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Assessment of primary care by clinical quality indicators.
Braspenning, J., Schellevis, F., Grol, R. Assessment of primary care by clinical quality indicators. In: G.P. Westert; L. Jabaaij; F.G. Schellevis. Morbidity, performance and quality in primary care: Dutch general practice on stage. Oxon: Radcliffe Publishing, 2006. 195-204
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This chapter describes to what extent the care delivered in general practices in agreement with
clinical guidelines. Recommendations for good practice have been summarised in 139 indicators for 70
national guidelines. In this study, data on contacts, prescriptions, and referrals for a wide range
of medical conditions were available for 106 quality indicators. Indicators on prevalence showed
that detection rates could be improved for hypertension, hypercholesterolaemia, heart failure,
alcohol abuse, dementia, anxiety, asthma in children, urine incontinence, hearing problemes, and
osteoporosis. Diagnostic imaging was requested according to the guidelines (76 %), but this was less
the case for laboratory tests (53%). Prescription-relation indicators showed that the guidelines
were more often followed when they related to not prescribing certain drugs (78%), rather than when
they advised specific drugs (62%). Adherence was particularly high for referrals (89%). The
indicators for preventative activities showed a high level of adherence (75%) but here too some
improvement is possible. The indicators provide reference figures for current performance in general
practice in the Netherlands. The adherence rates tell us about the quality of care delivered; the
variance between practices provides further information on possible quality improvement. (aut. ref.)
clinical guidelines. Recommendations for good practice have been summarised in 139 indicators for 70
national guidelines. In this study, data on contacts, prescriptions, and referrals for a wide range
of medical conditions were available for 106 quality indicators. Indicators on prevalence showed
that detection rates could be improved for hypertension, hypercholesterolaemia, heart failure,
alcohol abuse, dementia, anxiety, asthma in children, urine incontinence, hearing problemes, and
osteoporosis. Diagnostic imaging was requested according to the guidelines (76 %), but this was less
the case for laboratory tests (53%). Prescription-relation indicators showed that the guidelines
were more often followed when they related to not prescribing certain drugs (78%), rather than when
they advised specific drugs (62%). Adherence was particularly high for referrals (89%). The
indicators for preventative activities showed a high level of adherence (75%) but here too some
improvement is possible. The indicators provide reference figures for current performance in general
practice in the Netherlands. The adherence rates tell us about the quality of care delivered; the
variance between practices provides further information on possible quality improvement. (aut. ref.)
This chapter describes to what extent the care delivered in general practices in agreement with
clinical guidelines. Recommendations for good practice have been summarised in 139 indicators for 70
national guidelines. In this study, data on contacts, prescriptions, and referrals for a wide range
of medical conditions were available for 106 quality indicators. Indicators on prevalence showed
that detection rates could be improved for hypertension, hypercholesterolaemia, heart failure,
alcohol abuse, dementia, anxiety, asthma in children, urine incontinence, hearing problemes, and
osteoporosis. Diagnostic imaging was requested according to the guidelines (76 %), but this was less
the case for laboratory tests (53%). Prescription-relation indicators showed that the guidelines
were more often followed when they related to not prescribing certain drugs (78%), rather than when
they advised specific drugs (62%). Adherence was particularly high for referrals (89%). The
indicators for preventative activities showed a high level of adherence (75%) but here too some
improvement is possible. The indicators provide reference figures for current performance in general
practice in the Netherlands. The adherence rates tell us about the quality of care delivered; the
variance between practices provides further information on possible quality improvement. (aut. ref.)
clinical guidelines. Recommendations for good practice have been summarised in 139 indicators for 70
national guidelines. In this study, data on contacts, prescriptions, and referrals for a wide range
of medical conditions were available for 106 quality indicators. Indicators on prevalence showed
that detection rates could be improved for hypertension, hypercholesterolaemia, heart failure,
alcohol abuse, dementia, anxiety, asthma in children, urine incontinence, hearing problemes, and
osteoporosis. Diagnostic imaging was requested according to the guidelines (76 %), but this was less
the case for laboratory tests (53%). Prescription-relation indicators showed that the guidelines
were more often followed when they related to not prescribing certain drugs (78%), rather than when
they advised specific drugs (62%). Adherence was particularly high for referrals (89%). The
indicators for preventative activities showed a high level of adherence (75%) but here too some
improvement is possible. The indicators provide reference figures for current performance in general
practice in the Netherlands. The adherence rates tell us about the quality of care delivered; the
variance between practices provides further information on possible quality improvement. (aut. ref.)
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