The Relationships Between Use of Quality-of-Care Feedback Reports on Chronic Diseases and Medical Engagement in General Practice

Abstract

Background:There is a limited knowledge on how medical engagement influences quality of care provided in primary care. The extent of the use of feedback reports from a national quality-of-care database can be considered as a measure of process quality. This study explores relationships between the use of feedback reports and medical engagement among general practitioners, general practitioner demographics, clinic characteristics, and services.Methods:A cross-sectional combined questionnaire and register study in a sample of 352 single-handed general practitioners in 2013. Logistic regression analysis was used to explore associations between the use of feedback reports for diabetes and chronic obstructive pulmonary disease and medical engagement.Results:For both diabetes and chronic obstructive pulmonary disease, a higher degree of medical engagement was associated with an increased use of feedback reports. Furthermore, we identified positive associations between using feedback reports and general practitioner services (spirometry, influenza vaccinations, performing annual reviews for patients with chronic diseases) and a negative association between usage of quality-of-care feedback reports and the number of consultations per patient.Conclusion:Using feedback reports for chronic diseases in general practice was positively associated with medical engagement and also with the provision of services in general practice.

<p>Physician engagement: a concept analysis</p>

“…First, the improvement of data quality 136. Second health system efficiency21,63,141 that leads to cost reduction,1,3,57,78,82,91,106,109,129,135,141,142 and improved service provision 28. Third is innovation23 and fourth is job satisfaction.…”

“…Fifth is improved patient satisfaction and experience 91,98. Finally, physician engagement is associated with improved performance, both organizational1 and system performance,30,64,117,144 specifically decreased error,131,145 improved quality,3,28,49,76,146–148 better care,52,82,98,149 improved adverse medical reporting,113 improved access to specialists (ie, decreased wait times),150 health outcomes,40,62 clinical and decision outcomes,55,85,151 use of guidelines,54,71,134 screening,104,152 enrollment of patients,153 and implementation of protocols 124…”

Effects of Point-Of-Care Testing in General Practice for Type 2 Diabetes Patients on Ambulatory Visits and Hospitalizations

“…Unfortunately, data on laboratory results of HbA1c changes and related clinical outcomes such as HDL, LDL, weight and smoking status are not collected from Danish GPs. These data and ICPC-2 coding on diabetes patients (e.g., vascular complications) were captured in a central Danish quality of care database and used for quality of care reports between 2005–2014 until the data base was closed for legal reasons [ 35 , 36 ]. Regrettably, this failure to report data from general practice still leave large gaps in the stakeholder’s overview of diabetes treatment in Denmark.…”

Establishment of an evaluation index system of competencies for graduating students in general practice medicine

“…According to the ndings of this study, the weight coe cient of "High blood pressure, diabetes, mental illness and other health education skills" was the highest in "community practice" with a weight coe cient of 0.0475. The prevention and management of chronic disease is a priority for primary care services [19]. One of the most important skills of GPs, which was different from other physicians, was health education and the development of a high-quality preventive service, aiming to prevent diseases and improve residents' self-management ability and quality of life [20].…”