Medical Audit in Primary Health Care

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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: 6/28/1993
  • 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

General Practitioner, Oxford

General Practitioner, Warwickshire

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Table of Contents

List of contributors
Introduction
Pt. I The basis of medical audit 1
1 What is medical audit? 3
2 The purpose of medical audit 14
3 Medical audit and accountability 21
Pt. II Establishing audit in primary health care 31
Introduction: Preparing the ground 33
4 Choosing the topic and getting started 37
5 Setting standards in practice 50
6 Collecting and analysing data 56
7 Implementing change and planning care 77
8 Repeating the cycle 88
Pt. III Audit in practice 95
9 Preventive care: child surveillance and women's health 97
10 Preventive care: cardiovascular disease 110
11 Chronic disease management 122
12 Prescribing and formularies 136
13 Critical incident analysis: cases and patterns 149
14 Problem-solving audits 155
15 Access, availability, and continuity 165
16 Assessment of patients' views in primary care 178
17 Auditing teamwork 188
18 The primary/secondary care interface 199
19 Practice visiting 210
Pt. IV Support and evaluation 217
20 The role of the Medical Audit Advisory Group 219
21 Auditing audit 233
22 Practice reports and profiles 243
Index 253
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