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Audit in general practice: factors influencing participation
R Baker1, N Robertson, A Farooqi
1Eli Lilly National Clinical Audit Centre, Department of General Practice, University of Leicester, Leicester General Hospital.
BMJ (Clinical Research Ed.)
|July 1, 1995
Summary
General practice participation in audits is influenced by attitudes toward audits and advisory groups, and internal team communication. Addressing these factors and providing resources can improve engagement.
Area of Science:
- Medical Audit
- General Practice Research
- Healthcare Quality Improvement
Background:
- Medical audit advisory groups initiate single-topic audits to improve healthcare quality.
- Understanding factors influencing general practitioner participation is crucial for successful audit implementation.
Purpose of the Study:
- To identify factors influencing participation in a single-topic audit.
- To explore influences on general practitioner engagement with medical audits.
Main Methods:
- A survey and interview approach was used.
- General practitioners (GPs) in Leicestershire were invited to participate in a vitamin B-12 audit.
- Factors assessed included practice structure, attitudes, and behaviors.
Main Results:
- Out of 147 practices, 75 completed the audit, 49 withdrew, and 23 refused initially.
- Participants viewed the advisory group more positively and had favorable audit attitudes compared to non-participants.
- Lack of time was the primary reason for withdrawal.
Conclusions:
- GP participation is shaped by attitudes toward audits and advisory groups, and internal practice communication.
- Providing practical support and resources can aid audit participation.
- Addressing team communication and attitudes is essential for audit advisory groups.