Using quality circles to evaluate the efficacy of primary health care

1989 ◽  
Vol 1989 (42) ◽  
pp. 19-27 ◽  
Author(s):  
Leo Schillemans ◽  
Lieve De Grande ◽  
Roy Remmen
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Quality Circles ◽  
Primary Health

scholarly journals Quality circles for quality improvement in primary health care: Their origins, spread, effectiveness and lacunae– A scoping review

PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0202616 ◽  
Author(s):  
Adrian Rohrbasser ◽  
Janet Harris ◽  
Sharon Mickan ◽  
Kali Tal ◽  
Geoff Wong
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Scoping Review ◽  
Quality Circles ◽  
Primary Health

scholarly journals Quality circles for quality improvement in primary health care: their effectiveness, gaps of knowledge, origins and significance – a scoping review

2018 ◽  
Author(s):  
Adrian Rohrbasser ◽  
Janet Harris ◽  
Sharon Mickan ◽  
Geoff Wong
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Continuous Medical Education ◽  
Quality Circles ◽  
Knowledge Gaps ◽  
Search Terms ◽  
Primary Health ◽  
Index Terms ◽  
Insight Into

AbstractBackgroundQuality circles, or similarly structured small groups in primary health care, such as peer review groups, consist of 6 to 12 professionals from the same background who meet regularly to improve their standard practice. This paper reports the results from a scoping search performed to clarify possible effectiveness, knowledge gaps, underlying concepts and significance.ObjectivesTo gain insight into knowledge gaps and understanding of the effectiveness, origins and significance of quality circles.MethodsA search strategy was developed starting with ‘quality circle’ in PubMed and the index terms from those articles revealed were then used as search terms to identify further papers. Repeating this process in collaboration with a librarian, search strings relating to quality circles were built, and databases searched up to December 2017. Any paper on structured quality circles or related small group work in primary health care was included when relevant to the objectives.ResultsFrom 11973 citations, 82 background papers and 58 key papers were identified, in addition to 12 books and 10 websites. 19 studies, one paper summarizing three studies and one systematic review suggest that quality circles can be effective in behaviour change, though with varying effect sizes. Quality circles and their techniques are complex, as they are not standardized, and changes seem to depend on the topic and context, which requires further research into how and why they work in order to improve them. From their origins in industry, they are now used in primary health care in many countries for continuous medical education, continuous professional development and quality improvement.ConclusionThe evidence on quality circles indicates that they can successfully change general practitioner behaviour. As they are a complex intervention, theory-driven research approaches are needed to understand and improve their effectiveness. This is of major importance because they play an important role in quality improvement in primary health care in many countries.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

Helping rural Vietnam meet its primary health care goals

2000 ◽  
Author(s):  
Judith Blakeley ◽  
Lan Gien ◽  
Purnima Sen ◽  
Maureen Laryea
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health
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