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Innovation in general practice: is the gap between training and non-training practices getting wider?
1Eli Lilly National Clinical Audit Centre, Department of General Practice, University of Leicester.
Summary
General practice training programs foster innovation, leading to greater development compared to non-training practices. This study found that the gap in development and innovation between training and non-training practices widened between 1982 and 1990.
Area of Science:
- General Practice
- Healthcare Innovation
- Medical Education
Background:
- General practices engaged in training activities exhibit higher levels of development across educational, clinical, and organizational aspects.
- A potential for an increasing disparity exists if training practices adopt innovations at a faster rate than non-training practices.
Purpose of the Study:
- To investigate whether general practice training practices developed at a faster rate than non-training practices between 1982 and 1990.
Main Methods:
- A longitudinal study surveyed 124 general practices (62 training, 62 non-training) in 1982 and 1990.
- Data collected included practice organization, size, facilities, staff, and clinical/educational activities.
- Logistic regression analysis examined the impact of training status on practice development.
Main Results:
- Significant practice changes occurred between 1982 and 1990, including new roles (practice managers, nurses) and services (audits, clinics).
- Training practices demonstrated a higher likelihood of development in personnel, organization, education, clinical activities, and equipment compared to non-training practices.
Conclusions:
- Training practices are more developed and innovative than non-training practices, with the gap widening between 1982 and 1990.
- Factors contributing to this disparity may include inherent innovativeness, fewer barriers, or training approval schemes.
- Future accreditation should focus on accelerating development in less advanced practices.