Quality circles to improve prescribing patterns in primary medical care: What is their actual impact?

Journal of Evaluation in Clinical Practice

Volumn 10, Issue 3, 2004, Pages 457-466

  Wensing, Michel ^a,b   Broge, Björn ^c   Kaufmann Kolle, Petra ^c   Andres, Edith ^c   Szecsenyi, Joachim ^a,c  

^a UNIVERSITY OF HEIDELBERG   (Germany)

^b RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

^c AQUA Inst Appl Qual Improvement   (Germany)

Author keywords

Prescribing patterns; Primary medical care; Quality improvement

Indexed keywords

ANALGESIC AGENT; ANTIALLERGIC AGENT; ANTIASTHMATIC AGENT; ANTIBIOTIC AGENT; ANTIDIABETIC AGENT; ANTIHYPERTENSIVE AGENT; ANTILIPEMIC AGENT; ANTITUSSIVE AGENT; ANXIOLYTIC AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DERMATOLOGICAL AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; DIURETIC AGENT; GASTROINTESTINAL AGENT; GENERIC DRUG; HEMATOLOGIC AGENT; HYDROXYMETHYLGLUTARYL COENZYME A REDUCTASE INHIBITOR; HYPNOTIC AGENT; INSULIN; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE; PROTON PUMP INHIBITOR; PSYCHOTROPIC AGENT; SEDATIVE AGENT; SEX HORMONE; STEROID; SULFONYLUREA DERIVATIVE; THYROID HORMONE; UNINDEXED DRUG; VITAMIN;

ARTICLE; CLINICAL PRACTICE; CONTROLLED STUDY; DRUG CHOICE; GENERAL PRACTICE; GENERAL PRACTITIONER; GERMANY; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH PROGRAM; HUMAN; HUMAN EXPERIMENT; MEDICAL DECISION MAKING; MEDICAL PRACTICE; NORMAL HUMAN; OUTCOMES RESEARCH; PRESCRIPTION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; QUALITY CONTROL;

DRUG COSTS; GERMANY; MANAGEMENT QUALITY CIRCLES; PHYSICIAN'S PRACTICE PATTERNS; PRESCRIPTIONS, DRUG; PRIMARY HEALTH CARE;

EID: 4143147503     PISSN: 13561294     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1365-2753.2004.00517.x     Document Type: Article

References (20)

1. Avery A.J., Rodgers S., Heron T., Crombie R., Whynes D., Pringle M., Baines D. & Petchey R. (2000) A prescription for improvement? An observational study to identify how general practices vary in their growth in prescribing costs. British Medical Journal 321, 276-281.
2. Bahrs O., Gerlachh F.M., Szecsenyi J. & Andres E. (2001) Ärtztliche Qualitätszirkel. Leitfaden für den Artzt in Praxis und Klinik. Deutscher Ärtzte-Verlag, Köln.
3. Beyer M., Gerlach F.M., Flies U., Grol R., Krol Z., Munck A., Olesen F., Seuntjes L. & Szecsenyi J. (2003) The development of quality circles/peer review Groups as a tool for quality improvement in Europe. Results of a survey in 26 European countries. Family Practice 20, 443-451.
4. Bradley C.P. (1991) Decision making and prescribing patterns - a literature review. Family Practice 8, 276-287.
5. Campbell S.M., Cantril J.A. & Roberts D. (2000) Prescribing indicators for UK general practice: Delphi consultation study. British Medical Journal 321, 1-5.
6. Chaix-Couturier C., Durand-Zaleski I., Jolly D. & Durieux P. (2000) Effects of financial incentives on medical practice: results from a systematic review of the literature and methodological costs? International Journal for Quality in Health Care 12, 133-142.
7. Eccles M., Grimshaw J., Campbell M. & Ramsay C. (2003) Research designs for studies evaluating the effectiveness of change and improvement strategies. Quality and Safety in Health Care 12, 47-52.
8. Gerlach F.M., Beyer M. & Romer A. (1998) Quality circles in ambulatory care: state of development and future perspective in Germany. International Journal for Quality in Health Care 10, 35-42.
9. Gill P.S., Mäkelä M., Vermeulen K.M., Freemantle N., Ryan G., Bond C., Thorsen T. & Haaijer-Ruskamp F.M. (1999) Changing doctor prescribing behaviour. Pharmacy World & Science 21, 158-167.
10. Grimshaw J.M., Eccles M.P., Walker A.E. & Thomas R.E. (2002) Changing physicians' behavior: what works and thoughts on getting more things to work. The Journal of Continuing Education in the Health Professions 22, 237-243.
11. Grol R., Wensing M., Mainz J., Ferreira P., Hearnshaw H., Hjortdahl P., Olesen F., Ribacke M., Spenser T. & Szecsenyi J. (1999) Patients' priorities with respect to general practice care: an international comparison. Family Practice 16, 4-11.
12. Himmel W., Lippert-Urbanke E. & Kochen M.M. (1997) Are patients more satisfied when they receive a prescription? The effect of patient expectations in general practice. Scandinavian Journal of Primary Health Care 15, 118-122.
13. Jones M.I., Greenfield S.M. & Bradley C.P. (2001) Prescribing new drugs: qualitative study of influences on consultants and general practitioners. British Medical Journal 323, 1-7.
14. Kochen M.M., Sandholzer H. & Himmel W. (1994) Attitudes of primary care physicians towards the use of drug formulary-preliminary results of a study in Germany. International Journal of Clinical Pharmacology and Therapeutics 32, 400-402.
15. MacFarlane J., Holmes W., MacFarlane R. & Britten N. (1997) Influence of patients' expectations on antibiotic management of acute lower respiratory tract illness in general practice: questionnaire study. British Medical Journal 315, 1211-1214.
16. Sauerland D. (2001) The German strategy for quality improvement in health care: still to improve. Health Policy 56, 127-147.
17. Szecsenyi J. (2003) Influence of attitudes and behaviour of GPs on prescribing costs. Quality and Safety in Health Care 12, 6-7.
18. Tausch B.D. & Härter M.C. (2001) Perceived effectiveness of diagnostic and therapeutic guidelines in primary care quality circles. International Journal for Quality in Health Care 13, 239-246.
19. Van Dijk L. & De Bakker D.H. (2002) Professionalization of Dutch PRGs and volume and costs of frequently prescribed drugs. Zeitschrift für Gesundheidswissenschaften 10, 292-304.
20. Von Ferber L., Bausch J., Koster I., Schubert I. & Ihle P. (1999) Pharmacotherapeutic circles. Results of an 18-month peer-review prescribing-improvement programme for general practitioners. Pharmacoeconomics 16, 273-283.