Organizational assessment in general practice: a systematic review and implications for quality improvement

Organizational assessment in general practice: a systematic review and implications for quality... Background Quality improvement of organizational aspects in general practice is receiving increasing attention. In particular, the impact of effective organization on preventative care has been recognized. Organizational assessments are typically used as part of professionally led accreditation schemes where there is a tension between externally led quality assurance and internally led quality improvement. The aim of this article is to inform the debate by reviewing the international‐peer‐reviewed literature on organizational assessments used in general practice settings. Design Systematic literature review. Methods The literature was searched for articles relating to organizational assessment. Titles and abstracts were examined by two independent reviewers and relevant articles obtained. Bibliographies were examined for follow‐up references. Data were extracted on the development and use of assessment methods. Results Thirteen papers describing five organizational assessment instruments were included for detailed appraisal. Conclusion This review discovered a developing field containing different approaches to the measurement of organizational aspects of general practice. Whilst professionally led accreditation is well‐developed and dependent on externally led quality assurance, approaches to internally led quality improvement are less well‐developed. There is a need for organizational assessment tools designed for the purpose of stimulating internal development. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Evaluation in Clinical Practice Wiley

Organizational assessment in general practice: a systematic review and implications for quality improvement

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Publisher
Wiley
Copyright
Copyright © 2005 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1356-1294
eISSN
1365-2753
DOI
10.1111/j.1365-2753.2005.00544.x
pmid
16011649
Publisher site
See Article on Publisher Site

Abstract

Background Quality improvement of organizational aspects in general practice is receiving increasing attention. In particular, the impact of effective organization on preventative care has been recognized. Organizational assessments are typically used as part of professionally led accreditation schemes where there is a tension between externally led quality assurance and internally led quality improvement. The aim of this article is to inform the debate by reviewing the international‐peer‐reviewed literature on organizational assessments used in general practice settings. Design Systematic literature review. Methods The literature was searched for articles relating to organizational assessment. Titles and abstracts were examined by two independent reviewers and relevant articles obtained. Bibliographies were examined for follow‐up references. Data were extracted on the development and use of assessment methods. Results Thirteen papers describing five organizational assessment instruments were included for detailed appraisal. Conclusion This review discovered a developing field containing different approaches to the measurement of organizational aspects of general practice. Whilst professionally led accreditation is well‐developed and dependent on externally led quality assurance, approaches to internally led quality improvement are less well‐developed. There is a need for organizational assessment tools designed for the purpose of stimulating internal development.

Journal

Journal of Evaluation in Clinical PracticeWiley

Published: Aug 1, 2005

References

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