Debono, D and Greenfield, D and Testa, L and Mumford, V and Hogden, A and Pawsey, M and Westbrook, J and Braithwaite, J, Understanding stakeholders' perspectives and experiences of general practice accreditation, Health Policy, 121, (7) pp. 816-822. ISSN 0168-8510 (2017) [Refereed Article]
Copyright 2017 Elsevier B.V.
Objective: To examine general practice accreditation stakeholders’ perspectives and experiences to identify program strengths and areas for improvements.
Design, setting and participants: Individual (n = 2) and group (n = 9) interviews were conducted between September 2011–March 2012 with 52 stakeholders involved in accreditation in Australian general practices. Interviews were recorded, transcribed and thematically analysed. Member checking activities in April 2016 assessed the credibility and currency of the findings in light of current reforms.
Results: Overall, participants endorsed the accreditation program but identified several areas of concern. Noted strengths of the program included: program ownership, peer review and collaborative learning; access to Practice Incentives Program payments; and, improvements in safety and quality. Noted limitations in these and other aspects of the program offer potential for improvement: evidence for the impact of accreditation; resource demands; clearer outcome measures; and, specific experiences of accreditation.
Conclusions: The effectiveness of accreditation as a strategy to improve safety and quality was shaped by the attitudes and experience of stakeholders. Strengths and weaknesses in the accreditation program influence, and are influenced by, stakeholder engagement and disengagement. After several accreditation cycles, the sector has the opportunity to reflect on, review and improve the process. This will be important if the continued or extended engagement of practices is to be realised to assure the continuation and effectiveness of the accreditation program.
|Item Type:||Refereed Article|
|Keywords:||healthcare, accreditation, quality, safety, general practice|
|Research Division:||Health Sciences|
|Research Group:||Health services and systems|
|Research Field:||Health services and systems not elsewhere classified|
|Objective Group:||Evaluation of health and support services|
|Objective Field:||Evaluation of health and support services not elsewhere classified|
|UTAS Author:||Greenfield, D (Professor David Greenfield)|
|UTAS Author:||Hogden, A (Dr Anne Hogden)|
|Web of Science® Times Cited:||3|
|Deposited By:||College Office - CoBE|
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