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Using a modified nominal group technique to develop general practice.

Elisabeth Søndergaard1, Ruth K Ertmann2, Susanne Reventlow2

  • 1The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark. elisab@sund.ku.dk.

BMC Family Practice
|July 20, 2018
PubMed
Summary

The nominal group technique effectively facilitated consensus among general practitioners for developing electronic health records for child health examinations. This structured method aids in creating knowledge-based records for primary care settings.

Keywords:
Consensus methodsDenmarkElectronic health recordsGeneral practiceNominal group techniqueOrganisational developmentPrimary health careQualitative research

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Area of Science:

  • Primary Health Care Research
  • Health Informatics
  • General Practice

Background:

  • Limited research-based evidence in primary health care necessitates reliance on professional expertise for developing support systems.
  • The development of structured, knowledge-based electronic health records (EHRs) is crucial for improving preventive child health examinations.

Purpose of the Study:

  • To explore the utility of the nominal group technique (NGT) in establishing consensus for EHR development.
  • To analyze how NGT supported the creation of structured, knowledge-based EHRs for preventive child health in Danish general practice.

Main Methods:

  • Convened an expert panel of five general practitioners specializing in preventive child health.
  • Utilized the nominal group technique (NGT), a structured, facilitated group process, to achieve consensus.
  • Conducted three meetings over four months to define key clinical and socioeconomic themes for EHRs.

Main Results:

  • The NGT's structured process enhanced panel focus and equitable participation.
  • Method flexibility allowed group and pair work for refining thematic classifications.
  • Serial meetings facilitated continuous evaluation, reflection, and knowledge integration, leading to an adaptable EHR template.

Conclusions:

  • The nominal group technique is a valuable tool for achieving consensus and identifying quality markers in clinical practice.
  • The study successfully developed content and layout for systematic, knowledge-based EHRs.
  • NGT is recommended for complex problem-solving in general practice and similar environments, with proposed model modifications.