Clinical governance in primary care groups: The feasibility of deriving evidence-based performance indicators

Quality in Health Care

Volumn 9, Issue 2, 2000, Pages 90-97

  McColl, Alastair ^a   Roderick, Paul ^a   Smith, Helen ^a   Wilkinson, Emma ^a   Moore, Michael ^b   Exworthy, Mark ^c   Gabbay, John ^a  

^a UNIVERSITY OF SOUTHAMPTON   (United Kingdom)

^b Three Swans' Surgery   (United Kingdom)

^c LONDON SCHOOL OF ECONOMICS   (United Kingdom)

Author keywords

Clinical governance; Feasibility study; Performance indicators; Primary care; Primary care groups

Indexed keywords

ACETYLSALICYLIC ACID; CHOLESTEROL;

AGE DISTRIBUTION; ARTICLE; CHOLESTEROL BLOOD LEVEL; CLINICAL PRACTICE; COMPUTER ANALYSIS; EVIDENCE BASED MEDICINE; FEASIBILITY STUDY; GENERAL PRACTITIONER; HEALTH CARE COST; HEART ATRIUM FIBRILLATION; HEART FAILURE; HIGH RISK POPULATION; HYPERTENSION; INFORMATION PROCESSING; ISCHEMIC HEART DISEASE; OUTCOMES RESEARCH; PRIMARY MEDICAL CARE; SMOKING CESSATION;

BENCHMARKING; COMPUTER SYSTEMS; DATA COLLECTION; ENGLAND; EVIDENCE-BASED MEDICINE; FEASIBILITY STUDIES; HUMANS; MEDICAL AUDIT; PRIMARY HEALTH CARE; QUALITY INDICATORS, HEALTH CARE; STATE MEDICINE;

EID: 0034047823     PISSN: 09638172     EISSN: None     Source Type: Journal    
DOI: 10.1136/qhc.9.2.90     Document Type: Article

References (33)

1. Secretary of State for Health. The new NHS. London: Stationery Office, 1997.
2. Secretary of State for Health A first class service: quality in the NHS. London Stationery Office, 1998.
3. Buetow S, Roland M. Clinical governance: bridging the gap between managerial and clinical approaches to quality of care Quality in Health Care 1999;8:184-90
4. NHS Executive. The NHS performance assessment framework. London: Department of Health, 1999.
5. Department of Health. National service frameworks: coronary heart disease. Modern standards and service models. London: Department of Health, 2000.
6. Secretary of State for Health. Saving lives: our healthier nation. London: Stationery Office, 1998.
7. McColl AJ, Roderick P, Gabbay J, et al. Performance indicators for primary care groups: an evidence-based approach. BMJ 1998,317:1354-60.
8. Myers P. Performance indicators for primary care groups: current indicators have been chosen for ease of collection rather than scientific validity. BMJ 1999;318:803.
9. Shah S, Cook A Performance indicators for primary care groups will they discriminate against small general practices? BMJ 1999,318:803.
10. Scanlon T, Tarrant P. Performance indicators for primary care groups' local consensus opinion must be reflected. BMJ 1999;318:803-4.
11. Cranney M, Barton S. Performance indicators for primary care groups: performance of these indicators is critical. BMJ 1999;318:804.
12. Pringle M, Ward P, Chilvers C Assessment of the completeness and accuracy of computer medical records in four practices committed to recording data on computer. Br J Gen Pract 1995;45:537-41.
13. Whitelaw FG, Nevin SL, Milne RM, et al. Completeness and accuracy of morbidity and repeat prescribing records held on general practice computers in Scotland. Br J Gen Pract 1996;46:181-6.
14. Jick H, Jick SS, Derby LE. Validation of information recorded on general practitioner based computerised data resource in the United Kingdom. BMJ 1991;302:766-8.
15. Newrick DC, Spencer JA, Jones KP. Collecting data in general practice: need for standardisation. BMJ 1996;312:33-4.
16. The Data Standards Team IMG. Data administration: good practice guidelines for GP practices. Leeds: NHS Executive, 1997.
17. NHS Executive. Collection of health data from general practice project. Leeds: NHS Executive, 1996.
18. Wilkinson EK, McColl AJ, Exworthy M, et al. Reactions to the use of evidence-based performance indicators in primary care: a qualitative study. Quality in Health Care 2000 (submitted for publication).
19. UK Prospective Diabetes Study Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. BMJ 1998;317 703-13.
20. Department of Health. Public Health Common Data Set 1995. Incorporating population health outcome indicators for the NHS. Data definitions and user guide for computer files. University of Surrey: Institute of Public Health, 1995.
21. Department of Health. Variations in health. What can the Department of Health and the NHS do? A report from the Variations Subgroup of the Chief Medical Officer's Health of the Nation Working Group. London: Department of Health, 1995.
22. Joint Commission on Accrediation of Health Care Organisations. National Library of Healthcare Indicators. Illinois, USA: Joint Commission of Healthcare Organisations, 1997.
23. NHS Centre for Reviews and Dissemination Review of the research on the effectiveness of health service interventions to reduce variations in health. York: University of York, 1995.
24. Independent inquiry into inequalities in health. London: Stationery Office, 1998.
25. Gulliford MC, Petruckevitch A, Burney PG. Hospital case notes and medical audit: evaluation of non-response. BMJ 1991;302 1128-9.
26. Langham S, Normand C, Piercy J, et al. Coronary heart disease. In. Stevens A, Raftery J, eds Health care needs assessment. Oxford: Radcliffe Medical Press, 1994:341-78.
27. Wade DT. Stroke (acute cerebrovascular disease). In: Stevens A, Raftery J, eds. Health care needs assessment. Oxford: Radcliffe Medical Press, 1994:111-255.
28. Joint Health Surveys Unit. In Prescott-Clarke P, Primatesta P, eds. Health survey for England 1995. Volume 1: Findings. London: Stationery Office, 1997.
29. Williams R. Diabetes mellitus In: Stevens A, Raftery J, eds. Health care needs assessment. Oxford: Radcliffe Medical Press, 1994
30. Kannel WB, Belanger AJ. Epidemiology of heart failure Am Heart J 1991;121:951-7.
31. McDonagh TA, Morrison CE, Lawrence A, et al Symptomatic and asymptomatic left ventricular systolic dysfunction in an urban population. Lancet 1997;350.829-33.
32. Langenberg M, Hellemons BSP, Van Ree JW, et al. Atrial fibrillation in elderly patients: prevalence and comorbidity in general practice. BMJ 1996;313.1534.
33. Lip GYH, Golding DJ, Nazir M, et al. A survey of atrial fibrillation in general practice: the West Birmingham atrial fibrillation project. BrJ Gen Pract 1997;47.285-9.