Undertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences

Abstract Background Cancer is a major cause of illness and death, and its incidence and mortality can be reduced through effective screening. In order to improve below target screening rates in one region of Australia, the local Primary Health Network supported local general practices to implement a...

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Autores principales:	Steven A. Trankle, Christine Metusela, Jennifer Reath
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	General practice Primary healthcare support Strategies Australia Qualitative Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/23fdf174954f4c9ab7fa1d1dca5b2b95
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spelling	oai:doaj.org-article:23fdf174954f4c9ab7fa1d1dca5b2b952021-11-21T12:32:34ZUndertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences10.1186/s12875-021-01581-y1471-2296https://doaj.org/article/23fdf174954f4c9ab7fa1d1dca5b2b952021-11-01T00:00:00Zhttps://doi.org/10.1186/s12875-021-01581-yhttps://doaj.org/toc/1471-2296Abstract Background Cancer is a major cause of illness and death, and its incidence and mortality can be reduced through effective screening. In order to improve below target screening rates in one region of Australia, the local Primary Health Network supported local general practices to implement a range of quality improvement initiatives. Methods We used a qualitative approach and interviewed 18 general practice staff and five Primary Health Network staff and contractors to understand their experiences with these quality improvement initiatives. Results In a thematic analysis, we identified four key themes related to program set-up and implementation; patient and community education and promotion; engaging patients and communities in screening; and general practice enhancement. Program roles were clear and understood, and the program received strong oversight and support. Practice staff felt supported and motivated. Information Technology was a challenge for many practices often requiring tailored assistance. Education provided by practices facilitated patient empowerment but practice staff noted difficulties engaging patients in screening. Practices were enhanced though strong leadership and teamwork and practice learning activities. Conclusions The tailored evidence-based quality improvement initiatives were considered effective in supporting general practices to increase their cancer screening. Key facilitators reported by participants included use of Plan-Do-Study-Act cycles, enhanced data entry and audit capacity, effective recall and reminder systems and maintaining staff motivation.Steven A. TrankleChristine MetuselaJennifer ReathBMCarticleGeneral practicePrimary healthcare supportStrategiesAustraliaQualitativeMedicine (General)R5-920ENBMC Family Practice, Vol 22, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	General practice Primary healthcare support Strategies Australia Qualitative Medicine (General) R5-920
spellingShingle	General practice Primary healthcare support Strategies Australia Qualitative Medicine (General) R5-920 Steven A. Trankle Christine Metusela Jennifer Reath Undertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences
description	Abstract Background Cancer is a major cause of illness and death, and its incidence and mortality can be reduced through effective screening. In order to improve below target screening rates in one region of Australia, the local Primary Health Network supported local general practices to implement a range of quality improvement initiatives. Methods We used a qualitative approach and interviewed 18 general practice staff and five Primary Health Network staff and contractors to understand their experiences with these quality improvement initiatives. Results In a thematic analysis, we identified four key themes related to program set-up and implementation; patient and community education and promotion; engaging patients and communities in screening; and general practice enhancement. Program roles were clear and understood, and the program received strong oversight and support. Practice staff felt supported and motivated. Information Technology was a challenge for many practices often requiring tailored assistance. Education provided by practices facilitated patient empowerment but practice staff noted difficulties engaging patients in screening. Practices were enhanced though strong leadership and teamwork and practice learning activities. Conclusions The tailored evidence-based quality improvement initiatives were considered effective in supporting general practices to increase their cancer screening. Key facilitators reported by participants included use of Plan-Do-Study-Act cycles, enhanced data entry and audit capacity, effective recall and reminder systems and maintaining staff motivation.
format	article
author	Steven A. Trankle Christine Metusela Jennifer Reath
author_facet	Steven A. Trankle Christine Metusela Jennifer Reath
author_sort	Steven A. Trankle
title	Undertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences
title_short	Undertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences
title_full	Undertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences
title_fullStr	Undertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences
title_full_unstemmed	Undertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences
title_sort	undertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences
publisher	BMC
publishDate	2021
url	https://doaj.org/article/23fdf174954f4c9ab7fa1d1dca5b2b95
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Undertaking general practice quality improvement to improve cancer screening - a thematic analysis of provider experiences

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