Quality clusters in general practice: associations between cluster organization and general practitioners' self-reported benefits.
Fam Pract
; 39(5): 852-859, 2022 09 24.
Article
in En
| MEDLINE
| ID: mdl-35302605
ABSTRACT
BACKGROUND:
Quality clusters were introduced as a quality improvement concept in Danish general practice in 2018. This new concept anchored quality improvement in local clusters managed by general practitioners (GPs).OBJECTIVES:
To describe the cluster organization and GPs' self-reported benefits of participating in them and explore the associations between cluster organization and self-reported benefits.METHODS:
A national survey in Danish general practice gathering information about cluster organization (cluster size, cluster meetings, participants, and content) and GPs' self-reported benefits (overall benefit, internal changes in the clinic, and improved external collaboration).RESULTS:
One hundred and eight (95%) clusters and 1,219 GPs (36%) were included. Cluster size varied from 10 to 68 GPs (34 GPs on average). Approximately 70% of GPs reported moderate to very high overall benefit from cluster participation. Most GPs experienced changes in their clinic organization (68%), drug prescriptions (78%), and patient care (77%). Collaboration was reported improved between the GPs (86%), municipality (50%), and hospital (36.2%). GPs in clusters with 3-6 planned meetings per year (odds ratio [OR] 1.9; confidence interval [CI] 1.3-2.9), mixed meeting types (OR 1.7; CI 1.2-2.4), group work (OR 1.7; CI 1.1-2.5), and use of guidelines in their meetings (OR 1.8; CI 1.3-2.4) had statistically significantly higher odds for reporting overall benefit of participating in clusters compared with GPs in clusters without these characteristics.CONCLUSIONS:
Frequent and active meetings with a relevant meeting content are positively related to GPs' perceived benefits and with improved collaboration between GPs in the clusters. There seems to be a potential for developing collaboration with other healthcare providers.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
General Practice
/
General Practitioners
Type of study:
Guideline
/
Qualitative_research
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
Fam Pract
Year:
2022
Document type:
Article
Affiliation country:
Dinamarca