017).
  • To provide insights for future national and international standards development.
  • To document the consensus-building approach for primary care quality indicators.

Main Methods:

  • A modified Delphi process was employed for developing the 2017 Standards.
  • Expert panels of General Practitioners (GPs) and stakeholders, facilitated by the RACGP, guided the development.
  • Multiple rounds of stakeholder feedback and piloting were integral to the process.

Main Results:

  • The 32-month development involved four consultation rounds and two piloting phases.
  • 152 individuals and 225 stakeholder groups contributed to the Standards.
  • 23 new indicators were introduced within a novel modular structure.

Conclusions:

  • The 2017 Standards reflect a national consensus on quality and safety indicators for Australian general practice.
  • The development process ensured broad stakeholder input and rigorous review.
  • These standards serve as a benchmark for primary care quality and safety.