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National quality and performance system for Divisions of General Practice: early reflections on a system under development

Gardner, KL, Sibthorpe, B and Longstaff, D (2008). National quality and performance system for Divisions of General Practice: early reflections on a system under development. Australia and New Zealand Health Policy,5:1-8.

Document type: Journal Article
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Title National quality and performance system for Divisions of General Practice: early reflections on a system under development
Author Gardner, KL
Sibthorpe, B
Longstaff, D
Journal Name Australia and New Zealand Health Policy
Publication Date 2008
Volume Number 5
ISSN 1743-8462   (check CDU catalogue open catalogue search in new window)
Start Page 1
End Page 8
Total Pages 8
Place of Publication UK
Publisher BioMed Central Ltd.
Field of Research 1117 - Public Health and Health Services
HERDC Category C1 - Journal Article (DEST)
Abstract Background: Governments are increasingly introducing performance management systems to improve the quality and outcomes of health care. Two types of approaches have been described: assurance systems that use summative information for external accountability and internally driven systems that use formative information for continuous quality improvement. Australia recently introduced a National Quality and Performance System (NQPS) for Divisions of General Practice that has the dual purposes of increasing accountability and improving performance. In this article, we ask whether the framework can deliver on its objectives for achieving accountability and fostering performance improvement. We examine the system in terms of four factors identified in a recent systematic review of indicator systems known to improve their use. These are: involving stakeholders in development; having clear objectives; approach to data collection and analysis including using 'soft data' to aid interpretation; and feeding back information. Results: We found that early consultative processes influenced system development. The system promotes the collection of performance information against defined program objectives. Data includes a mix of qualitative and quantitative indicators that are fitted to a conceptual framework that facilitates an approach to performance assessment that could underpin continuous quality improvement at the Division level. Feedback of information to support the development of quality improvement activities has not been fully developed. Conclusion: The system currently has elements that, with further development, could support a more continuous quality improvement or assurance based approach. Careful consideration needs to be given to the development of methods for analysis and review of performance indicators, performance assessment and engagement with consumers. The partnership arrangement that supported early development could be expected to serve as an important vehicle for further development.
DOI http://dx.doi.org/10.1186/1743-8462-5-8   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes Australia and New Zealand Health Policy is no longer available via open access through BioMed Central. BioMed Central open access hosts an archive of all articles published to the end of 2009.
Description for Link Link to OA Journal Home
URL http://www.anzhealthpolicy.com/
 
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Created: Fri, 16 Apr 2010, 20:11:28 CST by Sarena Wegener