Medical Audit in Primary Health Care

by Lawrence, Martin; Schofield, Theo

• ISBN13: 9780192622679
• ISBN10: 0192622676
• Format: Paperback
• Copyright: 1993-06-03
• Publisher: Oxford University Press

Summary

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.

Table of Contents

Introduction

The Basis of Medical Audit

What is Medical Audit

The Purpose of Medical Audit

Medical Audit and Accountability

Establishing Audit in Primary Health Care

Choosing the Topic and Getting Started

Setting Standards in Practice

Collecting and Analysing Data

Implementing Change and Planning Care

Repeating the Cycle

Audit in Practice

Preventive Care: Child Surveillance and Women's Health

Preventive Care: Cardiovascular Disease

Chronic Disease Management

Prescribing and Formularies

Critical Incident Analysis: Cases and Patterns

Problem-solving Audits

Access, Availability, and Continuity

Assessment of Patients' Views in Primary Care

Auditing Teamwork

The Primary/Secondary Care Interface

Practice Visiting

Support and Evaluation

The Role of the Medical Audit Advisory Group

Auditing Audit

Practice Reports and Profits

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