RESUMO
Physician performance feedback (PPF) can help physicians gain insight into their practice, to identify areas for improvement, and to implement changes to improve care. There is increasing interest in the use of PPF in Canada. However, little is known about the different types of PPF methods and whether PPF can lead to improved physician performance and patient outcomes. We provide a primer for healthcare leaders interested in doing PPF by reviewing common PPF methods. We then describe our institution's experience with physician multi-source feedback and provide strategies to conduct meaningful PPF.
Assuntos
Competência Clínica , Retroalimentação Psicológica , Médicos , Melhoria de Qualidade/organização & administração , Canadá , Humanos , Liderança , Auditoria Médica , Satisfação do Paciente , Simulação de Paciente , Relações Médico-Paciente , Indicadores de Qualidade em Assistência à SaúdeRESUMO
In the 1990s, organized healthcare delivery systems were described as "networks of organizations that provide or arrange to provide a coordinated continuum of services to a defined population and who are willing to be held clinically and fiscally accountable for the outcomes and the health status of the population being served." The concept has evolved and can be applied to a variety of contractual arrangements. As care delivery in Ontario shifts from a centralized, organization-centric model to a more system-focused, local planning model similar to those of its fellow provinces to the west and east, 15 healthcare organizations in the Greater Toronto Area have responded by forming a partnership to collaborate using information management as a catalyst and enabler of change with the goal of transforming healthcare delivery.