Family doctors' attitudes towards qulatiy assurance

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Family doctors' attitudes towards qulatiy assurance

  1. 1. ATTITUDES OF FAMILY PHYSICIANS REGARDING QUALITY ASSURANCE Janko Kersnik Department of family medicine, University Ljubljana
  2. 2. ROLE OF STAFF IN QA <ul><li>Health care staff plays a key role in QA </li></ul><ul><li>Attitudes of doctors towards quality initiatives show us the effectiveness of quality improvement in health care </li></ul><ul><li>Very little is known about the attitudes of family physicians regarding quality issues </li></ul>
  3. 3. METHODS <ul><li>A cross sectional postal survey </li></ul><ul><li>35 item self-administered questionnaire (10 point Likert scale from strongly agree to strongly disagree) </li></ul><ul><li>122 family physicians: 72 participants of workshop on QA and 50 non-participants </li></ul>
  4. 4. RESULTS - 1 <ul><li>63% response rate </li></ul><ul><li>Knowledge about quality concepts 66 points </li></ul><ul><li>State of the art in quality filed 56 points </li></ul><ul><li>Personal involvement 59 points (participants 63 vs. 51 points; p = 0,01) </li></ul><ul><li>The health policy plans regarding quality 50 points (rural physicians 54 points vs. urban 46 points; p = 0,02) </li></ul>
  5. 5. RESULTS - 2 <ul><li>The contribution of National health insurance institute 26 points ( which is assigned only interest in rationalising the health care expenditures ) </li></ul><ul><li>Ministry of health 34 points. </li></ul><ul><li>Department of family medicine 92 points </li></ul><ul><li>Willingness to participate in quality improvement endeavours 66 points </li></ul>
  6. 6. CONCLUSIONS <ul><li>Family physicians are willing to improve quality of their daily routines </li></ul><ul><li>Participants are more likely to be involved in QA </li></ul><ul><li>They expect support from the independent institutions (Department, SFMS) health care organisations and health care administration </li></ul><ul><li>This organisations should take their part of the responsibility in formulating and working in accordance with national and their own quality </li></ul>

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