eCite Digital Repository

Understanding stakeholders' perspectives and experiences of general practice accreditation


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 Statement

Copyright 2017 Elsevier B.V.

DOI: doi:10.1016/j.healthpol.2017.05.006


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 Details

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 Division:Health
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)
ID Code:118354
Year Published:2017
Web of Science® Times Cited:3
Deposited By:College Office - CoBE
Deposited On:2017-07-11
Last Modified:2020-02-06

Repository Staff Only: item control page