To evaluate how widely quality improvement methods are used in Finnish primary health centres and how the use has changed over five years.
Two national cross-sectional postal enquiries.
The questionnaire in 1998 was sent to every other physician graduated during the years 1977-1986, and the questionnaire in 2003 to every other physician graduated during the years 1982-1991. The response rates were 73.9% and 62.2%. The answers of primary healthcare physicians (n = 503 vs. 344) were analysed.
The availability of 13 quality improvement methods was solicited. The change over five years was analysed.
Opportunity to obtain continuing medical education (CME), in-service training, meetings, opportunity to consult a colleague in own speciality, and agreed guidelines on how a certain problem should be solved were highly reported both in 1998 and 2003. The biggest improvement (16.8%) concerned clinical guidelines. There was also progress with regard to quality improvement manuals at the place of work, opportunity to consult a colleague in another speciality, and computer-assisted monitoring of own work.
Many quality improvement methods were highly reported in both 1998 and 2003 in Finnish health centres. The biggest positive change concerns clinical guidelines.
Notes
Cites: J Manag Med. 1994;8(2):5-810137562
Cites: Health Care Financ Rev. 1987 Dec;Spec No:49-5510312319
Cites: Fam Pract. 1996 Oct;13(5):468-768902517
Cites: Int J Qual Health Care. 1996 Aug;8(4):401-78938502
Cites: Scand J Prim Health Care. 1998 Mar;16(1):2-69612871
Cites: BMJ. 1999 May 8;318(7193):1276-910231265
Cites: BMJ. 1999 Aug 7;319(7206):358-6110435959
Cites: Scand J Prim Health Care. 2006 Mar;24(1):1-216464807
Cites: BMC Fam Pract. 2006;7:6017052342
Cites: Tex Med. 2000 Oct;96(10):61-511070737
Cites: Scand J Prim Health Care. 2001 Dec;19(4):214-711822642
Cites: Health Care Anal. 2003 Sep;11(3):259-6714708937
Cites: Scand J Prim Health Care. 2004 Sep;22(3):132-515370787
Cites: Scand J Prim Health Care. 2004 Sep;22(3):136-4015370788