Improving general practitioner clinical records with a quality assurance minimal intervention

Del Mar, C. B., Lowe, J. B., Adkins, P., Arnold, E. and Baade, P.D. (1998) Improving general practitioner clinical records with a quality assurance minimal intervention. British Journal of General Practice, 48 431: 1307-1311.


Author Del Mar, C. B.
Lowe, J. B.
Adkins, P.
Arnold, E.
Baade, P.D.
Title Improving general practitioner clinical records with a quality assurance minimal intervention
Journal name British Journal of General Practice   Check publisher's open access policy
ISSN 0960-1643
Publication date 1998-06-01
Sub-type Article (original research)
Volume 48
Issue 431
Start page 1307
End page 1311
Total pages 5
Place of publication London
Publisher Royal College of General Practitioners
Language eng
Subject C1
321208 Primary Health Care
730299 Public health not elsewhere classified
Formatted abstract
BACKGROUND:
Although good medical records have been associated with good care, there is considerable room for their improvement in general practice. AIM: To improve the quality of general practice medical records at minimal cost.

METHOD:

A total of 150 randomly sampled general practitioners (GPs) in suburban Brisbane, Australia, were randomized in a controlled trial to receive or not receive an intervention. The intervention consisted of 6 to 12 one-hour monthly meetings when the pairs of GPs assessed samples of each other's medical records using a 12-item instrument. This was developed previously by a process of consensus of general practice teachers. Mean scores of 10 medical records selected at random from before the intervention started and one year later were compared.

RESULTS:
After the intervention, the increase in the total score (for which the maximum possible was 18) for the intervention GPs (from a baseline of 11.5 to 12.3) was not significantly greater than for the controls (from 11.4 to 11.7). Legibility and being able to determine the doctor's assessment of the consultation were significantly improved. The post-intervention increase of 1.06 (9.3%) of the total scores of the 47% of intervention GPs who complied with the intervention was significantly greater than that for the controls.

CONCLUSION:
The quality assurance activity improved some components of the quality of GPs' clinical records. However, the improvement was small, and the search for activities for Australian GPs that demonstrate an improvement in the quality of their practice must continue.
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Wed, 11 Jun 2008, 01:45:13 EST