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Clinical Audit in General Practice also in Italy? Scenarios and methods
Quality improvement in public health systems in recent years has been the focus of activities of many central governments.
The Clinical Audit is a tool widely used even in primary care, at least in countries where they have taken on a complex organizational
and multi-professional attitude. The principles of Clinical Audit are the same in all branches of medicine, but the deep
meaning of their implementation is different depending on the medical specialty that is being considered. In particular, there are
important differences, related and justified by the peculiarities of the setting, if it is conducted in primary care.
The Authors reviewed the literature on the subject and drew up recommendations that will guide the correct approach that
should inspire these activities within the training and professional practice of general medicine. They have highlighted the difficulties
in applying the common quantitative methods Clinical Audit in a context in which prevailing size and type variables are
primarily relational. It should be noted that the GP also acts as the interface between primary care and specialist care, and as
a moderator of the health demand expressed by the citizens. This area, considered critical, is the subject of particular attention
in the field of quality improvement, even given the widespread variability in the use of existing health services.
Finally, the Authors have done an overview of the methods to be considered absolutely typical of MG, such as self-audit, peer
review and analysis of critical events that have characterized the activities in chronological order of revision and qualitative improvement