The implementation of a quality system in the Dutch GP specialty training: barriers and facilitators; a qualitative study

Autor: Nienke Buwalda, Jozé Braspenning, Mechteld R. M. Visser, Nynke van Dijk, Sanne L C van Roosmalen
Přispěvatelé: APH - Quality of Care, APH - Personalized Medicine, Graduate School, General practice
Rok vydání: 2017
Předmět:
Program evaluation
Quality management
020205 medical informatics
Quality Assurance
Health Care
Attitude of Health Personnel
General Practice
Specialty
Organizational culture
lcsh:Medicine
02 engineering and technology
Education
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
0202 electrical engineering
electronic engineering
information engineering
Medicine
Humans
030212 general & internal medicine
Cooperative Behavior
Program Development
Qualitative Research
Medical education
lcsh:LC8-6691
Education
Medical
lcsh:Special aspects of education
business.industry
lcsh:R
Health services research
General Medicine
Organizational Culture
Quality Improvement
Quality management system
Structured interview
Interdisciplinary Communication
Health Services Research
business
Qualitative research
Program Evaluation
Research Article
Zdroj: BMC Medical Education, 17, 127
BMC Medical Education, Vol 17, Iss 1, Pp 1-9 (2017)
BMC Medical Education
BMC Medical Education, 17, 1, pp. 127
BMC medical education, 17(1). BioMed Central
ISSN: 1472-6920
Popis: Contains fulltext : 177274.pdf (Publisher’s version ) (Open Access) BACKGROUND: Quality assurance programs in medical education are introduced to gain insight into the quality of such programs and to trigger improvements. Although of utmost importance, research on the implementation of such programs is scarce. The Dutch General Practice (GP) specialty training institutes used an implementation strategy to implement a quality system (QS), and we aimed to study the success of this strategy and to learn about additional facilitators and barriers. METHODS: Seventeen structured interviews were conducted with the directors and quality coordinators (QCs) of the eight Dutch GP training institutes. A five-stage process model of implementation was used to structure these interviews and analyze the data. Two researchers analyzed the data with a framework approach. RESULTS: The strategy supported the institutes in implementing the QS. However, after the introduction of the QS, staff experienced the QS as demanding, although they noticed almost no concrete short-term results. Moreover, they experienced difficulties in integrating the QS into their local situation. Collectively working with the QS and following common deadlines did create a sense of commitment towards each other that appeared to be a true stimulus to the introduction of the QS. CONCLUSIONS: The implementation strategy focused mainly on the introduction of the QS in the GP specialty training, and it was, as such, rather successful. An important barrier concerned the acceptance of the QS and the integration of the QS into local structures, which suggests that there is a need for guidance on the translation of the QS to local contexts. All in all, we recommend more focus on the benefits of a QS.
Databáze: OpenAIRE
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