Medical Audit in Primary Health Care

Medical Audit in Primary Health Care

by Martin Lawrence, Christopher Lawrence
     
 

The demand for quality control of medical care has increased dramatically in recent years. In response to higher public awareness and political trends, the implementation of audit has swept through general practice in the US, fueled by the appearance of improved data collection systems and the greater sophistication of primary care teamwork. This book is a concise

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Overview

The demand for quality control of medical care has increased dramatically in recent years. In response to higher public awareness and political trends, the implementation of audit has swept through general practice in the US, fueled by the appearance of improved data collection systems and the greater sophistication of primary care teamwork. This book is a concise yet comprehensive guide to the theory and practice of medical audit in the primary health care setting. Edited by two university lecturers who are also practicing family practitioners, the book includes contributions from a range of practitioners who have experience of audit in action, and an appreciation of the potential pitfalls involved. The first part of the book discusses the theoretical basis and purpose of audit, and describes the stages of the 'audit cycle' from setting target standards to effecting change. The second part describes the implementation of audit, focusing in turn upon each stage of the cycle, and examining practical examples of audit problems drawn from a variety of areas of care. It concludes with a discussion of the role of Medical Audit Advisory Groups, and the methods of auditing audit. Throughout the book, emphasis is placed upon the importance of teamwork in solving problems. This theoretical and practical guide to the challenge of medical audit will be of value to general practitioners, trainees, and all members of the primary health care team.

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Product Details

ISBN-13:
9780192622679
Publisher:
Oxford University Press, USA
Publication date:
04/28/1993
Series:
Oxford General Practice Series, #25
Edition description:
New Edition
Pages:
272
Product dimensions:
6.19(w) x 9.19(h) x 0.59(d)

Meet the Author

Table of Contents

List of contributors
Introduction
Pt. IThe basis of medical audit1
1What is medical audit?3
2The purpose of medical audit14
3Medical audit and accountability21
Pt. IIEstablishing audit in primary health care31
Introduction: Preparing the ground33
4Choosing the topic and getting started37
5Setting standards in practice50
6Collecting and analysing data56
7Implementing change and planning care77
8Repeating the cycle88
Pt. IIIAudit in practice95
9Preventive care: child surveillance and women's health97
10Preventive care: cardiovascular disease110
11Chronic disease management122
12Prescribing and formularies136
13Critical incident analysis: cases and patterns149
14Problem-solving audits155
15Access, availability, and continuity165
16Assessment of patients' views in primary care178
17Auditing teamwork188
18The primary/secondary care interface199
19Practice visiting210
Pt. IVSupport and evaluation217
20The role of the Medical Audit Advisory Group219
21Auditing audit233
22Practice reports and profiles243
Index253

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